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NUR 257 / NUR257 Exam 3 – Concepts of
Aging and Chronic Illness in Nursing Review
(Latest 2026/2027 Update) | Galen |
Complete Study Guide | Verified Questions &
Answers | 100% Correct Solutions | Grade A
Q: Insulin binding to its receptor on target cells results in
Answer increased facilitated cellular diffusion of glucose. 3 multiple choice options
Q: In the United States, more than ________ people have diabetes mellitus.
Answer 34.2 million 3 multiple choice options
Q: Which are microvascular complications of diabetes mellitus? (Select all that apply.)
A. Cardiovascular disease B. Nephropathy C. Retinopathy
D. Stroke E. Neuropathy Answer BC 3 multiple choice options
Q: Diabetic neuropathy is thought to result from
Answer decreased myoinositol transport. 3 multiple choice options
Q: Which therapies would be appropriate for a patient with type 1 diabetes mellitus? (Select
all that apply.) A. High-protein diet B. Oral hypoglycemic agents C. Carbohydrate counting D. Insulin E. Daily exercise
Q: An older client with Type II Diabetes Mellitus tells a nurse: "I don't know how I am going
to continue with this blood sugar testing. I know it is important, but the strips are so expensive." The nurse formulates a response based on the what knowledge? Answer Diabetic testing supplies are covered by Medicare part B. 3 multiple choice options
Q: What indicator is most helpful in evaluating long-term blood glucose management in
patients with diabetes mellitus? Answer Glycosylated hemoglobin levels (HbA1c) 3 multiple choice options
Q: The American Diabetes Association recommends a postprandial blood glucose level of
________ mg/dL for adults with diabetes. Answer less than 180 3 multiple choice options
Q: In diabetic ketoacidosis, respiratory compensation may occur through a process of
Answer respiratory alkalosis. 3 multiple choice options
Q: A type of insulin that would be most appropriate for acute management of hyperglycemia
is Answer regular. 3 multiple choice options
Q: Type 2 diabetes mellitus is often associated with
Answer nonketotic hyperosmolality. 3 multiple choice options
Q: The breakdown of stored glycogen in the liver and muscles is called
Answer glycogenolysis. 3 multiple choice options
Q: When an older adult is considering long-term care insurance (LTCI), which is an important
consideration? Answer Carefully scrutinize all exclusions before enrolling. 3 multiple choice options
D. Polydipsia E. Weight gain Answer ABD 3 multiple choice options
Q: Diabetes mellitus is the ________ leading cause of death and a major cause of disability
in the United States. Answer seventh 3 multiple choice options
Q: An older woman accompanies her husband to the geriatric clinic. The husband has been
diagnosed with Alzheimer's disease and needs maximum assistance with activities of daily living (ADLs). The wife has made the decision to place her husband in a long-term care facility as she is no longer able to care for him. The wife expresses concern about the cost of the long-term care facility and the worry that all of their funds will be used to pay for the facility leaving no funds for her own care. The nurse formulates a response based on what understanding? Answer Only one half of combined value of household goods is used to determine eligibility for Medicaid. 3 multiple choice options
Q: The older adult who diagnosed with type 2 diabetes mellitus has a sensory impairment and
unstable blood sugar levels. Which of the following alterations in sensory function does the nurse address in the plan of care for stabilizing the blood sugar? Answer Has difficulty hearing conversations in crowded rooms 3 multiple choice options
Q: Hyperglycemia is harder to detect in older adults due to which of the following?
Answer There is a higher tolerance for elevated levels of circulating glucose in older adults. 3 multiple choice options
Q: Which of the following statements is true about diabetes mellitus?
