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Diabetes Nclex Questions

Diabetes Mellitus Nclex Practice Quiz #1 (40 Questions)

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 >>

Diabetes Mellitus Nclex Practice Quiz 2 (30 Items) - Nurseslabs

Diabetes Mellitus Nclex Practice Quiz 2 (30 Items) - Nurseslabs

Diabetes Mellitus NCLEX Practice Quiz 2 (30 Items) - Nurseslabs Diabetes Mellitus NCLEX Practice Quiz 2 (30 Items) - Nurseslabs 7/8/16, 8:42 PMDiabetes Mellitus NCLEX Practice Quiz 2 (30 Items) - NurseslabsPage 1 of 26Mellitus NCLEX PracticeQuiz 2 (30 Items)By Gil Wayne, RN-May 11, 20152.2KFacebook061922.4KSHARES This preview has intentionally blurred sections. Sign up to view the full version. 7/8/16, 8:42 PMDiabetes Mellitus NCLEX Practice Quiz 2 (30 Items) - NurseslabsPage 2 of 26PREVIOUS QUIZDiabetes Mellitus (40 Items)This exam is all about Diabetes Mellitus! The 30-item NCLEX style examination will help you increase yourknowledge and perception about Diabetes Mellitus.TopicsIncluded topics in this practice quiz are:Diabetes MellitusDiagnostic Procedures about DMManagement and Care of Patients with DMGuidelinesFollow 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.NCLEX-RN PRACTICE QUIZ MAIN PAGEQuestionsExam ModeIn Exam Mode: All questions are shown in random and the results, answers and rationales (if any) will only begiven afteryouve finished the quiz. You are given 1 minute per question, a total of 30 minutesfor this exam.NCLEX Exam: Diabetes Mellitus 2 (30 Items)Forget past mistakes. Forget failures. Forget everything except what youre going to do now and do it.~ William DurantNEXT QUIZ Diabetes Mellitus 3 (25 Items) 7/8/16, 8:42 PMDiabetes Mellitus NCLEX Practice Quiz 2 (30 Items) - NurseslabsPage 3 of 261WRONGUncontrolled diabetesSomogyi phenomenonBrittle diabetesDiabetes insipidusQuestion 2WRONGIt s Continue reading >>

Nclex Style Practice Questions - Medsurg Diabetes

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 >>

Nclex Question Strategies: Priority Questions

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 >>

Diabetes Nclex Questions

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 Q Diabetes Mellitus Flashcards - Cram.com

Nclex Q Diabetes Mellitus Flashcards - Cram.com

Polyphagia, polyuria, polydipsia, and weight loss are cardinal signs of DM. Other signs include irritability, shortened attention span, lowered frustration tolerance, fatigue, dry skin, blurred vision, sores that are slow to heal, and flushed skin. d. greater sense of control over diabetes BG monitoring improves diabetes management and is used successfully from the onset of their diabetes. By testing your own blood, you are able to change insulin regimen to maintain their glucose level in the normoglycemic range of 80 - 120 mg / dl. This allows better management of their diabetes. A client is learning to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client, would indicate the need for FURTHER teaching? b. Injecting air into the NPH insulin bottle first c. After drawing up first insulin, removing air bubbles d. Injecting an amt of air equal to the desired dose of insulin Regular insulin is ALWAYS withdrawn first so it won't become contaminated with NPH insulin. The client is instructed to inject air into the NPH insulin bottle equal to the amt of insulin to be withdrawn because there will be regular insulin in the syringe and he won't be able to inject air when he needs to withdraw the NPH. It's necessary to remove the air bubbles to ensure a correct dosage before drawing u p the second insulin. A client is diagnosed with diabetes type 1. The primary health care provider prescribes an insulin regimen of regular insluin and NPH insulin administered subcutaneously each morning. How soon after administration will the onset of regular insulin begin? Regular insulin's onset is 1/2 to 1 hr. peak is 2-4 hours, and duration is 3-6 hours. Lispro insulin has an onset within 5 minutes Ultralente insulin is the longest acting with an ons Continue reading >>

