Evolve Diabetes Practice Test

These questions are part of the practice quiz. Start practicing

• Which concept is best supported by the idea that obesity can affect insulin action?
• A patient with type 2 diabetes asks how weight management affects medication needs. Which concept should be explained?
• When drawing up a mixture of Regular and NPH insulin into a single syringe, which order is recommended?
• Which of the following statements is true about weight loss and diabetes?
• A client newly diagnosed with type 1 diabetes expresses distress about home and spouse. What is the most appropriate nursing response?
• What is a common first-line treatment for DKA after initial fluid resuscitation?
• Which condition may be treated with an oral hypoglycemic agent?
• What is the primary mechanism of action of GLP-1 receptor agonists?
• What is the best indication that a client with type 1 diabetes is successfully managing the disease?
• Which sign best indicates hyperglycemia when teaching signs of high blood sugar?
• Which sign is most indicative of diabetes insipidus?
• Novolin N (NPH) insulin is an insulin classified as which type?
• In a client with long-standing type 1 diabetes who has poorly controlled glucose for years, which finding would indicate common diabetes-related complications?
• HbA1c testing in diabetes management is used to assess averages over which time frame?
• Which statement best describes the timing of hypoglycemia risk after a morning insulin dose?
• A client with diabetes is given instructions about foot care. The nurse determines understanding when the client states which of the following?
• Which of the following is a common sign of an insulin reaction (hypoglycemia) in a type 1 diabetic?
• Which laboratory finding supports the presence of diabetic ketoacidosis in a client?
• Which statement reflects a set of symptoms commonly seen in diabetic ketoacidosis (DKA)?
• Which test assesses kidney involvement in diabetes, including microalbuminuria?
• Which scenario increases the risk of lactic acidosis in a patient taking metformin?
• A client with type 2 diabetes is receiving glyburide (Micronase). The nurse explains that glyburide works by:
• In pregnancy, managing diabetes focuses on preventing what major fetal complication?
• How does exercise affect insulin and carbohydrate needs in diabetes management?
• Which practice is NOT recommended for foot care in diabetes?
• A client with type 2 diabetes on a single daily oral hypoglycemic tablet asks whether an extra pill should be taken before exercise. The nurse should respond with which statement?
• The pattern of a sudden drop in blood glucose at night followed by morning hyperglycemia is most consistent with which phenomenon?
• For safe insulin dosing in clinical practice, what is the recommended way to measure the dose?
• When teaching a patient with type 2 diabetes who is taking metformin and an NSAID about starting allopurinol for gout, what instruction should the nurse give?
• In insulin administration, what is the next step after injecting air into the insulin vial equal to the dose?
• What is a typical sign of insulin deficiency in type 1 diabetes?
• Which statement about insulin pump therapy is true?
• Gestational diabetes screening commonly uses which glucose load?
• A nurse is caring for a client with a 20-year history of type 2 diabetes. Which physiological change is commonly associated with long-standing diabetes?
• In the treatment of hyperglycemic hyperosmolar nonketotic syndrome (HHNS), what is the initial treatment principle?
• Name a first-line oral agent that improves insulin sensitivity and reduces hepatic glucose production.
• Why is metformin often avoided or limited in advanced chronic kidney disease?
• Which statement best describes the pattern seen in type 2 diabetes regarding ketones and urine?
• Which practice best reduces tissue damage and insulin absorption variability when giving subcutaneous injections?
• A nurse administers a glucose gel to a patient with type 1 diabetes experiencing hypoglycemia. What is the primary reason for this intervention?
• Which metrics are commonly tracked to assess diabetes self-management effectiveness?
• Which statement is most accurate regarding obesity and insulin in diabetes management?
• Which factor is most associated with insulin resistance in obesity?
• An HbA1c target of less than 7% corresponds to about how many mmol/mol?
• Which statement about forearm glucose monitoring readings is most accurate?
• What are two major risks of long-term uncontrolled diabetes for the feet?
• How does type 2 diabetes progress from insulin resistance to beta-cell dysfunction?
• Which insulin type is a long-acting basal insulin analogue?
• What lipid target is typically recommended in diabetes management to reduce cardiovascular risk?
• Which symptom indicates hyperglycemia in a client receiving total parenteral nutrition?
• What is the standard 'rule of 15' for mild hypoglycemia treatment?
• How does dehydration affect blood glucose levels in diabetes?
