NCLEX Practice Questions For Diabetes Mellitus
Welcome to the "Quiz: NCLEX Practice Questions For Diabetes Mellitus"! This quiz is a comprehensive tool designed to help you prepare for the diabetes-related questions on the National Council Licensure Examination (NCLEX).
It covers a wide array of topics, including the pathophysiology of diabetes, insulin administration, dietary management, and complications related to diabetes. Diabetes NCLEX Questions are structured to mimic the NCLEX exam, providing a realistic testing experience.
Whether you're a nursing student seeking to solidify your understanding or a practicing nurse aiming to refresh your knowledge, these Diabetes Mellitus NCLEX Questions are an excellent resource. Remember, consistent practice is Read morekey to acing the NCLEX. So, get started, challenge your understanding, and take one step closer to acing your exam. Good luck!
Diabetes Mellitus Questions and Answers
- 1.
A client with DM states. "I cannot eat big meals; I prefer to snack throughout the day." The nurse should carefully explain the:
- A.
Regulated food intake is basic to control
- B.
Salt and sugar restriction is the main concern.
- C.
Small and frequent meals are better for digestion.
- D.
Large meals can contribute to a weight problem
Correct Answer
A. Regulated food intake is basic to controlExplanation
For a client with DM who prefers to snack throughout the day, the nurse should explain that Regulated food intake is basic to control. A balanced diet spread over three main meals, and two snacks is usually recommended for people with diabetes, tailored to their specific needs and activity levels.Rate this question:
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- 2.
A client with DM (Diabetes mellitus) has an above-knee amputation because of severe peripheral vascular disease two days following surgery. When preparing the client for dinner, it is the nurse's primary responsibility to:
- A.
Check the client’s serum glucose level.
- B.
Assist the client out of bed to the chair.
- C.
Place the client in a high-Fowler's position.
- D.
Ensure that the client’s residual limb is elevated.
Correct Answer
A. Check the client’s serum glucose level.Explanation
Since the client has diabetes, it's crucial to monitor blood glucose levels before meals to assess the effectiveness of diabetes control and determine the need for insulin coverage.Rate this question:
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- 3.
Which of the following nursing interventions should be taken for a client who complains of nausea and vomits one hour after taking his glyburide (DiaBeta)?
- A.
Give glyburide again
- B.
Give subcutaneous insulin and monitor blood glucose.
- C.
Monitor blood glucose closely, and look for signs of hypoglycemia.
- D.
Monitor blood glucose and assess for signs of hyperglycemia.
Correct Answer
C. Monitor blood glucose closely, and look for signs of hypoglycemia.Explanation
For a client who vomits one hour after taking glyburide (DiaBeta), the nurse should monitor blood glucose closely and look for signs of hypoglycemia. Most of the medication has likely been absorbed, so repeating the dose or giving insulin could further lower glucose levels, leading to hypoglycemia.Rate this question:
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- 4.
Which of the following chronic complications is associated with diabetes?
- A.
Dizziness, dyspnea on exertion, and coronary artery disease.
- B.
Retinopathy, Neuropathy, and Coronary artery disease
- C.
Leg ulcers, cerebral ischemic events, and pulmonary infarcts
- D.
Fatigue, nausea, vomiting, muscle weakness, and cardiac arrhythmias
Correct Answer
B. Retinopathy, Neuropathy, and Coronary artery diseaseExplanation
The chronic complications associated with diabetes include Retinopathy, Neuropathy, and coronary artery disease. These are common long-term complications of diabetes, affecting the eyes, nerves, and heart, respectively.Rate this question:
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- 5.
Rotating injection sites when administering insulin prevents which of the following complications?
- A.
Insulin edema
- B.
Insulin lipodystrophy
- C.
Insulin resistance
- D.
Systemic allergic reactions
Correct Answer
B. Insulin lipodystrophyExplanation
Rotating injection sites when administering insulin prevents Insulin lipodystrophy. This condition can cause fatty masses at the injection sites, leading to unpredictable absorption of insulin.Rate this question:
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- 6.
Which of the following methods of insulin administration would be used in the initial treatment of hyperglycemia in a client with diabetic ketoacidosis?
- A.
Subcutaneous
- B.
Intramuscular
- C.
IV bolus only
- D.
IV bolus, followed by continuous infusion.
Correct Answer
D. IV bolus, followed by continuous infusion.Explanation
The initial treatment of hyperglycemia in a client with diabetic ketoacidosis would involve IV bolus, followed by continuous infusion. An initial IV bolus of insulin helps control hyperglycemia, followed by a continuous infusion to maintain blood glucose control.Rate this question:
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- 7.
Insulin forces which of the following electrolytes out of the plasma and into the cells?
- A.
Calcium
- B.
Magnesium
- C.
Phosphorus
- D.
Potassium
Correct Answer
D. PotassiumExplanation
Insulin forces Potassium out of the plasma and into the cells. This can lead to hypokalemia, a deficiency of potassium in the bloodstream.Rate this question:
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- 8.
Which of the following causes of HHNS is most common?
- A.
Insulin overdose
- B.
Removal of the adrenal gland
- C.
Undiagnosed and untreated hyperpituitarism
- D.
Undiagnosed and untreated diabetes mellitus
Correct Answer
D. Undiagnosed and untreated diabetes mellitusExplanation
The most common cause of Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS) is Undiagnosed, untreated diabetes mellitus. This condition often occurs in people with type 2 diabetes who are not controlling their blood sugar levels.Rate this question:
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- 9.
A client is in DKA, secondary to infection. As the condition progresses, which of the following symptoms might the nurse see?
- A.
Kussmaul’s respirations and a fruity odor on the breath
- B.
Shallow respirations and severe abdominal pain
- C.
Decreased respirations and increased urine output.
- D.
Cheyne-stokes respirations and foul-smelling urine
Correct Answer
A. Kussmaul’s respirations and a fruity odor on the breathExplanation
A client with Diabetic Ketoacidosis (DKA), secondary to an infection, might exhibit Kussmaul's respirations and a fruity odor on the breath. These are signs of severe acidosis, a common complication of DKA.Rate this question:
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- 10.
Clients with type 1 diabetes may require which of the following changes to their daily routine during periods of infection?
- A.
No changes
- B.
Less insulin
- C.
More insulin
- D.
Oral antidiabetic agents
Correct Answer
C. More insulinExplanation
Clients with type 1 diabetes may require More insulin during periods of infection or illness. This is because the body's demand for insulin increases during these periods due to higher blood glucose levels.Rate this question:
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Current Version
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Mar 11, 2024Quiz Edited by
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Expert Reviewed by
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Oct 04, 2017Quiz Created by
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