Nclex: Drugs For Diabetes

Nclex: Drugs For Diabetes

The pancreas produces the peptide hormones insulin, glucagon, and somatostatin. The peptide hormones are secreted from cells in the islets of Langerhans ( cells produce insulin, cells produce glucagon, and cells produce somatostatin). These hormones play an important role in regulating metabolic activities of the body, particularly glucose homeostasis. A relative or absolute lack of insulin, as seen in diabetes mellitus, can cause serious hyperglycemia. Left untreated, retinopathy, nephropathy, neuropathy, and cardiovascular complications may result. Administration of insulin preparations or other glucose-lowering agents can reduce morbidity and mortality associated with diabetes. The incidence of diabetes is growing rapidly in the United States and worldwide. An estimated 25.8 million people in the United States and 347 million people worldwide are afflicted with diabetes. Diabetes is not a single disease. Rather, it is a heterogeneous group of syndromes characterized by elevated blood glucose attributed to a relative or absolute deficiency of insulin. The American Diabetes Association (ADA) recognizes four clinical classifications of diabetes: type 1 diabetes (formerly insulin-dependent diabetes mellitus), type 2 diabetes (formerly noninsulin-dependent diabetes mellitus), gestational diabetes, and diabetes due to other causes such as genetic defects or medications.Gestational diabetes is defined as carbohydrate intolerance with onset or first recognition during pregnancy. Uncontrolled gestational diabetes can lead to fetal macrosomia (abnormally large body) and shoulder dystocia (difficult delivery), as well as neonatal hypoglycemia. Diet, exercise, and/or insulin administration are effective in this condition. Glyburide and metformin may be reasonable alternatives t Continue reading >>

Lewis Med Surg -diabetes Nclex Review Practice Questions

Lewis Med Surg -diabetes Nclex Review Practice Questions

Lewis Med Surg -Diabetes NCLEX Review Practice Questions A 54-year-old patient admitted with type 2 diabetes asks the nurse what type 2 means. What is the most appropriate response by the nurse? A. With type 2 diabetes, the body of the pancreas becomes inflamed. B. With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased. C. With type 2 diabetes, the patient is totally dependent on an outside source of insulin. D. With type 2 diabetes, the body produces autoantibodies that destroy -cells in the pancreas. B. With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased. In type 2 diabetes mellitus, the secretion of insulin by the pancreas is reduced, and/or the cells of the body become resistant to insulin. The pancreas becomes inflamed with pancreatitis. The patient is totally dependent on exogenous insulin and may have had autoantibodies destroy the -cells in the pancreas with type 1 diabetes mellitus. The nurse caring for a patient hospitalized with diabetes mellitus would look for which laboratory test result to obtain information on the patients past glucose control? A glycosylated hemoglobin level detects the amount of glucose that is bound to red blood cells (RBCs). When circulating glucose levels are high, glucose attaches to the RBCs and remains there for the life of the blood cell, which is approximately 120 days. Thus the test can give an indication of glycemic control over approximately 2 to 3 months. The prealbumin level is used to establish nutritional status and is unrelated to past glucose control. The urine ketone level will only show that hyperglycemia or starvation is probably currently occurring. The fasting glucose level only indicates current glucose control. The nurse is evaluating a 45- Continue reading >>

10 Diabetes Nclex Questions

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 >>

Review Questions Nclex-rn Questions And Answers Flashcards Preview

Review Questions Nclex-rn Questions And Answers Flashcards Preview

3. monitor blood glucose closely, and assess for signs of hypoglycemia 4. monitor blood glucose closely, and assess for signs of hyperglycemia 3. monitor blood glucose closely, and assess for signs of hypoglycemia What priority information regarding diet and exercise should the nurse teach a client newly diagnosed with type 1 diabetes mellitus? 2. Fluid, protein, and electrolytes should be managed 3. Calorie intake should be reduced prior to exercise 4. Dietary goals, dietary composition, and physical activity are key 4. Dietary goals, dietary composition, and physical activity are key A nurse is teaching a client recently diagnosed with type 1 diabetes mellitus about chronic complications associated with the disease. Which information should the nurse include? 3. Exercise will increase insulin resistance 4. Podiatry visits are necessary every five years The nurse is teaching a client newly diagnosed with type 1 diabetes mellitus about the rotation of insulin injection sites. The nurse determines that teaching was effective when the client states: 1. rotate injection sites within on anatomical region 2. Rotate injection sites from one anatomic region to another 3. rotation of injection sites does not affect speed of absorption 4. rotation of injection sites does not prevent lipohypertrophy 1. rotate injection sites within on anatomical region The nurse is providing education to a group of clients newly diagnosed with type 1 diabetes mellitus. One client asks why the glycosylated hemoglobin blood test (HbA1c) is done. What is the nurses's best response? 1. HbA1c measures hemoglobin level in addition to blood glucose level 2. HbA1c is used to assess long-term glycemic control 3. HbA1c provides information about conditions that effect a red blood cell's life span 4. HbA1c Continue reading >>

