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

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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...

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  • September 9, 2024
  • 68
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX NGN
  • NCLEX NGN
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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

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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

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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

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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

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