1.	When obtaining a history from a diabetic patient, you should ask which of the following questions in addition to the SAMPLE history? A. "Are you allergic to insulin?" B. "What kind of insulin do you take?" C. "Have you taken your insulin today?" D. "How long have you been a diabetic?"

2.	The major problem associated with insulin-dependant diabetes mellitus is: A. failure of the body to produce glucose. B. impairment of glucose utilization. C. impairment of insulin utilization. D. permanent failure of the liver.

3.	The term "glucose" can be defined as: A. a simple sugar. B. s metabolic disorder. C. an essential hormone. D. a fight-or-flight hormone.

4.

A known diabetic patient presents with a blood sugar of 240 mg/dL and severe dehydration. The dehydration is a result of: A. infection that often accompanies hyperglycemia. B. excretion of glucose and water from the kidneys. C. a deficiency of insulin that produces internal water loss. D. failure of the body to produce energy due to a lack of glucose.

5.	The first step in caring for a patient who is experiencing a decreased level of consciousness from a diabetic emergency is to: A. make sure the airway is open. B. place the patient on his or her side. C. begin suctioning the patient's mouth. D. provide oxygen with a nonbreathing mask.

6.	Which combination of factors can cause a patient with diabetes to experience a rapid onset of altered mental status? A. Eating a meal and taking insulin B. Eating a meal and not taking insulin C. Skipping a meal and taking insulin D. Skipping a meal and not taking insulin

7.	The form of diabetes that develops as a person ages is called: A. type I diabetes. B. type II diabetes. C. type III diabetes. D. adult sugar disorder.

8.

A woman calls EMS because her 12-year-old son, who had been experiencing excessive urination, thirst, and hunger for the past 36 hours, is now semiconscious with a rapid, weak, and thready pulse. Which of the following do you suspect? A. Diabetic shock B. Insulin shock C. Diabetic coma D. Hypoglycemia

9.	Of the following questions, the MOST pertinent one to ask a diabetic patient during your assessment is: A. Have you consumed any alcohol today? B. Do you take pills that lower your blood sugar? C. Are you on any medications for hypertension? D. Do you have a family history of diabetes?

10.

You are summoned to the local jail to care for a patient who is "drunk." When you arrive, the police officer advises you that the patient was picked up for being intoxicated in public, and shortly after arriving at the jail, the patient's level of consciousness diminished rapidly. Upon assessment, the patient is found to be comatose with cool, clammy skin. His heart rate is weak and thready, and his respirations are rapid and shallow. You should suspect and manage this patient for: A. acute alcohol intoxication. B. diabetic ketoacidosis. C. acutely high blood sugar. D. insulin shock.

11.

Which of the following statements about the treatment of diabetes is FALSE? A. Patients with diabetes are treated in different ways. B. Patients with diabetes are all generally treated the same way. C. The first step in caring for a patient with a diabetic emergency is to verify that the airway is open. D. Treating a diabetic emergency often includes the timely administration of oral glucose.

12.	Which of the following findings are characteristic of diabetic ketoacidosis? A. Acetone odor on the breath and a rapid onset B. Dehydration and a slow onset of symptoms C. Unconsciousness and a rapid onset of symptoms D. A slow, bounding pulse and slow onset of symptoms

13.	Patients whose blood glucose levels become too high will begin to use which of the following substances for energy? A. Fat B. Acid C. Sugar D. Acetone

14.

A young male with a history of insulin-dependent diabetes is found unconscious. His skin is cool and clammy and his respirations are 30 breaths/min and shallow. The patient's mother advises you that her son had not eaten since last night; however, he took his insulin this morning. Management for this patient includes which of the following? A. Administering more insulin to the patient B. Assisting ventilations with a BVM device C. Administering one tube of oral glucose D. Placing the patient in a prone position

15.	Although no tissue escapes the effect of diabetes, it primarily affects the patient's: A. fluid levels. B. metabolism. C. blood count. D. endurance levels.

16.

Which of the following statements is true regarding seizures? A. Patients should be given oral glucose during the seizure. B. Infections and hypoglycemia are uncommon causes of seizures. C. Idiopathic seizures are those that are the result of arrhythmias. D. Trauma should be considered as the result of a seizure.

17.	The term "polydipsia" can be defined as frequent: A. seizure activity. B. bouts of depression. C. large-volume urination. D. drinking to satisfy continuos thirst.

18.

When glucose does not reach the cells for metabolism, the cells turn to another source of energy, primarily fat. Fat metabolism results in: A. the production of strong alkaline particles. B. an increase in the body's production of sugar. C. the formation of ketones and fatty acids. D. an increase in the production of energy.

19.	In contrast to insulin shock, diabetic coma will usually: A. present with a rapid onset of symptoms. B. respond within 6 - 12 hours following treatment. C. present with confusion and seizures. D. require treatment with oral glucose.

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