• Screening for gestational diabetes is typically performed at which gestational age?
• Which symptom is associated with adrenergic response in hypoglycemia?
• Which insulin should be prepared for emergency treatment of diabetic ketoacidosis?
• Urine albumin-to-creatinine ratio (ACR) is used to screen for which diabetes-related issue?
• What is a key infection risk or contraindication to consider for people with diabetes on long-term SGLT2 inhibitors?
• Metformin is classified as which class of antidiabetic agents?
• Which insulin is not suitable for emergency IV use in diabetic ketoacidosis?
• What evaluation is used to screen for diabetic peripheral neuropathy?
• Which statement about alternate-site testing indicates the need for additional teaching?
• Which factor increases the risk of lactic acidosis with metformin?
• When mixing short-acting and intermediate-acting insulin in the same syringe, which sequence is correct?
• What does ACR stand for in the context of diabetes screening?
• In hyperglycemic hyperosmolar nonketotic syndrome (HHNS), what is the recommended management sequence?
• What is the primary driver of hyperglycemia in hyperosmolar hyperglycemic state (HHS)?
• A client asks if a forearm stick glucose monitor provides readings the same as a fingerstick. What is the nurse's best response?
• When hypoglycemic, the initial recommended intake is which of the following?
• A client with a history of multiple chronic illnesses presents with weight loss, thirst, and a fasting glucose of 180 mg/dL. The nurse concludes the client is experiencing which condition?
• What is the primary pathophysiologic defect in type 1 diabetes mellitus?
• In pregnancy with pre-existing diabetes, tight maternal glycemic control primarily reduces the risk of what outcome?
• Which typical monitoring parameters are used for a patient on metformin therapy?
• After hypophysectomy for acromegaly with diabetes, which statement indicates a need for further teaching?
• In discussing the food exchange list, which substitution would be appropriate when a client avoids asparagus, broccoli, and mushrooms?
• Which symptom is most characteristic of ketoacidosis?
• Which statement about diabetic neuropathy screening is correct?
• Which finding is most characteristic of diabetic ketoacidosis?
• Which of the following lists the common risk factors for type 2 diabetes that should be addressed in primary prevention?
• If a client does not like broccoli, which food could be substituted according to the exchange list?
• What is the consequence of insulin deficiency on free fatty acids and ketone production?
• Which symptoms reflect sympathetic nervous system activation during hypoglycemia?
• What is a hallmark symptom of hypoglycemia that patients may report?
• When preparing to administer insulin, which step should be performed first?
• Regular insulin is classified as which type of insulin?
• C-peptide testing helps distinguish type 1 from type 2 diabetes. Which statement is correct?
• A client with type 2 diabetes on a single daily oral hypoglycemic tablet asks whether an extra pill should be taken before exercise. The best response by the nurse is:
• Which action should a client with type 2 diabetes take to reduce the risk of foot complications?
• A newly diagnosed type 2 diabetic is being treated with glyburide (Micronase). The nurse explains that glyburide works by which mechanism?
• Which patient education point is essential for sick day management in diabetes?
• Which sign is NOT a feature of hypoglycemia?
• Which dietary practice is recommended for a person with diabetes who uses insulin?
• In an oral glucose tolerance test (OGTT), what 2-hour plasma glucose value after a 75 g glucose load defines diabetes?
• What is the main role of continuous glucose monitoring (CGM) in diabetes care?
• A client with type 1 diabetes admitted for major surgery; preoperative insulin requirements are elevated but well controlled. Postoperatively, the nurse anticipates that the client's insulin requirements will:
• In diabetic ketoacidosis, elevated ketone levels result from incomplete oxidation of which nutrient?
• Which respiratory pattern is unique to diabetic coma and not typical of HHNS?
• A nurse teaches a client with type 2 diabetes to prevent foot infections. Which statement indicates effective self-care?
• During diabetes education, the client is taught to respond to signs of hypoglycemia. The client says they would drink orange juice and eat a slice of bread when they feel:
• A client using Novolin N insulin after a morning dose should be alert for hypoglycemia during which window?
• Which statement about basal insulin therapy is true?
• Which practice demonstrates understanding of diabetic foot care?
• Which statement best describes the relationship between obesity and insulin resistance?
• Glyburide lowers blood glucose primarily by which action?
• Which vision symptom is commonly reported in patients with long-standing diabetes?
