Nclex Style Practice Questions - Medsurg Diabetes
The guidelines for Carbohydrate Counting as medical nutrition therapy for diabetes mellitus includes all of the following EXCEPT: a. Flexibility in types and amounts of foods consumed b. Unlimited intake of total fat, saturated fat and cholesterol c. Including adequate servings of fruits, vegetables and the dairy group d. Applicable to with either Type 1 or Type 2 diabetes mellitus b. Unlimited intake of total fat, saturated fat and cholesterol The nurse working in the physician's office is reviewing lab results on the clients seen that day. One of the clients who has classic diabetic symptoms had an eight-hour fasting plasma glucose test done. The nurse realizes that diagnostic criteria developed by the American Diabetes Association for diabetes include classic diabetic symptoms plus which of the following fasting plasma glucose levels? When taking a health history, the nurse screens for manifestations suggestive of diabetes type I. Which of the following manifestations are considered the primary manifestations of diabetes type I and would be most suggestive of diabetes type I and require follow-up investigation? a. Excessive intake of calories, rapid weight gain, and difficulty losing weight b. Poor circulation, wound healing, and leg ulcers, c. Lack of energy, weight gain, and depression d. An increase in three areas: thirst, intake of fluids, and hunger D. An increase in three areas: thirst, intake of fluids, and hunger The primary manifestations of diabetes type I are polyuria (increased urine output), polydipsia (increased thirst), polyphagia (increased hunger). The nurse is working with an overweight client who has a high-stress job and smokes. This client has just received a diagnosis of Type II Diabetes and has just been started on an oral hypoglycemic agent. Continue reading >>
Diabetes Mellitus Nclex Practice Quiz #1 (40 Questions)
This exam is all about Diabetes Mellitus! The purpose of this exam is to provide nurses and future nurses an overview of the disease, including its management, impact, and complications. Accomplish this 40-item NCLEX style examination and guarantee a good performance on your NCLEX. Though no one can go back and make a brand new start, anyone can start from now and make a brand new ending. ~ Carl Bard Topics Included topics in this practice quiz are: Guidelines Follow the guidelines below to make the most out of this exam: Read each question carefully and choose the best answer. You are given one minute per question. Spend your time wisely! Answers and rationales are given below. Be sure to read them. If you need more clarifications, please direct them to the comments section. Questions See Also You may also like these quizzes: 3,500+ NCLEX-RN Practice Questions for Free – Tons of practice questions for various topics in the NCLEX-RN! Study Guides Cardiovascular System Respiratory System Nervous System Digestive and Gastrointestinal System Endocrine System Urinary System Homeostasis: Fluids and Electrolytes Cancer and Oncology Nursing Burns and Burn Injury Management Emergency Nursing Miscellaneous Recommended Books and Resources Selected NCLEX-RN review books: MUST HAVE: Saunders Comprehensive Review for the NCLEX-RN® Examination, 7th Edition – A must have book if you're taking the NCLEX-RN. You need to have this. Saunders Strategies for Success for the NCLEX – An invaluable guide that will help you master what matters most in passing nursing school and the NCLEX. Mosby's Comprehensive Review of Nursing for NCLEX-RN – This book has helped nurses pass the NCLEX exam for over 60 years. Practice with over 600 alternative item question formats. Prioritization, Dele Continue reading >>
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Diabetes Mellitus Nclex Practice Quiz #2 (30 Questions)
6. Jansen is receiving metformin ( Glucophage ). What will be the best plan of the nurse with regard to patient education with this drug? Select all that apply. A. It stimulates the pancreas to produce more insulin. C. It decreases sugar production in the liver . D. It inhibits absorption of carbohydrates. 7. Serafica who has diabetes mellitus type 1 is found unresponsive in the clinical setting. Which nursing action is a priority? arrange from 1 to 4. 8. Serge who has diabetes mellitus is taking oral agents, and is scheduled for a diagnostic test that requires him to be NPO. What is the best plan of the nurse with regard to giving the client his oral medications? A. Administer the oral agents immediately after the test. B. Notify the the diagnostic department and request orders. C. Notify the physician and request orders. D. Administer the oral agents with a sip of water before the test. 9. A client diagnosed with type 1 diabetes receives insulin. He asks the nurse why he cant just take pills instead. What is the best response by the nurse? A. Insulin must be injected because it needs to work quickly. B. Insulin cant be in a pill because it is destroyed in stomach acid. C. Have you talked to your doctor about taking pills instead? D. I know it is tough, but you will get used to the shots soon. 10. Nurse Andy has finished teaching a client with diabetes mellitus how to administer insulin. He evaluates the learning has occurred when the client makes which statement? A. I should check my blood sugar immediately prior to the administration. B. I should provide direct pressure over the site following the injection. C. I should use the abdominal area only for insulin injections. D. I should only use calibrated insulin syringe for the injections. 11. Genevieve has diabetes t Continue reading >>
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Heard About The New Nclex?
