Diabetes Mellitus NCLEX Questions

Diabetes Mellitus NCLEX Questions ScienceMedicineNursing nadeenmara1 Save Diabetes Mellitus NCLEX Style Ques...Teacher 36 terms ssandholmPreview Diabetes Mellitus Complications (H...24 terms student_257Preview Thyroid Disorders NCLEX Questions...12 terms erin_colmenero Preview Diabet 19 terms adr An 18 year old female client, 5'4" tall, weighing 113 kg, comes to the clinic for a non healing wound on her lower leg, which she has had for two (2) weeks. Which disease process should the nurse suspect the client has developed?

• Type 1 diabetes
• Type 2 diabetes
• Gestational diabetes
• Acanthosis nigricans

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• The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of 8.1%.Which interpretation should the nurse make based on

this result?

• This result is below normal levels
• This resul tis within acceptable levels
• This result is above recommended levels
• This result is dangerously high

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• The nurse administered 28 units of Humulin N, an intermediate-acting insulin, to a client diagnosed with type 1 diabetes at 1600. Which

intervention should the nurse implement?

• Ensure the client eats the bedtime snack
• Determine how much food the client ate at lunch
• Perform a glucometer reading at 0700
• Offer the client protein after administering insulin

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• The client diagnosed with type 1 diabetes is receiving Humalog, a rapid-acting insulin, by sliding scale. The order reads blood glucose level:

<150, zero (0) units; 151-200, three (3) units; 201-250, six (6) units; >251, contact health-care provider. The unlicensed assistive personnel (UAP) reports to the nurse the client's glucometer reading is 189. How much insulin should the nurse administer to the client?

• units
• The ruse is discussing the importance of exercising with a client diagnosed with type 2 diabetes whose diabetes is well controlled with diet

and exercise. Which information should the nurse include in the teaching about diabetes?

• Eat a simple carbohydrate snack before exercising
• Carry peanut butter crackers when exercising
• Encourage the client to walk 20 minutes the (3) times a week
• Perform warmup and cool-down exercises

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• The nurse is assessing the feet of a client with long-term type 2 diabetes. Which assessment data warrant immediate intervention by the

nurse?

• The client has crumbling toenails
• The client has athlete's foot
• The client has a necrotic big toe
• The client has thickened toenails

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• The home health nurse is completing the admission assessment for a 76-year old client diagnosed with type 2 diabetes controlled with 70/30

insulin. Which intervention should be included in the plan of care?

• Assess the client's ability to read small print
• Monitor the client's serum PT level
• Teach the client how to perform a hemoglobin A1ctest daily
• Instruct the client to check the feet weekly

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• The client with type 2 diabetes controlled with biguanide oral diabetic medication is scheduled fo are computed tomography (CT) scan with

contrast of the abdomen to evaluate pancreatic function. Which intervention should the nurse implement?

• Provide a high-fat diet 24 hours prior to test
• Hold the biguanide medication for 48 hours prior to test
• Obtain an informed consent form for the test
• Administer pancreatic enzymes prior to the test

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• The diabetic educator is teaching a class on diabetes type 1 and is discussing sick-day rules. Which interventions should the diabetes educator

include in the discussion? Select all that apply:

• Take diabetic medication even I unable to eat the client's normal diabetic diet
• If unable to eat, drink liquids equal to the client's normal caloric intake
• It is not necessary to notify the health-care provider if ketones are in the urine
• Test blood glucose levels and test urine ketones once a day and keep a record
• Call the health-care provider if glucose levels are higher than 180 mg/dL

1,2,5

• The client received 10 units of Humulin R, a fast-acting insulin,at 0700. At 1030 the unlicensed assistive personnel (UAP) tells the nurse the

client has a headache and is really acting "funny." Which intervention should the nurse implement first?

• Instruct the UAP to obtain the blood glucose level
• Have the client drink eight (8) ounces of orange juice
• Go to the client's room and assess the client for hypoglycemia
• Prepare to administer one (1) ampule 50% dextrose intravenously

3

• The nurse at a freestanding health care clinic is caring for a 56-year-old male client who is homeless and is a type 2 diabetic controlled with

insulin. Which action is an example of client advocacy?

• Ask the client if he has somewhere he can go and live
• Arrange for someone to give him insulin at a local homeless shelter
• Notify Adult Protective Services about the clients situation
• Ask the HCP to take the client off insulin because he is homeless

2

• The nurse is developing a care plan for the client diagnosed with type diabetes. The nurse identifies the problem "high risk for hyperglycemia

related to noncompliance with the medication regimen." Which statement is an appropriate short-term goal for the client?

• The client will have a blood glucose level between 90 and 140 mg/dL
• The client will demonstrate appropriate insulin injection technique
• The nurse will monitor the client's blood glucose levels four (4) times a day.
• The client will maintain normal kidney function with 30 mL/hr urine output

1

• The client diagnosed with type 2 diabetes is admitted to the intensive care unit with hyperosmolar hyperglycemic nonkeonic syndrome

(HHNS) coma. Which assessment data should the nurse expect the client to exhibit?

• Kussmaul's respiration's
• Diarrhea and epigastric
• Dry mucous membranes
• Ketone breath odor

3

• The elderly client is admitted to the intensive care department diagnosed with severe HHNS. Which collaborative intervention should the

nurse include in the plan of care?

• Infuse 0.9% normal saline intravenously.
• Administer intermediate-acting insulin.
• Perform blood glucometer checks daily.
• Monitor arterial blood gas results.

1

• Which electrolyte replacement should the nurse anticipate being ordered by the health-care provider in the client diagnosed with DKA who

has just been admitted to the ICU?

• Glucose
• Potassium
• Calcium
• Sodium

2

• The client diagnosed with HHNS was admitted yesterday with a blood glucose level of 780 mg/dL. The client's blood glucose level is now

300 mg/dL. Which intervention should the nurse implement?

• Increase the regular insulin IV drip.
• Check the client's urine for urinary ketones.
• Provide the client with a therapeutic diabetic meal.
• Notify the HCP to obtain an order to decrease insulin therapy.

4

• The client diagnosed with type 1 diabetes is found lying unconscious on the floor of the bathroom. Which intervention should the nurse

implement first?

• Administer 50% dextrose IVP
• Notify the health-care provider
• Move the client to the ICU
• Check the serum glucose level

1

• Which assessment data indicate the client diagnosed with diabetic keto acidosis is responding to the medical treatment?
• The client has tented skin turbor and dry mucous membranes
• The client is alert and oriented to date, time, and place
• The client's ABG results are pH-7.29, PaCO2-44, HCO3-15
• The client's serum potassium level is 3.3 mEq/L

2

• The UAP on the medical floor tells the nurse the client diagnosed with DKA wants something else to eat for lunch. Which intervention should

the nurse implement?

• Instruct the UAP to get the client additional food
• Notify the dietician about the client's request
• Request the HCP increase the client's caloric intake
• Tell the UAP the client cannot have anything else

2

• The emergency department nurse is caring for a client diagnosed with HHNS who has a blood glucose of 680 mg/dL. Which question should

the nurse ask the client to determine the cause of this acute complication?

• "When is the last time you took your insulin?"
• "When did you have your last meal?"
• "Have you had some type of infection lately?"
• "How long have you had diabetes?"

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