Chapter 20: Diabetes Mellitus

Chapter 20: Diabetes Mellitus

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The primary organ involved in the disease process of type 1 diabetes mellitus is the

a.	adrenal gland.
b.	pancreas.
c.	kidney.
d.	liver.

 

 

ANS:  B

The hormone insulin must be present for glucose to be used by the cells in the body. Insulin is produced by the  cells of the pancreas. Thus the pancreas is the organ involved in the disease process of type 1 diabetes mellitus.

 

DIF:    Cognitive Level: Knowledge            REF:   400                TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. The main factors that influence development of type 2 diabetes mellitus are

a.	weight and heredity.
b.	liver disease.
c.	enzyme deficiencies.
d.	childhood illnesses.

 

 

ANS:  A

Weight and heredity seem to play a role in the development of type 2 diabetes mellitus.

 

DIF:    Cognitive Level: Knowledge            REF:   401-402         TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. Type 2 diabetes is most common in

a.	infants.
b.	children.
c.	adolescents.
d.	older adults.

 

 

ANS:  D

Type 2 diabetes is most common in adults 40 years or older, although it may be seen at younger ages.

 

DIF:    Cognitive Level: Knowledge            REF:   403                TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. A food that represents one carbohydrate exchange would be

a.	1 slice whole wheat bread
b.	1 cup vanilla ice cream
c.	5 ounces white tuna
d.	1 tsp margarine

 

 

ANS:  A

1 slice whole wheat bread would be 1 carbohydrate exchange. Starches consisting of breads, cereals, and grains are part of the carbohydrate list.

 

DIF:    Cognitive Level: Application           REF:   417

TOP:   Nursing Process: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. In reviewing the plan of care for a patient with type 2 diabetes who is overweight and likes to eat sweets, an initial goal might be to

a.	start 10 units of regular insulin 30 minutes before each meal.
b.	replace snack of 5 filled chocolate cookies with 3 graham crackers.
c.	check blood sugar after eating cookies and initiate sliding scale insulin.
d.	remove all carbohydrate foods and encourage only high protein foods.

 

 

ANS:  B

Replacing chocolate cookies with graham crackers would be an initial step in improving weight loss and implementation of a healthy lifestyle of proper nutrition and exercise.

 

DIF:    Cognitive Level: Application           REF:   412-413|415

TOP:   Nursing Process: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation