10 Diabetes NCLEX Questions
For answers, see the link at the bottom of the page.
The nurse is caring for a client who has normal glucose levels at bedtime, hypoglycemia at 2am and hyperglycemia in the morning. What is this client likely experiencing?
A. Dawn phenomenon
B. Somogyi effect
C. An insulin spike
D. Excessive corticosteroids
The nurse is caring for a patient whose blood glucose level is 55mg/dL. What is the likely nursing response?
A. Administer a glucagon injection
B. Give a small meal
C. Administer 10-15 grams of a carbohydrate
D. Give a small snack of high protein food
What insulin type can be given by IV? Select all that apply:
A. Glipizide (Glucotrol)
B. Lispro (Humalog)
C. NPH insulin
D. Glargine (Lantus)
E. Regular insulin
A client with type II diabetes is being educated about what to do if he catches the flu or a cold. What is something he should be informed of?
A. Discontinue Metformin (glucophage)
B. Expect hyperglycemia
C. Add 2-3 more snacks to diet
D. Come into the hospital for monitoring
In educating a client about Type II Diabetes, what would be a proper explanation for poor wound healing?
A. High blood glucose damages capillaries
B. Swings in blood sugar prevent proper clotting
C. The pancreas fails to secrete the proper chemicals
D. Ketosis prevents proper healing
When does regular insulin generally have peak action after application?
A. 30-45 minutes
B. 45-60 minutes
C. 1-2 hours
D. 2-3 hours
In educating a client with diabetes, what response would reveal need for further education?
A. I should avoid tights
B. I should take good care of my toe nails
C. I should not go more than 3 days without washing my feet
D. I should avoid going barefoot and should wear clean socks
A client with diabetes and coronary heart disease is being evaluated for treatment. In light of the heart condition, which medication option is more likely to be an issue?
A. Metformin (Glucophage)
B. Pioglitazone (Actos)
D. Sitagliptin (Januvia)
What is NOT true of hyperglycemic hyperosmolar nonketotic syndrome (HHNS) compared to diabetic ketoacidosis (DKA)?
A. HHNS is found mainly in Type II Diabetes
B. Both have high levels of hyperglycemia
C. Both typically are treated with insulin
D. In HHNS, blood pH tends to drop
Insulin lipodystrophy should be treated in part by:
A. Alternating insulin injection sites
B. Balancing diet and snack routine
C. Reduction of insulin dose
D. Adding an oral glycemic medication
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