Skills Module 3.0: Diabetes Mellitus Management Posttest
1. A nurse is reviewing the results of routine laboratory tests performed as part of a client’s
annual physical examination. Which of the following values indicates a fasting blood glucose
measurement that is outside of the expected reference range?
a. 78 mg/dL
b. 118 mg/dL
c. 85 mg/dL
d. 104 mg/dL
Answer: b. 118 mg/dL
2. A nurse is caring for a client who has type 1 diabetes mellitus and is in need of a longacting insulin preparation. The nurse anticipates receiving a prescription for which of the
following insulins?
a. Insulin glargine
b. Insulin aspart
c. Insulin glulisine
d. Insulin lispro
Answer: a. Insulin glargine
3. A nurse is caring for a client who has type 1 diabetes mellitus and reports feeling anxious
and having palpitations. The glucometer reads 50 mg/dL.
a. Give the client 1 tsp of honey.
b. Give the client 4 oz of apple juice.
c. Give the client 4 oz of skim milk.
d. Give the client one or two glucose tablets.
Answer: b. Give the client 4 oz of apple juice.
4. A nurse is teaching a client who has type 1 diabetes mellitus about the peak time of neutral
protamine Hagedorn (NPH) insulin. Which of the following statements by the client indicates
an understanding of the teaching?
a. “NPH insulin peaks in 1 to 5 hours.”
b. “NPH insulin is peakless.”
c. “NPH insulin peaks in 6 to 14 hours.”
d. “NPH insulin peaks in 12 to 24 hours.”
Answer: c. “NPH insulin peaks in 6 to 14 hours.”
5. A nurse is teaching a client who has a new diagnosis of type 2 diabetes mellitus about
metformin. The nurse should explain that this type of medication works by which of the
following mechanisms?
a. Increasing insulin secretion by the pancreas
b. Delaying carbohydrate digestion
c. Increasing the cellular response to insulin
d. Reducing hepatic glucose production
Answer: d. Reducing hepatic glucose production
6. A nurse is teaching a client who has type 1 diabetes mellitus about the use of an insulin
pump. Which of the following information should the nurse include in the teaching?
a. The pump should remain in place while bathing.
b. Insulin is injected intermittently based on the client’s glucose level.
c. The pump uses intermediate-acting insulin.
d. The risk for developing DKA can be increased with the use of an insulin pump.
Answer: d. The risk for developing DKA can be increased with the use of an insulin pump.
7. A nurse is teaching a client who was recently diagnosed with type 1 diabetes mellitus how
to check blood glucose levels. Which of the following instructions should the nurse include in
the teaching?
a. “Blood can be smeared from the fingertip onto the test strip.”
b. “Use a syringe and needle to collect and transfer blood to the test strip.”
c. “To collect a sample for testing, hold the test strip next to the blood on the fingertip.”
d. “Use a capillary tube to collect and transfer the blood from the fingertip.”
Answer: c. “To collect a sample for testing, hold the test strip next to the blood on the
fingertip.”
8. A nurse is reviewing self-administration of insulin using a pre-filled pen with a client who
started using the pen the previous week. The client asks what can be done to help reduce
injection pain. Which of the following instructions should the nurse give the client?
a. Agitate the syringe slightly before injection.
b. Store the pens with the needle pointing upward.
c. Insert the needle slowly.
d. Keep the pen at room temperature for a few minutes.
Answer: d. Keep the pen at room temperature for a few minutes.
