1) The nurse is educating a client that is newly diagnosed with diabetes mellitus, which of the following

should the nurse emphasize? Select all that apply.

Inspect feet daily

Wear proper fitting shoes

Don't walk barefoot

Cut toenails with rounded corners

Use a heating pad to keep feet warm.

2) During discharge of a client with diabetes, the nurse recognizes a need for further education when the
client makes which of the following statements?

"I should check my feet thoroughly"

"I should cut my toe nails with rounded edges."

"I should wash my feet everyday."

"I should wear supportive shoes."

3) A client with type II diabetes is getting educated on their medications because the client was unsure
why they took any of their medications so they don't take them all everyday. Which medication should
the nurse educate this client on to help control their blood sugar levels?

Gentamicin

Glipizide

Guaifenesin

Gabapentine

4) It is halloween and a school nurse knows she needs to be ready for children who have diabetes and
eat all the candy with which of the following medication?

Hydrochlorothiazide

Heparin

Hydromorphone

Humalog
5) A client with type II diabetes is getting educated on their medications because the client was unsure
why they took any of their medications so they don't take them all everyday. Which medication should
the nurse educate this client on to help control their blood sugar levels?

Mannitol

Meperidine

Metformin

Methylprednisone

6) A nurse is counseling a patient who has hypertension and type 2 diabetes. During the initial
assessment, the nurse notes that the patient has a blood pressure of 148/92 mmHg, a BMI of 28, and a
blood glucose level of 161 mg/dL. Which of the following information about lifestyle changes would be
most beneficial to help control this patients state of health?

Tell the patient that she first must control her hypertension, and then her glucose levels are more likely
to normalize

Describe how the patient can limit her fat intake in the diet to less than 45% of total daily calories

Help the patient understand how to lose weight to get her BMI to less than 25

Explain to the patient that he should lose weight and that a low-carb diet is most successful

7) Which of the following sleep disorders has been most commonly associated with type 1 diabetes?

Night terrors

Delayed sleep phase syndrome

Sleepwalking

Insomnia

8) A 28-year-old patient has been diagnosed with type 2 diabetes. The nurse is talking with her about her
diet, such as what foods to include and what foods to avoid. Which statement made by the patient
indicates that more teaching is needed?

I should try to eat carbohydrates that come from whole grains and fruits.

I should increase my fiber intake to at least 45 grams each day.

I shouldn't drink more than one alcoholic beverage each day.

I can't go on a high-protein diet to lose weight; I need some carbs in my diet.

9) A nurse is caring for a diabetic patient who uses an insulin pump to manage his type 1 diabetes. The
patient is in the hospital for diagnostic testing of kidney disease and the physician has ordered an MRI.
Which action of the nurse is most appropriate?

Leave the insulin pump in place but turn it off; check the patients glucose levels just before the MRI

Check the patients blood glucose and remove the insulin pump just before the MRI

Remove the insulin pump 4 hours before the MRI and check the patients glucose just before the test

Leave the insulin pump in place with the continued settings and check the patients glucose just before
the MRI

10) A nurse is teaching a community class about diabetes prevention and maintenance. The nurse is
reviewing the differences between type 1 and type 2 diabetes. Which information would be included in
this segment of the teaching?

Type 1 diabetes usually has abrupt onset of symptoms, while the symptoms of type 2 diabetes may be
subtle

Type 1 diabetes is much more common than type 2 diabetes

Type 1 diabetes always starts in childhood, while type 2 diabetes is diagnosed in adulthood

Type 1 diabetes is related to body size and weight management, while type 2 diabetes may affect anyone

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LLC or TazKai, LLC and its affiliates.

1) The nurse is educating a client that is newly diagnosed with diabetes mellitus, which of the following
should the nurse emphasize? Select all that apply.

Inspect feet daily (Correct Answer)

Wear proper fitting shoes (Correct Answer)

Don't walk barefoot (Correct Answer)

Cut toenails with rounded corners

Use a heating pad to keep feet warm.

Rationale

Diabetes Mellitus can cause poor circulation and decreased feeling in the feet, foot care is important to
prevent sores, ulcers, and/or amputation.

2) During discharge of a client with diabetes, the nurse recognizes a need for further education when the
client makes which of the following statements?

"I should check my feet thoroughly"

"I should cut my toe nails with rounded edges." (Correct Answer)
"I should wash my feet everyday."

"I should wear supportive shoes."

Rationale

Diabetic foot care includes cutting the toe nails straight across.

3) A client with type II diabetes is getting educated on their medications because the client was unsure
why they took any of their medications so they don't take them all everyday. Which medication should
the nurse educate this client on to help control their blood sugar levels?

Gentamicin

Glipizide (Correct Answer)

Guaifenesin

Gabapentine

Rationale

Gentamicin (Cidomycin) us an anti-infective that is the next step in treatment for gram negative bacteria
when penicillins are ineefective. Glipizide (Glucotrol) is an anti-diabetic medication the stimulates the
release of insulin from the pancreas. Guaifenesin (Robitussin) a cough suppressant. Gabapentin
(Neurontin) is an analgesic adjunct that treats seizures, neuropathy pain, peripheral neuropathy and
prevention of headaches.

