Exam (elaborations)
Diabetes Mellitus NCLEX Questions and Answers
- Course
- Institution
Diabetes Mellitus NCLEX Questions and Answers
[Show more]
Content preview
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
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 millyphilip. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75057 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now