Here's what the buzz is about on alternative-item questions. See what the buzz is about on the new alternative-item questions now in NCLEX. RECENTLY, THE NATIONAL COUNCIL of State Boards of Nursing (NCSBN) added three types of alternative-item questions to the licensing exam it administers. Here are some examples of the new types of questions in the National Council Licensure Examination for Registered Nurses (NCLEX-RN) and the National Council Licensure Examination for Practical/Vocational Nurses (NCLEX-PN). 1. Multiple-response multiple-choice questions These questions may have more than one correct answer and may contain more than four possible answer options. You'll be asked to select all the answers that apply, not just the best answer. Sample question (and answer with rationale) While preparing a client for an upper GI endoscopy (esophagogastroduodenoscopy), the nurse should implement which of the following interventions? Select all that apply: A. Administer a preparation to clean the GI tract, such as Golytely or Fleet Phospho-Soda. B. Tell the client he shouldn't eat or drink for 6 to 12 hours before the procedure. C. Tell the client he must be on a clear liquid diet for 24 hours before the procedure. D. Inform the client that he'll receive a sedative before the procedure. E. Tell the client that he may eat and drink immediately after the procedure. The client shouldn't eat or drink for 6 to 12 hours before the procedure to ensure that his upper GI tract is clear for viewing. The client will receive a sedative before the endoscope is inserted that will help him relax, but allow him to remain conscious. A GI tract cleansing and a clear liquid diet are interventions for a client having a lower GI tract procedure, such as a colonoscopy. Food and fluids must be wit Continue reading >>
Diabetes Mellitus Nclex Practice Quiz #3 (25 Questions)
25. Mr. Wesley is newly diagnosed with Type I DM and is being seen by the home health nurse. The doctors orders include: 1200 calorie ADA diet, 15 units NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the patient at 5 pm, the nurse observes the man performing blood sugar analysis. The result is 50 mg/dL. The nurse would expect the patient to be A. confused with cold, clammy skin and pulse of 110 B. lethargic with hot dry skin and rapid deep respirations C. alert and cooperative with BP of 130/80 and respirations of 12 D. short of breath, with distended neck veins and bounding pulse of 96. Here are the answers for this exam. Gauge your performance by counter checking your answers to those below. If you have any disputes or clarifications, please direct them to the comments section. 1. Answer:A. Try to limit simple sugars to between 10% and 20% of daily calories. It is recommended that carbohydrates provide 50% to 60% of the daily calories. Approximately 40% to 50% should be from complex carbohydrates. The remaining 10% to 20 % of carbohydrates could be from simple sugars. Studies give no evidence that carbohydrates from simple sugars are digested and absorbed more rapidly that are complex carbohydrates, and they do not appear to affect blood sugar control. When a clients carbohydrate consumption is inadequate, ketones are produced from the breakdown of fat. These ketones lower the pH of the blood, potentially causing acidosis that can lead to a diabetic coma. 3. Answer: C. Eating small meals with two or three snacks may be more helpful in maintaining blood glucose levels than three large meals. Eating small meals with two or three snacks may be more helpful in maintaining blood glucose levels than three large meals. Alcohol use is one of t Continue reading >>
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Nclex-rn Exam Cram: Care Of The Client With Endocrine Disorders
Diabetes Mellitus There are two types of diabetes: type 1 and type 2. Type 1, also called insulin-dependent diabetes mellitus (IDDM) or juvenile-onset diabetes, is a condition where the islets of Langerhans in the pancreas do not produce needed insulin. Insulin is necessary for food to be metabolized. Antibodies have been found in the majority of clients with type 1 diabetes. These antibodies are proteins in the blood that are part of the client’s immune system. It is believed that type 1 diabetes is in part genetically transmitted from parent to child. At stressful times in life, such as when infection is present, pregnancy or environmental toxins might trigger abnormal antibody responses that result in this autoimmune response. When this happens, the client’s body stops producing insulin. Type 1 diabetes tends to occur in young, lean individuals, usually before 30 years of age; however, it can occur in older individuals. These individuals are referred to as latent autoimmune diabetes in adults (LADA). Diabetes occurs in about 6% of Caucasians, 10% of African Americans, 20–50% of Native Americans, and 15% of Hispanics. Type 2 diabetes was referred to as non–insulin-dependent, adult-onset diabetes mellitus (ADDM). However, in recent years, more and more children have been diagnosed with ADDM. This trend can be attributed to obesity and sedentary lifestyle. In ADDM, the cells of the body, particularly fat and muscle cells, become resistant to insulin. This leads to increased insulin production with increased insulin resistance. Tests have also shown that this increased insulin resistance leads to a steady decline in beta cell production further worsening glucose control. This problem along with gluconeogenesis, a process in which the liver continues to produce gl Continue reading >>