Nclex Review

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 >>

Diabetes Practice Questions

Diabetes Practice Questions

1. The risk factors for type 1 diabetes include all of the following except: a. Diet b. Genetic c. Autoimmune d. Environmental 2. Type 2 diabetes accounts for approximately what percentage of all cases of diabetes in adults? a. 55%-60% b. 35%-40% c. 90-95% d. 25-30% 3. Risk factors for type 2 diabetes include all of the following except: a. Advanced age b. Obesity c. Smoking d. Physical inactivity 4. What percentage of women with gestational diabetes is diagnosed with type 2 diabetes following pregnancy? a. 25%-30% b. 5%-10% c. <5% d. 20%-25% 5. Untreated diabetes may result in all of the following except: a. Blindness b. Cardiovascular disease c. Kidney disease d. Tinnitus 6. Prediabetes is associated with all of the following except: a. Increased risk of developing type 2 diabetes b. Impaired glucose tolerance c. Increased risk of heart disease and stroke d. Increased risk of developing type 1 diabetes 7. Diabetics are at increased risk of heart disease if they also: a. Smoke b. Have high HDL cholesterol levels c. Take aspirin d. Consume a high-fiber diet 8. Blood sugar is well controlled when Hemoglobin A1C is: a. Below 7% b. Between 12%-15% c. Less than 180 mg/dL d. Between 90 and 130 mg/dL 9. Excessive thirst and volume of very dilute urine may be symptoms of: a. Urinary tract infection b. Diabetes insipidus c. Viral gastroenteritis d. Hypoglycemia 10. Among female children and adolescents, the first sign of type 1 diabetes may be: a. Rapid weight gain b. Constipation c. Genital candidiasis d. Insomnia 11. Untreated hyperglycemia may lead to all of the following complications except: a. Hyperosmolar syndrome b Vitiligo c. Diabetic ketoacidosis d. Coma 12. Hyperinsulinemia may be caused by all of the following except: a. An insulinoma b. Nesidioblastosis c. Insulin Continue reading >>

Nclex-rn Exam Cram: Care Of The Client With Endocrine Disorders

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 >>

Type 1 Diabetes | Remar Review For Nclex

Type 1 Diabetes | Remar Review For Nclex

The primary treatment for type 1 diabetes will be insulin injection. The insulin injections could range from 1-7 times a day with a combination of short and long acting insulin . This is important because if insulin is not available for energy consumption the body will burn fats. When fat breakdown occurs, the result is ketone production. If ketones are present in the body; clients are at risk for diabetic ketoacidosis. Diabetic Ketoacidosis (DKA) is a life threatening condition that occurs when not enough insulin is present. The three main symptoms are: The ketone production will create an acidotic state in the body. Dehydration will be caused by excessive urination, clients may lose up to 6 liters a day. Hyperglycemia is caused due to a lack of insulin. Other signs of DKA: fruity breath, abdominal pain, nausea, vomiting, hyperventilation Treatment for DKA will be IV fluid + electrolytes and Regular Insulin IV. The Insulin will reverse both the acidosis and hyperglycemia. What is the primary way type 1 diabetes is controlled? What is the life threatening condition that can occur if type 1 diabetes is uncontrolled? If ketones are present in the body should the client exercise? What is the treatment for diabetic ketoacidosis? **Remember if insulin injection is the primary mode of treatment for type 1 diabetes education will be the key. Continue reading >>

Diabetes Mellitus Nclex Quiz

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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