N4 TEST Blood Glucose Pattern Management

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1.
Which of the following statements regarding blood-glucose pattern management is false?
a. Consistency in the diabetes management plan is essential when initiating pattern management.
b. One high blood-glucose reading requires immediate attention.
c. High blood-glucose levels for at least three days in a row require attention.
d. Adjustments may need to be made to the diabetes management plan if a pattern is seen at a particular time of day.

2.
Clients should do all of the following for pattern management except:
a. Establish their preprandial and postprandial glucose goals before seeing a healthcare professional.
b. Keep records of blood-glucose levels, food intake, medication doses, activity levels, schedule, and any physical or emotional stress.
c. Look for patterns and determine factors that influence blood-glucose levels.
d. Determine whether they have maintained consistency in their diabetes management plan.

3.
Which of the following statements regarding self-monitoring of blood glucose is true?
a. It is not recommended for clients who take insulin or drugs that stimulate insulin secretion.
b. It should be performed only by a healthcare professional.
c. It is recommended at least three times a day for clients with type 1 diabetes.
d. It should be performed less often when the diabetes treatment plan is modified.

4.
Which of the following statements regarding carbohydrate counting is true?
a. It limits the types of food that clients can eat.
b. It allows clients to eat unlimited amounts of carbohydrates.
c. It should not be used by clients who perform self-monitoring of blood glucose.
d. It can help clients maintain consistency in their daily food intake.

5.
Which of the following brands of insulin is not used for mealtime coverage?
a. Humulin N
b. Humulin U
c. Humulin L
d. Humalog

6.
Which of the following types of insulin require that food be eaten at the start of peak action?
a. NPH and ultralente
b. Lente and regular
c. NPH and lente
d. Glargine and ultralente

7.
Which oral medication is usually taken only once a day with the evening meal?
a. Glucotrol
b. Glucotrol XL
c. Glucophage
d. Glucophage XR

8.
Which of the following statements regarding exercise and insulin adjustments for clients with type 1 diabetes is true?
a. Insulin doses may need to be increased or decreased depending on the intensity and duration of exercise.
b. Insulin doses should always be decreased by 10% during exercise.
c. Insulin doses should always be increased by 50% during exercise.
d. Carbohydrate supplementation is never necessary if insulin adjustments are made during exercise.

9.
Which of the following statements regarding exercise in clients with type 2 diabetes is false?
a. Exercise can help clients lower blood pressure and improve lipid levels.
b. The metabolic benefits of exercise on glycemic control last for a few weeks.
c. Exercising after meals can help prevent postprandial hyperglycemia.
d. Diabetes medication doses may need to be lowered for clients who develop hypoglycemia after exercising.

10.
Which of the following statements regarding stress is false?
a. Stress can be caused by illness.
b. Stress produces physiologic effects but it does not affect client behavior.
c. Stress can be managed with exercise.
d. Some sources of stress cannot be avoided.

11.
All of the following blood-glucose patterns are associated with inadequate insulin doses to cover meals except:
a. Hyperglycemia before lunch.
b. Hyperglycemia after lunch or before dinner.
c. Fasting hyperglycemia.
d. Hyperglycemia at bedtime.

12.
Fasting hyperglycemia can be caused by all of the following except:
a. An early-morning increase in hormones that stimulate hepatic glucose production.
b. Not enough diabetes medication.
c. Alcohol consumption.
d. Undetected overnight hypoglycemia.

13.
Successful implementation of pattern management depends on:
a. Maintenance of consistency in the diabetes management plan.
b. The client's past experiences and learning preferences.
c. The client's ability to analyze various aspects of their diabetes management plan.
d. All of the above.