1.

After the patient is discharged from the hospital, the doctor wants the patient to continue
to self-monitor the response to the diet and medication management. Which monitoring
approach is best for the nurse to recommend?
a) Testing the urine with a chemical reagent strip
b) Using a glucometer to check capillary blood glucose levels
c) Having laboratory personnel draw venous blood samples
d) Arranging for testing by a home health agency nurse
Answer (b)

2. Which is used to measure blood glucose?

a) Glucose meter
b) Lancet
c) Reagent strip
d) Sphygmomanometer
Answer (a)

3. Before using reagent strips for blood glucose testing, you need to
a) Check the expiration date
b) Make sure they are discolored
c) Label each strip with the person’s name
d) Check the size of the test area
Answer (a)

4. Which is the avoided site for a skin puncture for glucose testing?
a) Middle finger
b) Index finger
c) Ring finger
d) Little finger
Answer (b)

5. A student nurse reports to a nurse that a patient fasting blood glucose level is (……)
normal.
a) 60 mg/dL.
b) 120 mg/dL.
c) 90 mg/dL.
d) 140 mg/dL
Answer (c)

6. The lowest fasting plasma glucose level suggestive of a diagnosis of Diabetes Mellitus
is:
a) 90mg/dl
b) 126mg/dl
c) 115mg/dl
d) 180mg/dl
 Answer (b)

7. For which situation would the procedure of glucose testing be interrupted?

a) The reagent strip code matches the code on the vial.
b) An unused lancet is not available.
c) The glucose meter beeps.
d) A drop of blood forms on the patient’s skin after it is punctured
Answer (b)

8. A doctor orders blood glucose monitoring before meals and at bedtime for a patient. Place
the following steps in the order in which they should be implemented.
1. Wipe away the first drop of blood.
2. Clean se the area with alcohol and let it dry thoroughly.
3. Place the hanging drop of blood gently on the end of the test strip.
4. Prick the site with the lancet while holding it perpendicular to the patient’s finger.
Answer………………
Answer 2,4,1,3

9. A nurse is preparing a plan of care for a client with Diabetes Mellitus who has
hypoglycemia. The priority nursing diagnosis would be:
a) Deficient knowledge: disease process and treatment
b) Disabled family coping: compromised
c) Imbalanced nutrition: less than body requirements
d) High risk for deficient fluid volume
Answer (c)

10. Which of these interventions would be most appropriate when performing glucose
testing?
a) Dilate the capillaries by applying a coo, moist compress to the area for about 3 minutes
b) Wipe the puncture site with an alcohol wipe, and dry it thoroughly with a gauze pad.
c) Make the puncture on the end of thumb fingertip.
d) Leave the blood on the strip for exactly 30 seconds.
Answer (b)