Cypress College/ Department of Nursing

NURS 196

Sample Quiz on Care of the Patient with Diabetes Mellitus

1. Which of the following ethnic groups in the US are at particular risk for developing diabetes

mellitus? (circle all that apply)

a. Afro-Americans

b. Asian-Americans

c. Euro-Americans

d. Native Americans

e. Pacific Islanders

2. Which of the following is true of s/s of diabetes mellitus?

a. Polydipsia occurs secondary to vasculopathy & neuropathy

b. Polyuria is due to oncotic pull of serum proteins being greater than the hydrostatic

pressure

c. Polyphagia is from the CNS appetite center becoming damaged from neuropathy

d. Polyuria happens because the glucose increases serum osmolality

3. Which of the following s/s would lead the RN to suspect that the patient is experiencing DKA?

a. Sudden decrease of body temperature

b. Bradycardia

c. Oliguria

d. Tachypnea

4. Which of the following tests is used to detect a problem with on-going glycemic control?

a. Glycosylated hemoglobin

b. Glucose tolerance test

c. Autoantibodies assay

d. Urine glucose

5. You are evaluating how well your patient with diabetes mellitus has learned to care for his

feet. Which of the following statements indicates a need for remediation?

a. “I promise to bathe my feet every evening in warm water until the toes get puckery.”

b. “If I get a blister, I will go right to my doctor.”

c. “I will make sure that my new shoes are always ½ inch longer than my toes.”

d. “Cotton socks are the ones for me from now on.”

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6. The diabetic exchange diet states that each exchange is approximately _____ grams of CHO.

a. 15

b. 12

c. 10

d. 5

7. Each exchange in the diet needs approximately ____ units of insulin, either from the pancreas

or through administration.

a. 1-2

b. 2-3

c. 3-4

d. 4-5

8. Positive test results for C-peptides indicates which of the following?

a. Auto-antibodies are present

b. Inflammation occurring

c. Infection resolving

d. Insulin production

9. When a person with IDDM exercises, he/she should monitor for which of the following

problems?

a. Hyperglycemia

b. Hypoglycemia

c. Hypotension

d. Heat intolerance

10. Women with gestational diabetes need to have tight glycemic control during pregnancy

because …

a. It will be too uncomfortable to deliver a large baby vaginally

b. They will develop permanent diabetes mellitus post-delivery

c. It greatly decreases the risk of the baby storing excess lipids

d. Hyperglycemia in the newborn baby is dangerous

1) A,D,E 2) D 3) D 4) A 5) A 6) A 7) A 8) D 9) B 10) C

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