Mr. G was newly diagnosed with type 2 Diabetes Mellitus, he asks the nurse what "type 2” means in relation to diabetes. The nurse to the patient that type 2 diabetes diﬀers from type 1 diabetes in that with type 2 diabetes:

The patient is totally dependent on an outside source of insulin.

The insulin precursor that is secreted by the pancreas is not activated by the liver.

There is decreased insulin secretion and cellular resistance to insulin that is produced.

The immune system destroys the pancreatic insulin-producing cells.

Answer and Explanation

The Correct Answer is C

Type 2 diabetes mellitus is a metabolic disorder characterized by high blood sugar levels resulting from decreased insulin secretion and/or increased insulin resistance. In type 2 diabetes, the body's cells become resistant to insulin, which is a hormone that helps regulate blood sugar levels by allowing glucose to enter cells for energy. As a result, the pancreas produces more insulin to compensate for the increased demand, but over time, the pancreas may not be able to keep up, and blood sugar levels rise.

Unlike type 1 diabetes, which is an autoimmune disorder in which the body's immune system destroys the insulin-producing cells in the pancreas, people with type 2 diabetes still produce insulin, but their body is not able to use it eﬀectively. Therefore, type 2 diabetes can be managed through lifestyle changes, such as diet and exercise, and/or medication, such as oral hypoglycemic agents or insulin therapy.

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Correct Answer is A

Explanation

This statement is correct. Impaired fasting glucose (IFG) is a condition in which the fasting blood glucose level is higher than normal but not high enough to be diagnosed as diabetes. However, people with IFG are at increased risk of developing type 2 diabetes and cardiovascular disease. Weight loss and exercise can help to prevent or delay the onset of diabetes and reduce the risk of cardiovascular disease.

A. The client's stool is positive for occult blood. B. The client reports abdominal discomfort an hour after each meal. C. The client has had four ulcers in the last 5 years. D. The client's hemoglobin is 13 g/dL and hematocrit is 42%.

Correct Answer is B

Explanation

Abdominal discomfort an hour after a meal is a common symptom of a gastric ulcer because the stomach is where food is initially processed, and stomach acid is most concentrated. In contrast, duodenal ulcers typically cause pain 2-3 hours after meals, as food moves out of the stomach and into the duodenum, where it encounters duodenal acid.

A positive stool occult blood test is a non-specific finding that can be caused by many gastrointestinal conditions, including peptic ulcers. It does not indicate the location of the ulcer.

The number of ulcers the client has had in the past does not indicate the location of the current ulcer.

Normal hemoglobin and hematocrit levels do not provide information about the location of the ulcer.

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Mr. G was newly diagnosed with type 2 Diabetes Mellitus, he asks the nurse what "type 2” means in relation to diabetes. The nurse to the patient that type 2 diabetes diﬀers from type 1 diabetes in that with type 2 diabetes:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A program of weight loss and exercise is recommended for a patient with impaired fasting glucose (IFG). When teaching the patient about the reason for these lifestyle changes, the nurse will tell the patient that:

Correct Answer is A

Explanation

The nurse is caring for a client with diagnosis of peptic ulcer disease. Which assessment finding indicates to the nurse that the client most likely has an ulcer in the stomach rather than the duodenum?

Correct Answer is B

Explanation

Which information will the nurse include when teaching a patient with newly diagnosed GERD?

A patient is hospitalized with acute adrenal insufficiency. The nurse determines that the patient is responding favorably to treatment on finding:

Which of the information below obtained when caring for a patient who has been admited for evaluation of diabetes insipidus will be of greatest concern to the nurse?

The nurse is caring for a patient with hypothermia and ﬂuid volume excess. Which of the following would be included in the plan of care?

When teaching a patient with chronic SIADH about long-term management of the disorder, the nurse determines that additional instruction is needed when the patient says:

Mr. D receives a daily injection of 70/30 NPH/regular insulin premix at 7:00 AM. The nurse expects that a hypoglycemic reaction is most likely to occur between:

A nurse is preparing to administer oral potassium to a client who has a potassium level of 5.5 mEq/L. Which of the following actions should the nurse take first?

A client comes to the emergency department with Asthma. Based on the documentation noted below, the nurse suspects that the client has what abnormality? 10/1/2022 at 18:30 Client wheezing, RR44, BP 140/90, HR 104, T 98.4 F, ABG results show pH 7.52 mmHg, HCO3-26, PaO2 90 mmHg C. Wynn RN