Blood Glucose Monitoring Quiz: Safety and Documentation

1. Question 1
   • Both types begin with excessive insulin production and have identical pancreatic effects.
   • Type 1 is caused by inactivity, whereas type 2 is caused exclusively by pregnancy.
   • Type 1 primarily involves cellular insulin resistance, whereas type 2 involves autoimmune beta-cell destruction.
   • Type 1 involves autoimmune destruction of pancreatic beta cells, whereas type 2 initially involves cellular insulin resistance.
2. Question 2
   • Blood glucose is lower than normal but without symptoms.
   • Blood glucose is higher than normal but not high enough for a diagnosis of type 2 diabetes.
   • Diabetes that begins during pregnancy in a person previously without diabetes.
   • Autoimmune destruction of pancreatic beta cells during childhood.
3. Question 3
   • Diabetes occurring during pregnancy in a person who did not have diabetes before pregnancy
   • Elevated blood glucose caused only by an acute surgical procedure
   • Diabetes caused by autoimmune beta-cell destruction before puberty
   • Elevated blood glucose that is below the range associated with diabetes
4. Question 4
   • Blood glucose monitoring is required only for patients receiving insulin before admission.
   • Stress from illness, surgery, hospitalization, or medication effects can elevate blood glucose.
   • Hospitalized patients cannot regulate blood glucose during sleep.
   • Hospitalization always causes permanent diabetes.
5. Question 5
   • A patient whose blood glucose has never been elevated
   • A patient with no oral or enteral intake and no monitoring order
   • A patient who has completed a routine physical examination
   • A patient receiving enteral feedings
6. Question 6
   • Testing is unnecessary when the patient is hospitalized.
   • Testing is typically performed before meals and at bedtime, according to the prescribed plan.
   • Testing is always performed only after meals.
   • Testing is performed only when the patient requests it.
7. Question 7
   • They replace documenting the blood glucose result.
   • They help confirm that the meter is producing reliable results.
   • They determine the patient’s insulin dose automatically.
   • They eliminate the need to follow agency procedures.
8. Question 8
   • Only the brand of meter used.
   • The measured result and the time it was obtained.
   • A diagnosis based on the result.
   • The next scheduled meal.
9. Question 9
   • Change the treatment plan without consultation.
   • Ignore it if the patient has no symptoms.
   • Assess the result in the patient context and follow agency escalation policy.
   • Repeat the value until it is expected, without documentation.
10. Question 10
    • A reading greater than 150 mg/dL
    • A reading greater than 240 mg/dL
    • A reading greater than 70 mg/dL
    • A reading less than 70 mg/dL
11. Question 11
    • Slow heartbeat without other symptoms
    • Rapid heartbeat, sweating, and anxiety
    • Frequent urination and increased thirst
    • Fruity-smelling breath and vomiting
12. Question 12
    • It directly causes ketone accumulation in the blood.
    • It prevents the brain from being affected by falling blood glucose.
    • It makes the pancreas permanently stop producing insulin.
    • It produces the fight-or-flight warning symptoms of hypoglycemia.
13. Question 13
    • Increased urination without neurologic changes
    • Confusion, coordination problems, or seizures
    • Mild thirst only
    • Fruity-smelling breath alone
14. Question 14
    • Document the symptoms only after the next scheduled meal.
    • Obtain a blood glucose reading and follow the applicable agency protocol.
    • Clean the glucometer without assessing the patient.
    • Assume the symptoms are caused by hyperglycemia and delay testing.
15. Question 15
    • Increased thirst
    • Fruity-smelling breath
    • Hunger with shakiness
    • Frequent urination
16. Question 16
    • A patient who cannot swallow safely
    • Slight thirst after activity
    • A patient asking when the next test will occur
    • Mild hunger while alert
17. Question 17
    • 70 mg/dL
    • 99 mg/dL
    • 69 mg/dL
    • 151 mg/dL
18. Question 18
    • Sweating, pallor, and a fast heartbeat
    • Frequent urination, thirst, and hunger only
    • Shortness of breath, nausea, and ketone accumulation
    • Dry mouth, fruity breath, and vomiting
19. Question 19
    • Increased thirst
    • Fruity-smelling breath
    • Frequent urination
    • Confusion
20. Question 20
    • Wait until the next meal before reassessing the patient.
    • Repeat assessment at the prescribed interval after an initial protocol action.
    • Use the same response regardless of whether the patient can swallow.
    • Stop monitoring once one low reading is recorded.
21. Question 21
    • Continued decline can impair brain function and lead to seizures or coma.
    • Low blood glucose inevitably causes ketoacidosis.
    • Hypoglycemia always causes permanent pancreatic damage within minutes.
    • A low reading is clinically unimportant if the patient is awake.
22. Question 22
    • Shakiness and clamminess
    • Increased thirst and urination
    • Shortness of breath after ketone accumulation
    • Fruity-smelling breath
23. Question 23
    • Increased stress from illness or surgery
    • Allowing the skin to dry after cleansing
    • Using the second blood drop for testing
    • Keeping the hand warm before collection
24. Question 24
    • The kidneys convert glucose directly into ketones after meals.
    • The pancreas produces excessive insulin, causing fat storage.
    • Epinephrine prevents all cellular use of glucose.
    • Insufficient insulin leads to fat breakdown for energy and ketone production.
25. Question 25
    • Specimen hemolysis caused by finger milking
    • Ketoacidosis requiring immediate provider notification
    • Normal response to fasting
    • A harmless effect of a warm compress
26. Question 26
    • Before every blood glucose test regardless of the result
    • Whenever blood glucose is exactly 70 mg/dL
    • Only when the patient reports hunger
    • When blood glucose is greater than 240 mg/dL
27. Question 27
    • Pallor, shakiness, and a rapid heartbeat
    • Warm hands, dependent positioning, and a reagent strip
    • Wiping away the first drop, drying the skin, and using a lancet
    • Eating more than planned, exercising less than planned, and illness-related stress
28. Question 28
    • Insulin deficiency causes tissue fluid to dilute the blood sample.
    • Insulin deficiency causes only increased thirst and cannot affect acid-base status.
    • Insulin deficiency prevents all fat metabolism, eliminating ketone formation.
    • Insulin deficiency promotes fat breakdown, producing ketones that can accumulate in the blood.
29. Question 29
    • A dry alcohol wipe after the skin has been cleansed
    • Very dry mouth with vomiting and shortness of breath
    • A warm hand before specimen collection
    • Mild hunger with no other symptoms
30. Question 30
    • Only the appearance of the lancet
    • The patient’s diagnosis without checking the device guidance
    • The manufacturer’s instructions and agency policy
    • Only the patient’s meal preference

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