YOU WERE LOOKING FOR: Diabetes Exam Questions
Mixtard insulin can be given at bedtime without the need for a bedtime snack C. Insulatard insulin can be given at bedtime without the need for a bedtime snack Ans: C Which of the statements below is true when initiating insulin in a Type 2...
Glibenclamide must be stopped before the procedure D. No changes need to be made. He can undergo the procedure. Ans: B Which statement below regarding the use of intravenous insulin for treating diabetic ketoacidosis is TRUE? Insulin should be...
Prompt insulin zinc Semilente, Slightly slower acting Examples of intermediate acting insulins include Isophane insulin, neutral protamine Hagedorn NPH Humulin N, Novolin N Insulin zinc Lente Examples of long acting insulins include Extended insulin zinc insulin Ultralente Insulin glargine Lantus Most anti-diabetic agents are contraindicated in pregnancy, in which insulin is preferred. Biguanides[edit] Main article: Biguanide Biguanides reduce hepatic glucose output and increase uptake of glucose by the periphery, including skeletal muscle.
Although it must be used with caution in patients with impaired liver or kidney function, metformin, a biguanide, has become the most commonly used agent for type 2 diabetes in children and teenagers. Among common diabetic drugs, metformin is the only widely used oral drug that does not cause weight gain. Typical reduction in glycated hemoglobin A1C values for metformin is 1. Phenformin DBI was used from s through s, but was withdrawn due to lactic acidosis risk. In general, it is prescribed at initial diagnosis in conjunction with exercise and weight loss, as opposed to in the past, where it was prescribed after diet and exercise had failed. There is an immediate release as well as an extended-release formulation, typically reserved for patients experiencing GI side-effects. It is also available in combination with other oral diabetic medications. The final result is better use of glucose by the cells.
Typical reductions in glycated hemoglobin A1C values are 1. Some examples are: rosiglitazone Avandia : the European Medicines Agency recommended in September that it be suspended from the EU market due to elevated cardiovascular risks. The greatest concern is an increase in the number of severe cardiac events in patients taking it. The meta-analysis was not supported by an interim analysis of the trial designed to evaluate the issue, and several other reports have failed to conclude the controversy. This weak evidence for adverse effects has reduced the use of rosiglitazone, despite its important and sustained effects on glycemic control.
In contrast, at least one large prospective study, PROactive 05, has shown that pioglitazone may decrease the overall incidence of cardiac events in people with type 2 diabetes who have already had a heart attack. Sulfonylureas[edit] Main article: Sulfonylurea Sulfonylureas were the first widely used oral anti-hyperglycaemic medications.
They are insulin secretagogues, triggering insulin release by inhibiting the KATP channel of the pancreatic beta cells. Eight types of these pills have been marketed in North America, but not all remain available. They are more effective than first-generation drugs and have fewer side-effects. All may cause weight gain. Sulfonylureas bind strongly to plasma proteins. Sulfonylureas are useful only in Type II diabetes, as they work by stimulating endogenous release of insulin. They work best with patients over 40 years old who have had diabetes mellitus for under ten years. They cannot be used with type I diabetes, or diabetes of pregnancy.
They can be safely used with metformin or -glitazones. The primary side-effect is hypoglycemia. Typical reductions in glycated hemoglobin A1C values for second-generation sulfonylureas are 1. First-generation agents tolbutamide Orinase, Rastinon brand name acetohexamide Dymelor.
Remember there are 25 pilot questions that are not worth marks. You will not know which questions are pilot questions. You need to pass all of the competencies to pass the exam. Please see below for suggestions on how to study each competency. Competency Specific Suggestions For the Pathophysiology competency I suggest reviewing: chapter 3 of Building Competency: The Essentials which can be purchased here , and my lectures on pathophysiology. Alot of the information in these two chapters is too complicated. Appendix of the Diabetes guidelines are also useful and will likely be on the exam. Also chapter 6 and 12 of Building Competency: The Essentials. There will be lots of questions on insulin initiation and adjustment so some other helpful resources are chapter 18 of Pumping Insulin is on the list of recommended resources which I have uploaded here. The Diabetes Canada website has a ton of health care providers tools which are very useful in real life practice and will like be on the exam.
