Hondros NUR 176 exam 1. Real Exam
Questions And Answers
Interventions to prevent diabetes - ANS Maintain healthy weight, diet and exercise
Signs of type 1 diabetes - ANS 3 polys, blurred vision, cold feet, numbness, shiny thin skin w/ no hair,
age 30 and under, sudden onset, underweight,
Signs of type 2 diabetes - ANS No symptoms at first , later develop the 3 polys, obesity, Nigricans
(black line on back of neck) skin tags
S/S of hypoglycemia - ANS Fatigue, weakness, irritability, reduce cognition, tremors, seizures,
diaphoresis( sweating)
S/S of hyperglycemia - ANS 3 polys, fruity breath
S/S of diabetic ketoacidosis and treatment - ANS High BS, high HR, restlessness, weight loss, fruity
breath, kussmaul(fast deep RR) -- treatments; IV regular insulin
First intervention if a pt. Presents with s/s of hypo/hyperglycemia - ANS Check blood sugar
Prevention of long term complications of diabetes - ANS Takes meds, daily feet care, yearly renal
test, eye exams every 6 months, LDL less than 150
Dietary teaching for a diabetic patient - ANS Meals at the same time every day, decrease saturated
fats, increase exercise , refer pt. To MyPlate learning tool,
Diabetic Pt. should never increase carbs unless... - ANS Sugar is low before exercising
Discharge teaching for diabetic pt. - ANS Know hypo/hyperglycemia s/s, know that stress and illness
increase BS , see a diabetic educator, know what the effect of Exercise can have on Bs
, Diabetic foot care - ANS Clean w/ soap and warm water, clean socks everyday, cut toe nails straight
across, keep feet dry, no powder or lotion b/t toes , wear shoes , inspect feet daily, no gardners
Lipid analysis - ANS LDL-less than 100 HDL- more than 40 Triglycerides- more than 150
What are low and high levels of HDL indicative of - ANS High- insulin resistance, low- insulin
sensitivity
What insulins can not be mixed? - ANS Levemir and Lantus ( detemir and glargine )
How to mix insulin - ANS Short acting to long acting, regular to NPH, Clear to cloudy
Should a nurse hold a patients insulin before consulting a dr? - ANS No
No insulin, beta cells are destroyed is a result of ? - ANS Diabetes type 1
Beta cells exhaustion , insulin resistance is a result of ? - ANS Diabetes type 2
Rapid acting insulin - ANS Lispro(Humalog) aspart(Novolog) glulisine(Apidra)
Onset, peak and duration of Novolog and Apidra - ANS Onset-15-30, Peak-1-3hr, duration-3-5hr
onset, peak and duration of humalog - ANS Onset-15-30, Peak-1-2hr, duration-3-4hr
Short acting insulin( regular) - ANS Humulin R, Novolin R, ReliOn R, Onset-30-60 , Peak-2-4hr,
duration-6-8hr
Intermediate insulin (NPH) - ANS Humulin N, Novolin N, ReliOn N, Onset-1-4hr Peak-4-12hr,
duration-12-16hr
Long acting insulin - ANS Lantus and levemir Onset-1-2hr, Peak- none, duration-24hr