• Why is regular insulin often prescribed during surgery for a patient previously controlled with oral antidiabetics?
• Which nursing intervention is appropriate to relieve symptoms of a hypoglycemic reaction?
• In discussing weight loss with a patient who has diabetes, which concept should be emphasized?
• In a client diagnosed with Cushing syndrome, why should the nurse monitor for clinical indicators of diabetes mellitus?
• A client is admitted with diabetic ketoacidosis. What is the initial intervention the nurse should expect the provider to prescribe?
• Which statement about giving sugar during hypoglycemia is correct?
• Which statement about diabetic ketoacidosis is true?
• Which mechanism describes the action of SGLT2 inhibitors?
• Which adverse effect requires monitoring when using SGLT2 inhibitors?
• A glycosylated hemoglobin of 6% suggests which of the following for planning patient education?
• A client who is 60 pounds over the ideal body weight is admitted to the hospital with a diagnosis of type 1 diabetes. Which concept should the nurse include in teaching about diabetes when discussing strategies to lose weight?
• A client says they cannot eat big meals and prefer snacking; which statement should the nurse include in counseling?
• Which foot care advice is identified as the best practice for a person with diabetes?
• During a hypoglycemic reaction to insulin, which of the following is a manifestation?
• What is the role of insulin in preventing lipolysis and ketogenesis?
• Which window best represents when hypoglycemia is most likely after a morning dose of intermediate-acting insulin?
• Why is potassium monitoring critical during DKA treatment?
• Which of the following is a sign that supports a diagnosis of hypoglycemia?
• What is the recommended treatment for an alert patient with hypoglycemia who cannot safely swallow?
• Which insulin is typically prescribed for emergency treatment of diabetic ketoacidosis?
• Which measure helps increase arterial blood flow to the extremities in lower extremity arterial disease?
• What are the two major foot-related complications associated with long-term uncontrolled diabetes?
• Which symptom is commonly associated with hypoglycemia in type 1 diabetes?
• Which statement about glucose gel use for hypoglycemia is correct?
• For an obese client self-administering insulin, which technique is recommended?
• A client with diabetes on an 1800-calorie ADA diet has a blood glucose of 60 mg/dL. The protocol calls for treatment with 15 g of a simple carbohydrate. The nurse should?
• Which medication class is commonly used in type 2 diabetes to improve glycemic control and promote weight loss by slowing gastric emptying and reducing glucagon?
• Which statement best describes type 2 diabetes in relation to type 1?
• In a diabetic patient who develops a postoperative infection, the insulin requirement is typically:
• Which insulin type serves as a basal/long-acting insulin?
• In the sequence for mixing short-acting and intermediate-acting insulin, which step comes immediately after injecting air into the intermediate-acting vial?
• A nurse concludes a client has a hypoglycemic reaction to insulin based on which finding?
• During hypoglycemia, which symptom indicates the need to take a fast-acting carbohydrate?
• How does a patient with diabetes monitor self-management success?
• In a patient with type 1 diabetes, which is a precipitating factor for diabetic ketoacidosis?
• In diabetic ketoacidosis, which bicarbonate level is commonly decreased?
• A typical starting insulin-to-carbohydrate ratio (ICR) in many people with type 1 diabetes is approximately 1 unit of rapid-acting insulin per how many grams of carbohydrate?
• What is the primary acid-base disorder in diabetic ketoacidosis?
• A client with diabetes presents with dry, hot, flushed skin, a fruity odor to the breath, and Kussmaul respirations. Which complication is suspected?
• Several hours after administering insulin, which responses indicate a hypoglycemic reaction?
• Which choice would be an appropriate post-hypoglycemia snack?
• Which single symptom is commonly associated with diabetic ketoacidosis?
• Four hours after surgery, the blood glucose level of a client who has type 1 diabetes is elevated. The nurse can expect to:
• Which element excessively accumulates in the blood of a client with type 1 diabetes who has developed diabetic coma, precipitating acidosis?
• Which insulin has the fastest onset of action among common insulin types?
• Which symptom is a hallmark of diabetes insipidus?
• What lifestyle change has the strongest evidence for reducing cardiovascular risk in type 2 diabetes?
• Before exercising, a patient on an oral hypoglycemic agent should do which of the following?
• Which lipid target would be considered appropriate for a typical adult with diabetes to reduce cardiovascular risk?
• Why is foot care education important for people with diabetes?
