An elderly patient is hospitalized with several problems. His medical history includes uncontrolled hypertension and Type II diabetes mellitus (DM). A HbA1c is measured This laboratory test measures the

percentage of glycosylated hemoglobin molecules that spill into the urine.

percentage of glycosylated hemoglobin molecules carried by RBCs.

effect of hypertension on RBCs over a long period of time.

effect of insulin on the ability of hemoglobin to bond with glucose.

Answer and Explanation

The Correct Answer is B

A. His body does not produce any insulin so he must receive insulin injections: Type I diabetes is characterized by the destruction of pancreatic beta cells, resulting in little to no insulin production. Therefore, insulin must be administered via injection to replace the insulin the body cannot produce.

B. The pills are not as effective as the insulin injections: While this might be partially true for Type I diabetes, it is not the complete answer. Oral medications are generally not effective in Type I diabetes because they stimulate the pancreas to produce insulin, which is not possible in these patients.

C. He will only be on insulin injections for a short while, then he can take a pill: This is incorrect. Type I diabetes requires lifelong insulin therapy.

D. He can stop the insulin injections once his body begins to make insulin again: This is incorrect as Type I diabetes is a permanent condition where the body cannot produce insulin.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Tetany of the hands with a positive Chvostek sign: Tetany and a positive Chvostek sign are more associated with hypocalcemia rather than Hashimoto's thyroiditis.

B. Polyuria, sweating, and dry mucous membranes: These symptoms are more indicative of hyperthyroidism or diabetes rather than hypothyroidism, which is characteristic of Hashimoto's thyroiditis.

C. Forgetfulness, depression, and anemia: Hashimoto's thyroiditis, which causes hypothyroidism, can lead to symptoms like forgetfulness, depression, and anemia due to reduced thyroid hormone levels.

D. Nervousness, irritability, and diarrhea: These symptoms are associated with hyperthyroidism rather than hypothyroidism.

A. Vertigo and bilateral loss of the pupillary light reflex B. Nuchal rigidity and positive Kernig's sign. C. Report of falling down, nausea and vomiting. D. Difficulty speaking and loss of coordination.

Correct Answer is D

Explanation

A. Vertigo and bilateral loss of the pupillary light reflex: Vertigo can occur with cerebellar involvement, but loss of the pupillary light reflex is more associated with brainstem damage.

B. Nuchal rigidity and positive Kernig's sign: These are signs of meningitis, not a cerebellar stroke.

C. Report of falling down, nausea, and vomiting: These symptoms can occur with cerebellar strokes, but they are nonspecific and can be seen in other conditions as well.

D. Difficulty speaking and loss of coordination: The cerebellum is responsible for coordination, and a cerebellar stroke can lead to ataxia (loss of coordination) and dysarthria (difficulty speaking).

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An elderly patient is hospitalized with several problems. His medical history includes uncontrolled hypertension and Type II diabetes mellitus (DM). A HbA1c is measured This laboratory test measures the

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is diagnosed with Hashimoto's thyroiditis. Which clinical manifestations are expected?

Correct Answer is C

Explanation

Which assessment findings would alert the nurse to the presence of a cerebellar brain attack?

Correct Answer is D

Explanation

A patient with leukocytosis, fever and left lower quadrant (LLQ) pain will most likely have a diagnosis of

A patient presents to the emergency department (ED) with a two-hour history of hemiparesis of the right arm and leg. These symptoms spontaneously resolve within 4 hours of her arrival to the emergency department (ED). The nurse will anticipate teaching the patient about

Which assessment finding is expected for a patient just diagnosed with viral (aseptic) meningitis?

Which manifestations (S&S) alert the nurse to the possibility of pancreatitis in the patient who has elevated serum amylase and lipase levels?

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