You can find them here at the Diabetes Canada clinical practice website and the Pharmacotherapy for Type 2 diabetes is especially useful. Also note that on October there was an update to the pharmacotherapy guidelines which can be found here. Also chapter 7 of Building Competency: The Essentials. One of the references from the guidelines is the Foot Care guidelines by the International Diabetes Foot working group which I found useful. For the Microvascular and Macrovascular Complications competency I suggest: all the chapters in the Diabetes Canada guideline involving Macrovascular and Microvascular Complications.
Also chapter 9 of Building Competency: The Essentials. The first 10 chapters are free. To practice for the exam, try out the free quizzes section. If you found those helpful then consider purchasing a Practice Exam simulation in the Purchase section. They will improve your confidence and pass rate while lowering your stress and the amount of time you need to study. You will pass or you get your money back! Please see the Purchase page for details.
Ans: A Linda is taking Lantus. She understands her medication when she states: A. Lupe is in the ED. She has anorexia, abdominal pain, acetone breath, polyuria and is confused. She has ketones present in her urine. She is pre diabetic with a glu of She was misdiagnosed and should be a type 1 diabetic. Hyperosmolar Hyperglycemic Nonketoitic Syndrome C. Diabetic Ketacidosis D. Gladus is in for her physical. She is a 54 year old woman with a lot of energy. She is mildly overweight. As part of her physical, the doctor discovers her GLU is He orders a fasting plasma glucose and her levels come back the first day and the second day. What does this indicate? Diabetes I C. Nicole is a chronic alcoholic. She drinks a bottle of wine every night and hard liquor on the weekends. She has been fatigued and has blurry vision. The doctor tells her she now has diabetes II.
What education would the nurse give to the patient? Explain that the alcohol caused her diabetes. Insulin will not be affected by her drinking C. Using therapeutic communication, help her to see that this is her fault and must accept she has ruined her life. Neuropathy occurs only in type 2 diabetics? Yes B. No Ans: B She reports that she is not on a diet but has been losing weight rapidly and has fatigue. What type of diabetes does she have? NPH insulin has been prescribed to the pt. The nurse understands NPH when the nurse states: A. NPH acts quickly. NPH peaks at hrs Missed. NPH is a mixture of rapid and slow acting Missed. Ans: A,D Hypoglycemia is related to : A. The nurse understands NPH and how quickly it starts when the nurse states: A.
It turns out that a Sub-Q approach is as effective and safe. Investigate more about the steps involved in this approach in our featured article. In the past, testing for type 1 diabetes required a provider order. Now, concerned family members can choose to get tested from home. Read more about this super easy screening test for type 1 diabetes. This standard boldly addresses social determinants of health, with an intense focus on food insecurity and other barriers to self-care.
I sported a sore arm for less than 24 hours and that was it. Now, I am anxiously cheering for all my family, friends, colleagues, and community to get this life-saving vaccination. One Year — New medical advances, guidelines, or pharmaceuticals will be included in CDCES Exam no sooner than one year after the information is released. What does this mean for us? Since there are no new diagnostic criteria or specific guidelines that are dramatically different from the Standards of Care. The one exception is that there are updated diabetes management guidelines for the older population as outlined in our Older People Level 2 Course and you can review in the ADA Standards of Care, section Please plan on studying the ADA Standards of Care, which includes all of the same content as the Standards with some additions and updates. We are all rooting for your success! For More info:.
Thin, young with ketones present in the urine B. Overweight, young with no ketones present in the urine C. Thin, older adult with glycosuria D. Overweight, adult-aged with ketones present in the urine 3. A patient with diabetes has a morning glucose of The patient is sweaty, cold, and clammy. Which of the following nursing interventions is the MOST important?
Recheck the glucose level B. Call the doctor D. Keep the patient nothing by mouth 4. Which of the following patients is at most risk for Type 2 diabetes? A 6 year old girl recovering from a viral infection with a family history of diabetes. A 28 year old male with a BMI of A 76 year old female with a history of cardiac disease. None of the options provided. Alpha cells, liver C. Beta cells, liver D. Beta cells, pancreas 6. A year-old male is newly diagnosed with Type 2 diabetes. Which of the following treatments do you expect the patient to be started on initially? Diet and exercise regime B. Metformin BID by mouth C. Regular insulin subcutaneous D.
None, monitoring at this time is sufficient enough 7. Which of the following statements are true regarding Type 2 diabetes treatment? Insulin and oral diabetic medications are administered routinely in the treatment of Type 2 diabetes. Insulin may be needed during times of surgery or illness. Insulin is never taken by the Type 2 diabetic.