• Which autoantibodies are commonly tested as markers for type 1 diabetes onset?
• Which foot-care practice demonstrates understanding of diabetic foot care?
• Which statement is NOT a sign of ketoacidosis?
• Which finding supports a diagnosis of diabetic ketoacidosis?
• The most common cause of diabetic ketoacidosis in a postoperative diabetic patient is the presence of which condition?
• What fasting plasma glucose level is diagnostic for diabetes on two occasions?
• Which concept should be included in teaching about weight management for a patient with diabetes who is overweight?
• For which of the following signs should the nurse be most attentive as indicators of an insulin reaction?
• A newly diagnosed client with diabetes asks why insulin cannot be taken as a pill. Which response reflects best practice?
• What is the typical onset pattern for type 2 diabetes relative to age of onset and Body Mass Index?
• When obtaining history of a client recently diagnosed with type 1 diabetes, which finding is the nurse likely to identify?
• Which test is used to monitor long-term glycemic control?
• A glycosylated hemoglobin measurement of 6% indicates which of the following?
• A tube of glucose gel is administered to a hypoglycemic client. Which statement best describes this reversal?
• Which foot care practice is identified as the best for a diabetic patient to prevent infection?
• To differentiate Somogyi effect from dawn phenomenon, which test is most informative?
• Regular insulin is classified as which type of insulin?
• Which factor can precipitate diabetic ketoacidosis in a person with type 1 diabetes?
• Which laboratory finding supports the presence of diabetic ketoacidosis in a client with type 1 diabetes?
• Which beverage would be considered lowest in carbohydrates when counseling about carbohydrate content?
• For an early morning serum glucose test in a client with type 2 diabetes, which preparation is accurate?
• Which eye condition is routinely screened for in diabetes?
• Which statement best describes a known infection-related risk associated with SGLT2 inhibitors?
• What is the main goal of pharmacologic therapy in type 2 diabetes with cardiovascular disease?
• Which sign indicates that hypoglycemia teaching was effective for the patient?
• A client with type 1 diabetes self-administers NPH insulin (Novolin N) every morning at 8:00 AM. The nurse assesses that the client understands the insulin's action when the client states they should be alert for signs of hypoglycemia during which time window?
• What is the preferred site for self-administered subcutaneous insulin?
• In diabetic ketoacidosis, which metabolic marker is typically elevated in the blood?
• Which response most clearly suggests that a client with type 1 diabetes is experiencing hypoglycemia?
• Why is 15 g of simple sugar prescribed when a client experiences hypoglycemia?
• Which statement is true about insulin therapy in type 1 diabetes?
• In assessing diabetes management, which outcome best indicates effectiveness?
• A very low C-peptide level indicates which type of diabetes?
• Which statement best describes GLP-1 receptor agonists' effect on glucagon and gastric motility?
• How does the brain respond to hypoglycemia and which symptoms reflect this response?
• Which test uses a 75 g oral glucose load to evaluate glucose tolerance?
• What is a typical blood pressure target for many adults with diabetes?
• A client with type 1 diabetes is encouraged to exercise regularly primarily because exercise improves what?
• Which clinical manifestations are commonly expected in diabetic ketoacidosis?
• Which of the following is a hallmark of diabetic ketoacidosis breath smell?
• What is the proper method to collect a urine sample for ketone testing from a catheterized patient?
• What information should the nurse include about what causes diabetic ketoacidosis?
• An untreated type 1 diabetes may lapse into a coma because of acidosis. An increase in which component in the blood is a direct cause of this acidosis?
• Which insulin is considered short-acting?
• Which laboratory findings support a diagnosis of DKA?
• A client with diabetes complains of vision changes; the likely causative factor is which of the following?
• Before exercising, a patient on an oral hypoglycemic agent should do which of the following to minimize risk?
• During DKA treatment, which electrolyte requires close monitoring?
• Which response is most supportive when a client with diabetes expresses distress about their spouse?
• Why is patient education on sick day management crucial for people with diabetes?
• In the initial hospital management of diabetic ketoacidosis, what is the first key step?
• Which statement would a nurse correctly include when counseling a patient with diabetes and obesity about insulin and weight?
• What do positive urine ketones indicate in a patient with diabetes?
• Which concept should be included in teaching about weight management for a patient with diabetes who is overweight?
• Which arterial blood gas result is consistent with diabetic ketoacidosis?