Diabetes Mellitus (NCLEX) Type 1 vs Type 2 Management Quiz

1. Which lifestyle modification has the greatest impact on preventing Type 2 diabetes progression?

Intermittent fasting

Weight loss and regular physical activity

Strict carbohydrate elimination

Daily glucose monitoring

2. Which antidiabetic medication class increases insulin secretion and carries the highest hypoglycemia risk?

DPP-4 inhibitors

Sulfonylureas

SGLT2 inhibitors

Metformin

3. True or False: Metformin is contraindicated in patients with an eGFR below 30 mL/min.

True

False

Submit

7. A Type 2 diabetic patient on pioglitazone reports weight gain and increased thirst. Which adverse effect is most concerning?

Hepatotoxicity

Fluid retention and heart failure risk

Severe hypoglycemia

Acute kidney injury

8. Which laboratory value best reflects long-term glucose control over the past 2-3 months?

Fasting blood glucose

Random blood glucose

Hemoglobin A1c

Urine glucose

9. True or False: SGLT2 inhibitors can cause euglycemic diabetic ketoacidosis.

True

False

10. A patient with Type 1 diabetes experiences dawn phenomenon. What nursing intervention is most appropriate?

Increase evening meal carbohydrates

Adjust basal insulin dosing in early morning

Eliminate bedtime snack

Increase rapid-acting insulin at breakfast

11. What is the primary pathophysiologic difference between Type 1 and Type 2 diabetes mellitus?

Type 1 involves autoimmune destruction of pancreatic beta cells; Type 2 involves insulin resistance and relative insulin deficiency

Type 1 is caused by obesity; Type 2 is caused by genetic factors

Type 1 develops gradually; Type 2 develops suddenly

Type 1 requires diet control; Type 2 requires insulin only

12. A Type 2 diabetic patient on sulfonylurea reports tremors, sweating, and palpitations. What is the most likely cause?

Hyperglycemia

Hypoglycemia

Medication allergy

Thyroid dysfunction

13. True or False: GLP-1 receptor agonists can be used in both Type 1 and Type 2 diabetes.

True

False

14. Which complication is most commonly associated with poorly controlled Type 2 diabetes over years?

Diabetic ketoacidosis

Peripheral neuropathy and nephropathy

Acute hypoglycemia

Rapid weight loss

15. Insulin glargine is prescribed for a Type 1 diabetic patient. What is the primary action of this medication?

Rapid glucose lowering after meals

Long-acting basal insulin coverage

Increased insulin secretion from beta cells

Decreased gastric emptying

16. A patient on metformin presents with fatigue, muscle pain, and elevated lactate levels. What is the primary nursing concern?

Hypoglycemia

Lactic acidosis

Hyperglycemic crisis

Diabetic ketoacidosis

17. Which patient education point is most critical for Type 1 diabetes management?

Weight loss through diet alone

Carbohydrate counting and insulin adjustment

Avoiding all physical activity

Consuming sugar before meals

18. True or False: All patients with Type 2 diabetes require insulin therapy.

True

False

19. Which medication class is a first-line agent for Type 2 diabetes management and works by decreasing hepatic glucose production?

Sulfonylureas

Metformin

Thiazolidinediones

Alpha-glucosidase inhibitors

20. A 28-year-old patient presents with polyuria, polydipsia, and weight loss over two weeks. Laboratory values show fasting glucose 320 mg/dL and positive ketones. Which type of diabetes is most likely?

Type 2 diabetes

Type 1 diabetes

Gestational diabetes

Secondary diabetes

Diabetes Quiz: Type 1 vs Type 2 Management

1. Which lifestyle modification has the greatest impact on preventing Type 2 diabetes progression?

2.

What first name or nickname would you like us to use?

2. Which antidiabetic medication class increases insulin secretion and carries the highest hypoglycemia risk?

3. True or False: Metformin is contraindicated in patients with an eGFR below 30 mL/min.

4. A Type 1 patient reports blurred vision, headache, and confusion. Blood glucose is 450 mg/dL with positive ketones. This presentation is consistent with ______.

5. Diabetic ______ is a microvascular complication affecting the kidneys.

6. Insulin is the ______ treatment for Type 1 diabetes.

7. A Type 2 diabetic patient on pioglitazone reports weight gain and increased thirst. Which adverse effect is most concerning?

8. Which laboratory value best reflects long-term glucose control over the past 2-3 months?

9. True or False: SGLT2 inhibitors can cause euglycemic diabetic ketoacidosis.

10. A patient with Type 1 diabetes experiences dawn phenomenon. What nursing intervention is most appropriate?

11. What is the primary pathophysiologic difference between Type 1 and Type 2 diabetes mellitus?

12. A Type 2 diabetic patient on sulfonylurea reports tremors, sweating, and palpitations. What is the most likely cause?

13. True or False: GLP-1 receptor agonists can be used in both Type 1 and Type 2 diabetes.

14. Which complication is most commonly associated with poorly controlled Type 2 diabetes over years?

15. Insulin glargine is prescribed for a Type 1 diabetic patient. What is the primary action of this medication?

16. A patient on metformin presents with fatigue, muscle pain, and elevated lactate levels. What is the primary nursing concern?

17. Which patient education point is most critical for Type 1 diabetes management?

18. True or False: All patients with Type 2 diabetes require insulin therapy.

19. Which medication class is a first-line agent for Type 2 diabetes management and works by decreasing hepatic glucose production?

20. A 28-year-old patient presents with polyuria, polydipsia, and weight loss over two weeks. Laboratory values show fasting glucose 320 mg/dL and positive ketones. Which type of diabetes is most likely?