Test Your Diabetes Mellitus Knowledge

39 Questions | Total Attempts: 578

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Diabetes Mellitus Quizzes & Trivia

Do you want to test your diabetes mellitus knowledge? Let's play this metabolic diseases quiz and prove yourself!


Questions and Answers
  • 1. 
    A patient with newly diagnosed type 2 diabetes mellitus asks the nurse what “type 2” means in relation to diabetes. Which statement by the nurse about type 2 diabetes is correct?
    • A. 

      Insulin is not used to control blood glucose in patients with type 2 diabetes.

    • B. 

      Complications of type 2 diabetes are less serious than those of type 1 diabetes.

    • C. 

      Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma. .

    • D. 

      Changes in diet and exercise may be sufficient to control blood glucose levels in type 2 diabetes

  • 2. 
    A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about
    • A. 

      Self-monitoring of blood glucose.

    • B. 

      Use of low doses of regular insulin.

    • C. 

      Lifestyle changes to lower blood glucose.

    • D. 

      Effects of oral hypoglycemic medications.

  • 3. 
    Which action by a type 1 diabetic patient indicates that the nurse should implement teaching about exercise and glucose control?
    • A. 

      The patient always carries hard candies when engaging in exercise.

    • B. 

      The patient goes for a vigorous walk when the glucose is 200 mg/dL.

    • C. 

      The patient has a peanut butter sandwich before going for a bicycle ride.

    • D. 

      The patient increases daily exercise when ketones are present in the urine.

  • 4. 
    When assessing the patient experiencing the onset of symptoms of type 1 diabetes, which question is most appropriate for the nurse to ask?
    • A. 

      “Have you lost any weight lately?”

    • B. 

      “How long have you felt anorexic?”

    • C. 

      “Is your urine unusually dark colored?”

    • D. 

      “Do you crave fluids containing sugar?”

  • 5. 
    To evaluate the effectiveness of treatment for a patient with type 2 diabetes who is scheduled for a follow-up visit in the clinic, which test will the nurse plan to schedule for the patient?
    • A. 

      Urine dipstick for glucose

    • B. 

      Oral glucose tolerance test

    • C. 

      Fasting blood glucose level

    • D. 

      Glycosylated hemoglobin level

  • 6. 
    A patient who has just been diagnosed with type 2 diabetes has a nursing diagnosis of imbalanced nutrition: more than body requirements. Which patient goal is most important for this patient?
    • A. 

      The patient will have a glycosylated hemoglobin level of less than 7%.

    • B. 

      The patient will have a diet and exercise plan that results in weight loss.

    • C. 

      The patient will choose a diet that distributes calories throughout the day.

    • D. 

      The patient will state the reasons for eliminating simple sugars in the diet.

  • 7. 
    A patient who has type 1 diabetes plans to take a swimming class daily at 1:00 PM. The clinic nurse will plan to teach the patient to
    • A. 

      Check glucose level before, during, and after swimming.

    • B. 

      Delay eating the noon meal until after the swimming class.

    • C. 

      Increase the morning dose of neutral protamine Hagedorn (NPH) insulin.

    • D. 

      Time the morning insulin injection so that the peak occurs while swimming.

  • 8. 
    An 18-year-old with newly diagnosed type 1 diabetes has received diet instruction. The nurse determines a need for additional instruction when the patient says,
    • A. 

      “I may have an occasional alcoholic drink if I include it in my meal plan.”

    • B. 

      “I will need a bedtime snack because I take an evening dose of NPH insulin.”

    • C. 

      “I may eat whatever I want, as long as I use enough insulin to cover the calories.”

    • D. 

      “I will eat meals as scheduled, even if I am not hungry, to prevent hypoglycemia.”

  • 9. 
    Which action is most important for the nurse to take in order to assist a diabetic patient to engage in moderate daily exercise?
    • A. 

      Remind the patient that exercise will improve self-esteem.

    • B. 

      Determine what type of exercise activities the patient enjoys.

    • C. 

      Give the patient a list of activities that are moderate in intensity.

    • D. 

      Teach the patient about the effects of exercise on glucose level.

  • 10. 
    The nurse has been teaching the patient to administer a dose of 10 units of regular insulin and 28 units of NPH insulin. The statement by the patient that indicates a need for additional instruction is,
    • A. 

      “I need to rotate injection sites among my arms, legs, and abdomen each day.”

    • B. 

      “I will buy the 0.5 mL syringes because the line markings will be easier to see.”

    • C. 

      “I should draw up the regular insulin first after injecting air into the NPH bottle.”

    • D. 

      “I do not need to aspirate the plunger to check for blood before injecting insulin.”

  • 11. 
    After the nurse has finished teaching a patient about self-administration of the prescribed aspart (NovoLog) insulin, which patient action indicates good understanding of the teaching?
    • A. 

      The patient avoids injecting the insulin into the upper abdominal area.

    • B. 

      The patient cleans the skin with soap and water before insulin administration.

    • C. 

      The patient places the insulin back in the freezer after administering the prescribed insulin dose.

    • D. 

      The patient pushes the plunger down and immediately removes the syringe from the injection site.

  • 12. 
    A patient receives aspart (NovoLog) insulin at 8:00 AM. Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?
    • A. 

      9:00 AM

    • B. 

      11:30 AM

    • C. 

      4:00 PM

    • D. 

      8:00 PM

  • 13. 
    Which patient action indicates a good understanding of the nurse’s teaching about the use of an insulin pump?
    • A. 

      The patient changes the site for the insertion site every week.

    • B. 

      The patient programs the pump to deliver an insulin bolus after eating.

    • C. 

      The patient takes the pump off at bedtime and starts it again each morning.

    • D. 

      The patient states that diet will be less flexible when using the insulin pump.