4) It is halloween and a school nurse knows she needs to be ready for children who have diabetes and
eat all the candy with which of the following medication?

Hydrochlorothiazide

Heparin

Hydromorphone

Humalog (Correct Answer)

Rationale

Hydrochlorothiazide (HydroDiuril) is a thiazide diuretic that treats hypertension, CHF, Cirrhosis, etc.
Heparin is an anticoagulant that is commonly used to prevent blood clots but is also used for myocardial
infarctions or pulmonary embolism. Hydromorphone is an opioid analgesic used for extreme pain in a
client. Humalog (insulin lispro) is a fast acting insulin that is used to control blood sugar levels.
5) A client with type II diabetes is getting educated on their medications because the client was unsure
why they took any of their medications so they don't take them all everyday. Which medication should
the nurse educate this client on to help control their blood sugar levels?

Mannitol

Meperidine

Metformin (Correct Answer)

Methylprednisone

Rationale

Mannitol (Osmitrol) is a diuretic that uses an oncotic pull to soften the stool. Meperidine (Demerol) is an
opioid analgesic that is used to treat moderate to severe pain. Metformin (Glucophage) is an antidiabetic
medication used to control blood glucose levels by increasing cellular insulin sensitivity.
Methylprednisone (Solu-Medrol) is a steroid medication that is often used prior to giving a breathing
treatment in a client with an asthma attack to allow the albuterol to pass through the bronchioles.

6) A nurse is counseling a patient who has hypertension and type 2 diabetes. During the initial
assessment, the nurse notes that the patient has a blood pressure of 148/92 mmHg, a BMI of 28, and a
blood glucose level of 161 mg/dL. Which of the following information about lifestyle changes would be
most beneficial to help control this patients state of health?

Help the patient understand how to lose weight to get her BMI to less than 25 (Correct Answer)

Explain to the patient that he should lose weight and that a low-carb diet is most successful

Describe how the patient can limit her fat intake in the diet to less than 45% of total daily calories

Tell the patient that she first must control her hypertension, and then her glucose levels are more likely
to normalize

7) Which of the following sleep disorders has been most commonly associated with type 1 diabetes?

Insomnia (Correct Answer)

Sleepwalking
Delayed sleep phase syndrome

Night terrors

Rationale

Sleep disturbances can be associated with diabetes; common types of sleep disorders may include sleep
apnea and restless legs syndrome. Insomnia, or an inability to fall asleep or to stay asleep, is also
associated with a diagnosis of diabetes.

8) A 28-year-old patient has been diagnosed with type 2 diabetes. The nurse is talking with her about her
diet, such as what foods to include and what foods to avoid. Which statement made by the patient
indicates that more teaching is needed?

I should increase my fiber intake to at least 45 grams each day. (Correct Answer)

I should try to eat carbohydrates that come from whole grains and fruits.

I can't go on a high-protein diet to lose weight; I need some carbs in my diet.

I shouldn't drink more than one alcoholic beverage each day.

Rationale

Dietary instruction is very important when working with diabetic patients. Often, a diabetic patient has a
lot of information to absorb in a short period of time and may need to have the information repeated.
The nurse should teach the patient to increase fiber intake to between 25 and 30 grams per day to
regulate the gastrointestinal system; but too much fiber intake can cause problems and should be
avoided.

9) A nurse is caring for a diabetic patient who uses an insulin pump to manage his type 1 diabetes. The
patient is in the hospital for diagnostic testing of kidney disease and the physician has ordered an MRI.
Which action of the nurse is most appropriate?

Check the patients blood glucose and remove the insulin pump just before the MRI (Correct Answer)

Remove the insulin pump 4 hours before the MRI and check the patients glucose just before the test

Leave the insulin pump in place with the continued settings and check the patients glucose just before
the MRI

Leave the insulin pump in place but turn it off; check the patients glucose levels just before the MRI

Rationale
An insulin pump is a device that can provide insulin at a regular rate without requiring frequent
injections. It is a small device about the size of a deck of cards and it sends insulin into a catheter under
the skin. The patient must take the pump off in some situations, such as with certain diagnostic tests. In
this case, the nurse should remove the pump just before sending the patient for an MRI.

10) A nurse is teaching a community class about diabetes prevention and maintenance. The nurse is
reviewing the differences between type 1 and type 2 diabetes. Which information would be included in
this segment of the teaching?

Type 1 diabetes usually has abrupt onset of symptoms, while the symptoms of type 2 diabetes may be
subtle (Correct Answer)

Type 1 diabetes is much more common than type 2 diabetes

Type 1 diabetes is related to body size and weight management, while type 2 diabetes may affect anyone

Type 1 diabetes always starts in childhood, while type 2 diabetes is diagnosed in adulthood

Rationale

Types 1 and 2 diabetes have similarities and differences, which should be reviewed when teaching
patients about this chronic disease. Many more people are diagnosed with type 2 diabetes compared to
type 1. When providing information, the nurse should teach patients that type 1 diabetes causes an
abrupt onset of symptoms, while type 2 is more subtle; some people with type 2 diabetes are not even
aware that they have the disease.