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NCLEX NGN EXAM LATEST ACTUAL EXAM 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+) $19.99   Add to cart

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NCLEX NGN EXAM LATEST ACTUAL EXAM 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+)

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NCLEX NGN EXAM LATEST ACTUAL EXAM 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+) Which of the following oral diabetes agents would be classified as a biguanide medication? Miglitol (Glyset) Metformin (Glucophage) Pioglitazone (Actos) Acar...

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  • September 9, 2024
  • 69
  • 2024/2025
  • Exam (elaborations)
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  • NCLEX NGN
  • NCLEX NGN
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NCLEX NGN EXAM LATEST ACTUAL EXAM 2024

WITH UPDATED QUESTIONS AND DETAILED

CORRECT ANSWERS INCLUDING RATIONALES

(GRADED A+)



Which of the following oral diabetes agents would be classified as a

biguanide medication?

Miglitol (Glyset)

Metformin (Glucophage)

Pioglitazone (Actos)

Acarbose (Precose) - ANSWER-B



Rationale: "Metformin (Glucophage)" is correct. Biguanide

medications are most commonly used in the treatment of type

2 diabetes. They lower blood glucose by decreasing glucose

production in the liver and increasing the amount of sugar

absorbed by cells. An example of a biguanide medication is

metformin (Glucophage).

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A client with a history of diabetes has a blood sugar of 54 mg/dL.

They are conscious and awake, but feel cold and clammy,

diaphoretic, weak, and slightly confused. Which of the following is

NOT an appropriate intervention at this time?

Administer glucagon

Recheck blood sugar 15 min after intervention

Give 4 oz orange juice

Review recent insulin administration - ANSWER-A.



Rationale: The client is awake and alert, the priority is to

administer an oral form of glucose. Glucagon would be

indicated if the client is unconscious and doesn't have IV

access. If the client has IV access, they should receiving IV

Dextrose.



A nurse is assessing a client with a history of diabetes. The client

tells the nurse that she does not feel well. The nurse checks her

blood glucose levels and gets a result of 51 mg/dL. What signs or

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symptoms would the nurse expect to see with this blood glucose

level? Select all that apply.

Tremor

Hot, dry skin

Anxiety

Bradycardia

Weakness - ANSWER-A., C., E.



Rationale: "Anxiety", "Tremor", and "Weakness" are correct.

The client in this example is suffering from mild hypoglycemia

in which blood glucose levels are between 70 and 41 mg/dL.

The nurse would expect to see signs or symptoms of

restlessness and anxiety, weakness, sweating and tremor in

this client. Once the glucose level falls to below 40 mg/dL, the

client will experience confusion, double vision, drowsiness,

headache, and slurred speech. When the glucose level falls

below 20 mg/dL, the client can experience seizures and loss of

consciousness.

You are working telephone triage for an after-hours family medicine

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clinic. A patient has called who is diabetic and been sick for the last

3 days with a cold. Which of the following symptoms reported by

the patient is the LEAST concerning?

Small amount of ketones in urine

Confusion

Glucose of 321 mg/dL

Unable to keep down liquids - ANSWER-A.



Rationale: When a client with diabetes is ill, a small amount of

ketones in the urine is something to note, but not overly

concerning. Moderate to large amounts would be concerning.



Which of the following sleep disorders has been most commonly

associated with type 1 diabetes?

Delayed sleep phase syndrome

Sleepwalking

Insomnia

Night terrors - ANSWER-C.

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