Endocrine System Disorders | Diabetes Mellitus | Nclex Quiz 101
Endocrine System Disorders | Diabetes Mellitus | NCLEX Quiz 101 10 Questions |By Santepro | Last updated: Oct 5, 2017 All questions are shown, but the results will only be given after youve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz. Removing question excerpt is a premium feature Genevieve has diabetes type 1 and receives insulin for glycemic control. She tells the nurse that she likes to have a glass of wine with dinner. What will the best plan of the nurse for client education include? The alcohol could cause pancreatic disease. The alcohol could cause serious liver disease. The alcohol could predispose you to hypoglycemia. The alcohol could predispose you to hyperglycemia. Dr. Wijangco orders insulin lispro (Humalog) 10 units for Alicia. a client with diabetes mellitus. When will the nurse administer this medication? Nurse Matt makes a home visit to the client with diabetes mellitus. During the visit. Nurse Matt notes the clients additional insulin vials are not refrigerated. What is the best action by the nurse at this time? Instruct the client to label each vial with the date when opened. Tell the client there is no need to keep additional vials. Have the client place the insulin vials in the refrigerator. Continue reading >>
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Nclex Review
A nurse is providing education to a group of young adults regarding development of type 2 diabetes. Which information should be included? Select all that apply. While hospitalized for a myocardial infarction, the patient is diagnosed with type 2 diabetes and is started on an oral antidiabetic medication. Which patient statement should the nurse correct? An insulin-dependent type 1 diabetic patient is admitted in a diabetic coma with a blood glucose of 65 mg/dL. The client's spouse says, "I don't see how this can have happened. We were working in the yard together and she seemed just fine until she collapsed." What explanation would the nurse offer? A patient is brought to the Emergency Department with suspected diabetic ketoacidosis. Which clinical manifestations would support this diagnosis? Select all that apply. It is suspected that a patient has diabetic ketoacidosis. Which anion gap measurement would support that supposition? Which patient history would the nurse evaluate as increasing risk for development of hyperglycemic hyperosmolar state (HHS)? Select all that apply. A patient is being treated for diabetic ketoacidosis (DKA). Acidosis is being corrected and the client's urine output is approaching normal. Which lab value is most important for the nurse to monitor? A patient is being treated for diabetic ketoacidosis (DKA). Which cardiac monitor changes would the nurse evaluate as most significant? Select all that apply. Continue reading >>
10 Diabetes Nclex Questions
Take the Pop Quiz and See How Good You Are at Diabetes Questions 1) The nurse is educating a client that is newly diagnosed with diabetes mellitus, which of the following should the nurse emphasize? Select all that apply. 2) During discharge of a client with diabetes, the nurse recognizes a need for further education when the client makes which of the following statements? "I should cut my toe nails with rounded edges." 3) A client with type II diabetes is getting educated on their medications because the client was unsure why they took any of their medications so they don't take them all everyday. Which medication should the nurse educate this client on to help control their blood sugar levels? 4) It is halloween and a school nurse knows she needs to be ready for children who have diabetes and eat all the candy with which of the following medication? 5) A client with type II diabetes is getting educated on their medications because the client was unsure why they took any of their medications so they don't take them all everyday. Which medication should the nurse educate this client on to help control their blood sugar levels? 6) A nurse is counseling a patient who has hypertension and type 2 diabetes. During the initial assessment, the nurse notes that the patient has a blood pressure of 148/92 mmHg, a BMI of 28, and a blood glucose level of 161 mg/dL. Which of the following information about lifestyle changes would be most beneficial to help control this patients state of health? Describe how the patient can limit her fat intake in the diet to less than 45% of total daily calories Help the patient understand how to lose weight to get her BMI to less than 25 Tell the patient that she first must control her hypertension, and then her glucose levels are more likely to n Continue reading >>
Nclex-rn: Medicalsurgical Nursing