Answer Diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dL. 3 multiple choice options An older adult who is a non-Hispanic Caucasian has a fasting blood sugar level above 130 mg/dL. Which client assessment does the nurse use to confirm a high risk for diabetes mellitus in the client? Answer 68 years of age 3 multiple choice options
D. Palpitations E. Decline in cognitive function CDE 3 multiple choice options When teaching a client about foods that do not increase blood glucose, which should the nurse include? Broccoli 3 multiple choice options Which laboratory results are goals for reducing a person's risk for diabetes and heart disease? High-density lipoprotein (HDL) over 35 mg/dL 3 multiple choice options The nurse teaches an older adult diagnosed with diabetes mellitus and prescribed metoprolol to recognize early clinical indicators of hypoglycemia. Which clinical indicators of hypoglycemia does the nurse include in client teaching as the indicators this man is most likely to detect? (Select all that apply.) A. Confusion B. Anxiety C. Dizziness
D. Diaphoresis E. Impaired vision F. Tachycardia BDF 3 multiple choice options Which is the best goal when planning nursing care for an older client diagnosed with diabetes mellitus? Facilitate self-management. 3 multiple choice options Which is the most likely reason that thyroid disorders are often difficult to diagnose in older adults? The classic symptoms may not be present in older adults. 3 multiple choice options The nurse is caring for a client diagnosed with hyperthyroidism. Which signs and symptoms indicate hyperthyroidism? (Select all that apply.) A. Heart failure B. Cold intolerance
Acceleration-deceleration movements of the head often result in polar injuries in which focal injuries occur in two places at opposite poles. 3 multiple choice options Manifestations of acute brain ischemia (Cushing reflex) are due primarily to sympathetic nervous system activation. 3 multiple choice options It is true that Bell palsy is a paralysis of the muscles innervated by the facial nerve. 3 multiple choice options The most important preventive measure for hemorrhagic stroke is blood pressure control. 3 multiple choice options It is true that epidural bleeding is characterized by a lucid interval immediately after injury. 3 multiple choice options The physiologic change most likely to lead to an increase in intracranial pressure is cerebral vasodilation.
3 multiple choice options Which are common causes of acquired parkinsonism? (Select all that apply.) A. Seizure disorder B. History of trauma C. History of intoxication D. Degeneration of dopaminergic neurons E. History of infection BCE 3 multiple choice options The most important determinant for prescribing therapy for acute stroke is ischemic versus hemorrhagic cause. 3 multiple choice options Which group of clinical findings indicates the poorest neurologic functioning? Assumes decorticate posture with light touch, no verbal response 3 multiple choice options
3 multiple choice options In the acute phase of stroke, treatment is focused on stabilization of respiratory and cardiovascular function. 3 multiple choice options It is true that encephalitis is usually because of a viral infection in brain cells. 3 multiple choice options Rupture of a cerebral aneurysm should be suspected if the patient reports sudden, severe headache. 3 multiple choice options What type of seizure usually occurs in children and is characterized by brief staring spells? Absence 1 multiple choice option Seizures that involve both hemispheres at the outset are termed generalized. 3 multiple choice options Secondary injury after head trauma refers to
brain injury resulting from the body's response to tissue damage. 3 multiple choice options The initial treatment of an individual experiencing a seizure is concentrated on maintaining an airway. 3 multiple choice options A severe complication of elevated intracranial pressure is brain herniation. 3 multiple choice options What self management skill would you not teach to an older adult client who has diabetes mellitus? The importance of eating fats and carbohydrates 3 multiple choice options Rugs on the floor is an extrinsic fall risk? True 1 multiple choice option Reduced vision is an extrinsic fall risk factor? False 1 multiple choice option
Evista and calcitonin is a medication that is used to prevent the development of osteoporosis and slow its progression. True 1 multiple choice option A patient has hypoglycemia and is hungry and shaky. What shows correct patient understanding in this situation. I will eat 3 graham crackers. 3 multiple choice options A new type 2 diabetes patient is receiving education from his nurse. What should be the nurse's priority in education? Create a plan for when you have hypoglycemic episodes 3 multiple choice options When educating a patient about diabetic foot care, what should be most important and included in the education? Make sure your shoes fit properly. 3 multiple choice options Glucose in the urine of a type 1 diabetic could cause the patient to be incontinent. True 1 multiple choice option Patient who typically has good control of their diabetes, has an A1C of 9.4%. What is best response from RN?
Have you been doing something differently 3 multiple choice options If a patient with type 2 diabetes has a blood sugar of 44 the best action would be to offer the patient an apple. True 1 multiple choice option The RN is teaching a DM2 patient interventions for the plan of care, the RN should instruct them to strictly avoid carbs. False 1 multiple choice option What statement shows proper understanding on education of diabetic foot care. I will inspect my shoes for foreign objects before putting them on. 3 multiple choice options Insulin promotes glucose metabolism to produce energy. True 1 multiple choice option Antipsychotic drugs can cause the following in a diabetic patient. Select all that apply. A. Decreased appetite B. Insulin resistance C. Weight gain
