NCLEX Questions: Diabetes Mellitus 1

NCLEX Questions: Diabetes Mellitus 1

ScienceMedicineNursing melanie_gangapersaud Save Knowing that gluconeogenesis helps to maintain blood levels, a nurse should:

a) Document weight changes because of fatty acid mobilization

b) Evaluate the patient's sensitivity to low room temperatures because of decreased adipose

tissue insulation

c) Protect the patient from sources of infection because of decreased cellular protein

deposits

d) Do all of the above

d) Do all of the above

Clinical manifestations associated with a diagnosis of type 1 DM include all of the following

except:

a) Hypoglycemia

b) Hyponatremia

c) Ketouria

d) Polyphagia

a) Hypoglycemia

The lowest fasting plasma glucose level suggestive of a diagnosis of diabetes is:

• 90 mg/dl
• 115 mg/dl
• 126 mg/dl
• 180 mg/dl
• 126 mg/dl

Rotation sites for insulin injection should be separated from one another by 2.5 cm (1 in) and

should be used only once every:

a) Third day

b) Week

• 2-3 weeks
• 2-4 weeks
• 2-3 weeks

A clinical feature that distinguishes a hypoglycemic reaction from a ketoacidosis reaction is:

a) Blurred vision

b) Diaphoresis

c) Nausea

d) Weakness

b) Diaphoresis

Clinical nursing assessment for a patient with microangiopathy who has manifested impaired

peripheral arterial circulation includes all of the following except:

a) Integumentary inspection for the presence of brown spots on the lower extremities

b) Observation for paleness of lower extremities

c) Observation for blanching of the feet after the legs are elevated for 60 secs

d) Palpation for increased pulse volume in the arteries of the lower extremities

d) Palpation for increased pulse volume in the arteries of the lower extremities

The nurse expects that a type 1 diabetic may receive _______ of his or her morning dose of

insulin preoperatively:

• 10-20%
• 25-40%
• 50-60%
• 85-90%
• 50-60%

Albert, a 35-year-old insulin dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission. His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830, 1230, and

• The nurse expects that the NPH insulin will reach its maximum effect (peak) between

the hours of:

• 1130 and 1330
• 1330 and 1930
• 1530 and 2130
• 1730 and 2330
• 1330 and 1930

A bedtime snack is provided for Albert. This is based on the knowledge that intermediate-

acting insulins are effective for an approximate duration of:

• 6-8 hours
• 10-14 hours
• 16-20 hours
• 24-28 hours
• 16-20 hours

Albert refuses his bedtime snack. This should alert the nurse to assess for:

a) Elevated serum bicarbonate & decreased blood pH

b) Signs of hypoglycemia earlier than expected

c) Symptoms of hyperglycemia during the peak time of NPH insulin

d) Sugar in urine

b) Signs of hypoglycemia earlier than expected

A client is taking NPH insulin daily every morning. The nurse instructs the client that the most

likely time for a hypoglycemic reaction to occur is:

• 2-4 hours after administration
• 6-14 hours after administration
• 16-18 hours after administration
• 18-24 hours after administration
• 6-14 hours after administration