MedicalSurgical Nursing: Endocrine System MedicalSurgical Nursing: Pancreas Disorders MedicalSurgical Nursing: Diabetes Mellitus (Types 1 and 2) Definition: A group of disorders that have a variety of genetic causes, but have glucose intolerance as a common thread. Type 1insulin-dependent diabetes mellitus with beta cell destruction or defect in function affects about 5% of all diabetics. a. Immune mediatedpresence of islet cell or insulin antibodies that identify the autoimmune process leading to beta cell destruction. b. Idiopathicno evidence of autoimmunity. Type 2noninsulin-dependent diabetes mellitus is the most common. Results when body produces insufficient insulin or there is insulin resistance with relative insulin deficiency. Affects 90% of all diabetics. Twenty-one million Americans have type 2 and 41 million are prediabetic. a. Type 2 accounts for half of all cases in young people. b. Incidence in young has risen dramatically last 10 years. Type 3Gestational (GDM)increased blood glucose levels during pregnancy. Type 4Other specific typesgenetic defects of beta-cell function or insulin action, pancreatic diseases, endocrinopathies, or drug- or chemical-induced diabetes. a. Rapid onsetrequires insulin due to absence of circulating insulin. c. Presence of anti-islet cell antibodies. Type 2 (noninsulin-dependent), formerly adult-onset type. a. Gradual onsetmay be controlled by diet. b. Ninety percent of diabetes cases are this type. c. Impaired beta-cell response to glucose (client usually nonobese). d. Tissues insensitive to insulin (client usually obese). (2) Normal or high levels of circulating insulin. C. Somogyi phenomenon. Hypoglycemia usually at night followed by compensatory rebound hyperglycemia in the morning (lasts 1272 hours). Usually caused by too Continue reading >>
C48 - Chapter 48 Diabetes Mellitus Lewis Medical-surgical...
Chapter 48: Diabetes MellitusLewis: Medical-Surgical Nursing, 10th EditionMULTIPLE CHOICE1.Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is correct?a.Insulin is not used to control blood glucose in patients with type 2 diabetes.b.Complications of type 2 diabetes are less serious than those of type 1 diabetes.c.Changes in diet and exercise may control blood glucose levels in type 2 diabetes.d.Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma.ANS: CFor some patients with type 2 diabetes, changes in lifestyle are sufficient to achieve blood glucose control. Insulin is frequently used for type 2 diabetes, complications are equally severe as for type 1 diabetes, and type 2 diabetes is usually diagnosed with routine laboratory testing or after a patient develops complications such as frequent yeast infections.DIF:Cognitive Level: Understand (comprehension)REF:1134TOP:Nursing Process: ImplementationMSC:NCLEX: Physiological Integrity2.A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7mmol/L). The nurse will plan to teach the patient aboutThe patients impaired fasting glucose indicates prediabetes, and the patient should be counseled about lifestyle changes to prevent the development of type 2 diabetes. The patient with prediabetes does not require insulin or oral hypoglycemics for glucose control and does not need to self-monitor blood glucose.DIF:Cognitive Level: Apply (application)REF:1133TOP:Nursing Process: PlanningMSC:NCLEX: Physiological Integrity3.A 28-yr-old male patient with type 1 diabetes reports how he manages his exercise and glucose control. Which behavior indicates that the nurse should implement additional teaching?When the patient is ketotic, Continue reading >>
Diabetes Mellitus Nclex Quiz
This NCLEX diabetes mellitus quiz will test your knowledge on diabetes. Diabetes mellitus is where a patient does not have sufficient amounts of insulin to use the glucose that enters the blood stream. Therefore, the patient experiences hyperglycemia which is damaging to the body. The NCLEX and nursing school lecture exams love to test students on their ability to differentiate between causes, signs and symptoms, patient education, and various treatments for diabetes. This NCLEX quiz will test your ability: Patho of Diabetes Mellitus Causes of Diabetes Mellitus Different types of Diabetes Mellitus Signs and Symptoms of Diabetes Mellitus Complications of Diabetes Mellitus Lecture on Diabetes Mellitus (NOTE: When you hit submit, it will refresh this same page. Scroll down to see your results.) Diabetes Mellitus NCLEX Quiz 1.Which of the following symptoms do NOT present in hyperglycemia? A. Extreme thirst B. Hunger C. Blood glucose <60 mg/dL D. Glycosuria 2. Type 1 diabetics typically have the following clinical characteristics: A. Thin, young with ketones present in the urine B. Overweight, young with no ketones present in the urine C. Thin, adult-aged with ketones present in the urine D. Thin, older adult with glycosuria 3. A patient with diabetes has a morning glucose of 50. The patient is sweaty, cold, and clammy. Which of the following nursing interventions is MOST important? A. Recheck the glucose level B. Give the patient ½ cup (4 oz) of fruit juice C. Call the doctor D. Keep the patient nothing by mouth 4. Which of the following patients is at most risk for Type 2 diabetes? A. A 6 year old girl recovering from a viral infection with a family history of diabetes. B. A 28 year old male with a BMI of 49. C. A 76 year old female with a history of cardiac disease. D. Continue reading >>
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Nclex Questions | Free Practice Exam & Rationales | Practicalnursing.org
