100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NCLEX NGN EXAM LATEST ACTUAL EXAM WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+) $19.99   Add to cart

Exam (elaborations)

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

 3 views  0 purchase
  • Course
  • NCLEX NGN
  • Institution
  • NCLEX NGN

NCLEX NGN EXAM LATEST ACTUAL EXAM WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+) A nurse is educating a newly diagnosed diabetic client about what to do when they are sick. Which of the following statements by the client demonstrates that further e...

[Show more]

Preview 4 out of 68  pages

  • September 9, 2024
  • 68
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX NGN
  • NCLEX NGN
avatar-seller
edwinnyamoita
1|Page


NCLEX NGN EXAM LATEST ACTUAL EXAM

2024-2025 WITH UPDATED QUESTIONS AND

DETAILED CORRECT ANSWERS INCLUDING

RATIONALES (GRADED A+)



A nurse is educating a newly diagnosed diabetic client about what

to do when they are sick. Which of the following statements by the

client demonstrates that further education is necessary?

"I'll make sure to keep taking my Metformin, even though I'm sick."

"I'll double my insulin dosages while sick."

"I'll make sure to test my urine for ketones."

E. "I'll try to drink a glass of water every hour if possible." -

ANSWER-B.



Rationale: When sick, a client with diabetes may experience

higher blood sugars, but insulin dosages should continue to

be based on the actual blood sugar level and food intake.

Clients should not simply double their insulin levels, this

,2|Page


would not be appropriate.

A nurse assesses a client with diabetes mellitus and notes the

client only responds to a sternal rub by moaning, has capillary

blood glucose of 33 g/dL, and has an intravenous line that is

infiltrated with 0.45% normal saline. Which action should the nurse

take first?

Administer 1 mg of intramuscular glucagon.

Encourage the client to drink orange juice.

Insert a new intravenous access line.

Administer 25 mL dextrose 50% (D50) IV push. - ANSWER-A.



Rationale: The clients blood glucose level is dangerously low.

The nurse needs to administer glucagon IM immediately to

increase the clients blood glucose level. The nurse should

insert a new IV after administering the glucagon and can use

the new IV

,3|Page


site for future doses of D50 if the clients blood glucose level

does not rise. Once the client is awake, orange juice may be

administered orally along with a form of protein such as a

peanut butter.



The nurse providing education to a client who is newly diagnosed

with diabetes mellitus. Which of the following should the nurse

emphasize? Select all that apply.

Use a heating pad to keep feet warm

Cut toenails with rounded corners

Wear proper fitting shoes

Don't walk barefoot

Inspect feet daily - ANSWER-C. , D., E.



Rationale: There is a risk of injury when walking barefoot, so

the client should be taught to always wear shoes. Diabetes

Mellitus can cause poor circulation and decreased feeling in

the feet. Foot care is important to prevent sores and ulcers, as

these wounds heal slowly and poorly in the client with

, 4|Page


uncontrolled glucose levels.Wearing properly fitting shoes

helps reduce the risk of injuries and blisters to the feet.




A newly diagnosed patient with type 2 diabetes has been

prescribed metformin as an oral hypoglycemic agent. Which best

describes how the nurse would explain this medication?

"This is a type of oral insulin taken once a week"

"You can also use this medicine if you develop complications such

as diabetic ketoacidosis"

"You will need to take this when your blood glucose levels get low"

"This medication is used for type 2 diabetes but not for type 1" -

ANSWER-D.



Rationale: "This medication is used for type 2 diabetes but not

for type 1" is correct. Metformin is an oral hypoglycemic agent

that is used in the management of type 2 diabetes. Metformin

is used to control blood glucose levels by increasing the

liver's sensitivity to glucose levels in the blood. The patient

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller edwinnyamoita. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $19.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82871 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$19.99
  • (0)
  Add to cart