Oral medications are the first line of treatment for newly diagnosed Type 2 diabetics. DKA occurs mainly in Type 1 diabetics. Ketones are present in the urine in DKA. Cheyne-stokes breathing will always present in DKA. Severe hypoglycemia is a hallmark sign in DKA. A patient who has diabetes is nothing by mouth as prep for surgery. The patient states they feel like their blood sugar is low. You check the glucose and find it to be Continue to monitor the glucose C. Give the patient 4 oz of fruit juice D. None, this is a normal blood glucose reading Blurry vision B. Ketones present in the urine C. Glycosuria D. Scroll down to see your results. Which of the following symptoms do NOT present in hyperglycemia? Extreme thirst C. Glycosuria 2. Type 1 diabetics typically have the following clinical characteristics: A. Overweight, adult-aged with ketones present in the urine The answer is A. Keep the patient nothing by mouth The answer is B.
The answer is B. Remember Type 2 diabetes risk factors are related to lifestyle…. So, the 28 year old male with a BMI of 49 is most at risk for Type 2. Alpha cells, liver.
Insulin forces which of the following electrolytes out of the plasma and into the cells? Which finding would be of most concern of the nurse? BP Respiration Pulse A client with diabetes mellitus visits a health care clinic. Which medication, if added to the clients regimen, may have contributed to the hyperglycemia? An order for sliding scale insulin exists. Which finding would a nurse expect to note as confirming this diagnosis? Increased respirations and an increase in pH Comatose state Elevated blood glucose level and a low plasma bicarbonate Decreased urine output An external insulin pump is prescribed for a client with DM. The client asks the nurse about the functioning of the pump. The nurse bases the response on the information that the pump: Continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring blood glucose levels.
Gives small continuous dose of regular insulin subcutaneously, and the client can self-administer a bolus with an additional dosage from the pump before each meal. Is surgically attached to the pancreas and infuses regular insulin into the pancreas, which in turn releases the insulin into the bloodstream. Is timed to release programmed doses of regular or NPH insulin into the bloodstream at specific intervals.
Which of the following nursing interventions should be taken for a client who complains of nausea and vomits one hour after taking his glyburide DiaBeta?
The college or university has to be in the United States and accredited by a nationally recognized regional accrediting body. Professional Practice Experience To fulfill this requirement, applicants must satisfy both of the following: A minimum of 2 years of professional experience in their discipline. For example, if the applicant is applying as an Optometrist, he or she must have at least 2 years of professional experience as an optometrist. A minimum of at least hours of diabetes experience. At least of the hours have to be accrued in the most recent year preceding the application. Continuing Education Applicants must have at least 15 clock hours of continuing education activities related to diabetes within the 2 years prior to applying. Applicants who submit their application online can pay with a credit card MasterCard, American Express, Discover, and Visa. After an application is approved, candidates have 90 days to schedule and take the exam.
Candidates will have 4 hours to complete the test. The exam consists of questions that count towards your final score and 25 questions that are for statistical data. The minimum score required to pass is Below you will find some common tips and rules for test day. Prepare to arrive at your testing center early. If you arrive more than 15 minutes late, you will forfeit your test. You must bring 2 forms of government-issued IDs, with your name, photograph, and signature. You are allowed to bring a hand-held, battery or solar-operated, non-programmable calculator. There will be a personal locker for you to store your items. Electronics, handbags, and backpacks are not permitted in the testing area. At the beginning of the exam, you will receive a pencil and scratch paper. How to prepare for the Certification Examination for Diabetes Educators An effective way to prepare for the exam is to understand the key concepts and practices, but also to understand the test format.
Our expert test-researchers carefully developed the Mometrix Certified Diabetes Educator Study Guide to provide with you with easy-to-read explanations of the major topics on the exam, like patient assessments, intervention methods, and the different types of diabetes. This comprehensive study guide also includes exclusive test-taking strategies that will help you answer questions more quickly and effectively. Our test experts also created the Mometrix Certified Diabetes Educator Flashcards to help you study and quiz yourself on the go! We look forward to assisting you with your test-taking journey. Congratulations on taking the first step to becoming a Certified Diabetes Educator! If you find benefit from our efforts here, check out our premium quality Certified Diabetes Educator study guide to take your studying to the next level.
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