Speech and language therapists assess and treat patients with a swallowing disorder; they also assess and treat patients with speech and communication problems as often occurs after a cerebrovascular accident, or stroke. Occupational therapists assist patients with their activities of daily living and they also provide patients with assistive devices to facilitate eating and dressing. Physical therapists perform rehabilitation and restorative care including help with ambulation and balance/gait exercises. Lastly, case managers coordinate care along the continuum of care and they manage insurance reimbursements. 2. The recommended daily caloric intake for sedentary older men, active adult women and children is: Ill health, malnutrition, and wasting as a result of chronic disease are all associated with cachexia. Cachexia can also result from dehiscence of a surgical incision or rupture of wound closure. Surgical asepsis refers to using a sterile technique to protect against infection before, during, and after surgery. The breakdown of tissue, especially after severe trauma or crush injuries is known as catabolism. Venous stasis is a disorder related to pooling of blood in a vein of the body; venous stasis typically occurs in the lower extremities and it is one of the many hazards, or complications, of immobilization. 4. Select all the possible opportunistic infections that adversely affect HIV/AIDS infected patients. Patient teaching before surgery not only helps to reduce a patients anxiety and postsurgical pain but it also decreases the amount of anesthesia needed and a lack of anxiety additionally speeds up wound healing. Preoperative checklists are a form of nursing documentation that is used to guide and document the care of the patient before surgery. Psychologica Continue reading >>
Diabetes Nclex Questions
1, 4, 6 Rationale: Classic signs of diabetes mellitus include polydipsia (excessive thirst), polyphagia (excessive hunger), and polyuria (excessive urination). Because the body is starving from the lack of glucose the cells are using for energy, the client has weight loss, not weight gain. Clients with diabetes mellitus usually don't present with constipation. Urine retention is only a problem is the patient has another renal-related condition. A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperglycemic hyperosmolar nonketotic syndrome is made. The nurse would immediately prepare to initiate which of the following anticipated physician's prescriptions? 1. Endotracheal intubation 2. 100 units of NPH insulin 3. Intravenous infusion of normal saline 4. Intravenous infusion of sodium bicarbonate CORRECT ANSWER: 3. Intravenous infusion of normal saline Rationale: The primary goal of treatment is hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is to rehydrate the client to restore the fluid volume and to correct electrolyte deficiency. Intravenous fluid replacement is similar to that administered in diabetic keto acidosis (DKA) and begins with IV infusion of normal saline. Regular insulin, not NPH insulin, would be administered. The use of sodium bicarbonate to correct acidosis is avoided because it can precipitate a further drop in serum potassium levels. Intubation and mechanical ventilation are not required to treat HHNS. "A client is taking Humulin NPH insulin daily every morning. The nurse instructs the client that the mostlikely time for a hypoglycemic reaction to occur is: B: Rationale: Humulin is an intermediate acting insulin. The onset of action is 1.5 hours, it peaks in 4-12 hours, and its duration is 24 hours. Continue reading >>
Nclex Question Strategies: Priority Questions
NCLEX Question Strategies: Priority Questions You will recognize priority questions on the NCLEX-RN exam because they will ask you what is the best, most important, first, or initial response by the nurse. An hour after admission to the nursery, the nurse observes a newborn baby having spontaneous jerky movements of the limbs. The infants mother had gestational diabetes mellitus (GDM) during pregnancy. Which of the following actions should the nurse takeFIRST? As you read this question you are probably thinking, All of these look right! or How can I decide what I will do first? The panic sets in as you try to decide what the best answer is when they all seem correct. As a registered professional nurse, you will be caring for clients who have multiple problems and needs. You must be able to establish priorities by deciding which needs take precedence over the other needs. You probably recognized the babys jerky movements as an indication of hypoglycemia. Dont forget that an important part of the assessment process is validating what you observe. You must complete an assessment before you analyze, plan, and implement nursing care. The correct answer is (3). The critical thinking required for priority questions is for you to recognize patterns in the answer choices. By recognizing these patterns, you will know which path you need to choose to correctly answer the question. There are three strategies to help you establish priorities on the NCLEX-RN exam: We will outline each strategy, describe how and when it should be used, and show you how to apply these strategies to exam-style questions. By using these strategies, you will be able to eliminate the second-best answer and correctly identify the highest priority. Maslows hierarchy of needs (Figure 1) is crucial to establi Continue reading >>