  • 14. 
    When teaching a diabetic patient who has just been started on intensive insulin therapy about mealtime coverage, which type of insulin will the nurse need to discuss?
    • A. 

      Glargine (Lantus)

    • B. 

      Lispro (Humalog)

    • C. 

      Detemir (Levemir)

    • D. 

      NPH (Humulin N)

  • 15. 
    Which information will the nurse include when teaching a patient who has type 2 diabetes about glyburide (Micronase, DiaBeta, Glynase)?
    • A. 

      Glyburide decreases glucagon secretion from the pancreas.

    • B. 

      Glyburide stimulates insulin production and release from the pancreas.

    • C. 

      Glyburide should be taken even if the morning blood glucose level is low.

    • D. 

      Glyburide should not be used for 48 hours after receiving IV contrast media.

  • 16. 
    Which patient statement after the nurse has completed teaching a patient with type 2 diabetes about taking glipizide (Glucotrol) indicates a need for additional teaching?
    • A. 

      “Other medications besides the Glucotrol may affect my blood sugar.”

    • B. 

      “If I overeat at a meal, I will still take just the usual dose of medication.”

    • C. 

      “When I become ill, I may have to take insulin to control my blood sugar.”

    • D. 

      “My diabetes is not as likely to cause complications as if I needed to take insulin.”

  • 17. 
    A patient with type 2 diabetes that is well-controlled with metformin (Glucophage) develops an allergic rash to an antibiotic and the health care provider prescribes prednisone (Deltasone). The nurse will anticipate that the patient may
    • A. 

      Need a diet higher in calories while receiving prednisone.

    • B. 

      Require administration of insulin while taking prednisone.

    • C. 

      Develop acute hypoglycemia while taking the prednisone.

    • D. 

      Have rashes caused by metformin-prednisone interactions.

  • 18. 
    A hospitalized diabetic patient who received 34 U of NPH insulin at 7:00 AM is away from the nursing unit, awaiting diagnostic testing when lunch trays are distributed. To prevent hypoglycemia, the best action by the nurse is to
    • A. 

      Save the lunch tray to be provided upon the patient’s return to the unit.

    • B. 

      Call the diagnostic testing area and ask that a 5% dextrose IV be started.

    • C. 

      Ensure that the patient drinks a glass of milk or orange juice at noon in the diagnostic testing area.

    • D. 

      Request that the patient be returned to the unit to eat lunch if testing will not be completed promptly.

  • 19. 
    A patient with type 1 diabetes has been using self-monitoring of blood glucose (SMBG) as part of diabetes management. During evaluation of the patient’s technique of SMBG, the nurse identifies a need for additional teaching when the patient
    • A. 

      Washes the puncture site using soap and warm water.

    • B. 

      Chooses a puncture site in the center of the finger pad.

    • C. 

      Hangs the arm down for a minute before puncturing the site.

    • D. 

      Says the result of 130 mg indicates good blood sugar control.

  • 20. 
    Which action should the nurse take first when teaching a patient who is newly diagnosed with type 2 diabetes about home management of the disease?
    • A. 

      Ask the patient’s family to participate in the diabetes education program.

    • B. 

      Assess the patient’s perception of what it means to have diabetes mellitus.

    • C. 

      Demonstrate how to check glucose using capillary blood glucose monitoring.

    • D. 

      Discuss the need for the patient to actively participate in diabetes management.

  • 21. 
    A diagnosis of hyperglycemic hyperosmolar nonketotic coma (HHNC) is made for a patient with type 2 diabetes who is brought to the emergency department in an unresponsive state. The nurse will anticipate the need to
    • A. 

      Give 50% dextrose as a bolus.

    • B. 

      Insert a large-bore IV catheter.

    • C. 

      Initiate oxygen by nasal cannula.

    • D. 

      administer glargine (Lantus) insulin.

  • 22. 
    A patient with type 1 diabetes who uses glargine (Lantus) and lispro (Humalog) insulin develops a sore throat, cough, and fever. When the patient calls the clinic to report the symptoms and a blood glucose level of 210 mg/dL, the nurse advises the patient to
    • A. 

      Use only the lispro insulin until the symptoms of infection are resolved.

    • B. 

      Monitor blood glucose every 4 hours and notify the clinic if it continues to rise.

    • C. 

      Decrease intake of carbohydrates until glycosylated hemoglobin is less than 7%.

    • D. 

      Limit intake of calorie-containing liquids until the glucose is less than 120 mg/dL.

  • 23. 
    The health care provider suspects the Somogyi effect in a patient whose 7:00 AM blood glucose is 220 mg/dL. Which action will the nurse plan to take?
    • A. 

      Check the patient’s blood glucose at 3:00 AM.

    • B. 

      Administer a larger dose of long-acting insulin.

    • C. 

      Educate about the need to increase the rapid-acting insulin dose.

    • D. 

      Remind the patient about the need to avoid snacking at bedtime.

  • 24. 
    Intramuscular glucagon is administered to an unresponsive patient for treatment of hypoglycemia. Which action should the nurse take after the patient regains consciousness?
    • A. 

      Assess the patient for symptoms of hyperglycemia.

    • B. 

      Give the patient a snack of crackers and peanut butter.

    • C. 

      Have the patient drink a glass of orange juice or nonfat milk.

    • D. 

      Administer a continuous infusion of 5% dextrose for 24 hours.

  • 25. 
    Which question by the nurse will help identify autonomic neuropathy in a diabetic patient?
    • A. 

      “Have you observed any recent skin changes?”

    • B. 

      “Do you notice any bloating feeling after eating?”

    • C. 

      “Do you need to increase your insulin dosage when you are stressed?”

    • D. 

      “Have you noticed any painful new ulcerations or sores on your feet?”

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