Final answer:
To test whether the average total blood sugar level of adults with severe diabetes is less than 215mgdl, Shana can use a one-sample t-test or a z-test. The test statistic, z, is approximately -2.21 and the p-value is less than 0.05, so we reject the null hypothesis and conclude that there is sufficient evidence to support the claim.
Step-by-step explanation:
To test whether the average total blood sugar level of adults with severe diabetes is less than 215mgdl, Shana can use a one-sample t-test. However, in this case, the population standard deviation is given, and the sample size is large enough, so she can also use a z-test. The test statistic, z, can be calculated using the formula (sample mean - population mean) / (population standard deviation / sqrt(sample size)). In this case, the sample mean = 215, population mean = 215, population standard deviation = 50.31, and sample size = 35.
The test statistic, z, is approximately -2.21 and the p-value is less than 0.05, so we reject the null hypothesis and conclude that there is sufficient evidence to support the claim that the average total blood sugar level of adults in the region is less than 215mgdl.