HEADQUARTERS

ARMED FORCES OF THE PHILIPPINES HEALTH SERVICE COMMAND

VICTORIANO LUNA MEDICAL CENTER
NURSING SERVICE
Camp Colonel Victoriano K. Luna, V. Luna Avenue, Quezon City

NURSE CORPS AFP MENTORING PROGRAM CLASS 14-2021

BLOOD GLUCOSE MONITORING

Direction: Select the correct answer by encircling the letter of your choice.

1. A nurse provides instructions to a client newly diagnosed with type 1 diabetes

mellitus. The nurse recognizes accurate understanding of measures to prevent diabetic
ketoacidosis when the client states:

A. “I will stop taking my insulin if I’m too sick to eat.”

B. “I will decrease my insulin dose during times of illness.”
C. “I will adjust my insulin dose according to the level of glucose in my urine.”
D. “I will notify my physician if my blood glucose level is higher than 250
mg/dL.”

2. A nurse teaches a client with diabetes mellitus about differentiating between

hypoglycemia and ketoacidosis. The client demonstrates an understanding of the
teaching by stating that a form of glucose should be taken if which of the following
symptoms develops?

A. Polyuria

B. Shakiness

C. Blurred vision

D. Fruity breath odor

3. A client with diabetes mellitus demonstrates acute anxiety when first admitted for
the treatment of hyperglycemia. The appropriate intervention to decrease the client’s
anxiety is to:

A. Administer a sedative.
B. Convey empathy, trust, and respect toward the client.
C. Ignore the signs and symptoms of anxiety so that they will soon disappear.
D. Make sure that the client knows all the correct medical terms to understand
what is happening.

4. A nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of
complications. Which of the following, if exhibited in the client, would indicate
hyperglycemia and warrant physician notification?
 A. Polyuria
B. Diaphoresis
C. Hypertension
D. Increased pulse rate

5. A nurse is preparing a plan of care for a client with diabetes mellitus who has
hyperglycemia. The priority nursing diagnosis would be:
A. Deficient knowledge

B. Deficient fluid volume

C. Compromised family coping

D. Imbalanced nutrition, less than body requirements

6. A home health nurse visits a client with a diagnosis of type 1 diabetes mellitus.
The client relates a history of vomiting and diarrhea and tells the nurse that no food has
been consumed for the last 24 hours. Which additional statement by the client indicates
a need for further teaching?

A. “I need to stop my insulin.”

B. “I need to increase my fluid intake.”

C. “I need to monitor my blood glucose every 3 to 4 hours.”

D. “I need to call the physician because of these symptoms.”

7. A nurse is interviewing a client with type 2 diabetes mellitus. Which statement by

the client indicates an understanding of the treatment for this disorder?

A. “I take oral insulin instead of shots.”

B. “By taking these medications, I am able to eat more.”

C. “When I become ill, I need to increase the number of pills I take.”

D. “The medications I’m taking help release the insulin I already make.”

593. The nurse is preparing to

test a patient’s blood glucose.
Which end of the test strip will
 594. be inserted into the meter,
A or B? Which end of the strip
will the nurse apply the blood
595. sample to, A or B?
596. The nurse is preparing to
test a patient’s blood glucose.
Which end of the test strip will
597. be inserted into the meter,
A or B? Which end of the strip
will the nurse apply the blood
598. sample to, A or B?
599. The nurse is preparing to
test a patient’s blood glucose.
Which end of the test strip will
600. be inserted into the meter,
A or B? Which end of the strip
will the nurse apply the blood
601. sample to, A or B?
8. The nurse is preparing to test a patient’s blood glucose. Which end of the test
strip will be inserted into the meter?
9. Among adult patients with type 1 diabetes, real-time continuous glucose
monitoring (RT-CGM) is equally effective as self-monitoring of blood glucose for
controlling A1C levels.
A. True
B. False.
C. None of the above
D. All of the above

10. Which of the following are indications for glucose monitoring?

A. Frequent hypoglycemia
B. Elevated A1C readings in the face of several changes in the treatment plan
C. Pregnancy
D. All of the above

11. The benefits of glucose monitoring include:

A. The ability to fine-tune diabetes management with minute-to-minute
glucose readings
B. Availability of alerts when blood glucose is too high or too low
C. Avoidance of over-bolusing insulin doses
D. A and B

12. Blood Glucose Monitoring has advantages, but patients also need to be
cognizant of several limitations, including:
A. Skin irritation and discomfort
B. Information overload
C. Overreaction to high readings
D. All of the above

13. The condition in which blood sugar level is too high is referred to as:
A. Hypoglycemia
B. Hyperglycemia
C. Normal state of body
D. All of the above

14. Signs of hypoglycemia include:

A. Dizziness
B. Shakiness
C. Difficulty in speaking
D. All of the above

15. Which is the test that measures the amount of glycated hemoglobin?
A. HbA1C
B. TSH
C. FBS
D. HCG
 The nurse is preparing to test a
patient’s blood glucose. Which
end of the test strip will
16. be inserted into the meter, A
or B? Which end of the strip will
the nurse apply the blood
sample to, A or B?
17.