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Diabetes Mellitus NCLEX Questions and Answers
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Diabetes Mellitus NCLEX Questions and Answers
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Diabetes Mellitus NCLEX Questions and AnswersAn 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?
1. Type 1 diabetes
2. Type 2 diabetes
3. Gestational diabetes
4. Acanthosis nigricans - Answer- 2
2. 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?
1. This result is below normal levels
2. This resul tis within acceptable levels
3. This result is above recommended levels
4. This result is dangerously high - Answer- 3
3. 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?
1. Ensure the client eats the bedtime snack
2. Determine how much food the client ate at lunch
3. Perform a glucometer reading at 0700
4. Offer the client protein after administering insulin - Answer- 1
4. 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? - Answer- 3 units
5. 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?
1. Eat a simple carbohydrate snack before exercising
2. Carry peanut butter crackers when exercising
3. Encourage the client to walk 20 minutes the (3) times a week
4. Perform warmup and cool-down exercises - Answer- 4 6. The nurse is assessing the feet of a client with long-term type 2 diabetes. Which assessment data warrant immediate intervention by the nurse? 1. The client has crumbling toenails
2. The client has athlete's foot
3. The client has a necrotic big toe
4. The client has thickened toenails - Answer- 3
7. 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?
1. Assess the client's ability to read small print
2. Monitor the client's serum PT level
3. Teach the client how to perform a hemoglobin A1ctest daily
4. Instruct the client to check the feet weekly - Answer- 1
8. 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?
1. Provide a high-fat diet 24 hours prior to test
2. Hold the biguanide medication for 48 hours prior to test
3. Obtain an informed consent form for the test
4. Administer pancreatic enzymes prior to the test - Answer- 2
9. 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:
1. Take diabetic medication even I unable to eat the client's normal diabetic diet
2. If unable to eat, drink liquids equal to the client's normal caloric intake
3. It is not necessary to notify the health-care provider if ketones are in the urine
4. Test blood glucose levels and test urine ketones once a day and keep a record
5. Call the health-care provider if glucose levels are higher than 180 mg/dL - Answer- 1,2,5
10. 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?
1. Instruct the UAP to obtain the blood glucose level
2. Have the client drink eight (8) ounces of orange juice
3. Go to the client's room and assess the client for hypoglycemia
4. Prepare to administer one (1) ampule 50% dextrose intravenously - Answer- 3
11. 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?
1. Ask the client if he has somewhere he can go and live
2. Arrange for someone to give him insulin at a local homeless shelter
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