Take the Test

1. Which sign usually appears first in approximately one third of children diagnosed with type 1 diabetes?

• a. Severe upper abdominal pain
• b. Persistent weight gain
• c. Diabetic ketoacidosis
• d. Chronic constipation

2. Which statement describes the overarching goal for treating diabetes in children?

• a. Ensuring regular attendance at school and academic achievement
• b. Maintaining normal physical growth and positive psychosocial development
• c. Encouraging nonstressful daily activities and personal interests
• d. Preparing the child and family for the drawbacks and everyday problems with chronic illness

3. Which instruction does the clinician provide to the parents of a toddler with nocturnal hypoglycemia?

• a. Lower the child’s blood glucose range for several weeks.
• b. Monitor for increased thirst, appetite, and urination.
• c. Provide the child with 45 grams of carbohydrate prior to bedtime.
• d. Perform a blood glucose check at 12 a.m. and again at 3 a.m.

4. Which statement describes the recommendation from the American Diabetes Association and the American Academy of Pediatrics regarding physical activity for children with diabetes?

• a. Participate in sporting activities only on weekends and vacation time.
• b. Engage in at least 60 minutes of moderate to strenuous physical activity every day.
• c. Limit any strenuous physical activity due to the risk of hypoglycemia.
• d. Ensure the parent or guardian is present during all strenuous physical activities.

5. Which instruction is included in patient education about managing diabetes during sick days?

• a. Never stop taking insulin completely.
• b. Limit fluid intake.
• c. Decrease carbohydrate intake.
• d. Increase pain medication dosages for headache and nausea.

6. Which outcome is caused by diabetic ketoacidosis as a serious complication of type 1 diabetes?

• a. Mortality in children with type 1 diabetes
• b. Destruction of insulin-producing pancreatic beta cells
• c. Increased insulin sensitivity in children
• d. Hypoglycemia in children and young adults

7. Which approach is recommended when helping a child begin to develop independence in diabetes self-management?

• a. Transfer care quickly to the child so they will not continue to rely on support from parents.
• b. Wait until the child enters high school, since they are not mature enough to manage any of their own care before then.
• c. Take small, manageable steps while assessing the child’s readiness to learn new skills.
• d. Turn over self-management when the child reaches the age of 18 and transitions to an adult-oriented primary care provider.

8. At which time is preconception counseling offered to the female patient with diabetes?

• a. When the patient or her family request it
• b. When the patient is preparing to leave for college
• c. When the clinician decides the patient is ready
• d. When the patient starts menstruation

9. Which point is included in driving education to an adolescent with diabetes?

• a. There must be at least one other person in the vehicle who does not have diabetes.
• b. Check your blood glucose level prior to driving, every time.
• c. Restrict driving to daylight hours only.
• d. Avoid driving in areas of heavy traffic.

10. For which reason do many young females with type 1 diabetes improperly use insulin restriction?

• a. Increase their ability to exercise
• b. Diminish daytime drowsiness
• c. Conceal the fact that they have diabetes
• d. Lose weight

11. Which outcome is intended by encouraging adolescents with diabetes to have healthcare visits without their parents present?

• a. Greater independence and patient self-advocacy skills
• b. Decreased time required for their appointments
• c. Relieving parents from the responsibility of monitoring their child’s care
• d. Reduced number of questions asked by the patient and parents