NCLEX Exam 2022
1. A 34-year-old female is currently 16 weeks pregnant. You’re collecting the patient’s
health history. She has the following health history: gravida 5, para 4, BMI 28,
hypertension, depression, and family history of Type 2 diabetes. Select below all the risk
factors in this scenario that increases this patient’s risk for developing gestational
diabetes?
A. 34-years-old
B. 16 weeks pregnant
C. Gravida 5, para 4
D. BMI 28
E. Hypertension
F. Depression
G. Family history of Type 2 diabetes
The answers are A, C, D, and G. Remember from the lecture we talked about the risk
factors for gestational diabetes. To help you remember the risk factors think of the word
“MOMMA”. Maternal age > 25, Obese or overweight (BMI >25), Macrosomia (fetal)
previous babies greater than 9 lbs, Multiple pregnancies, A history (previous diagnoses of
gestational diabetes or family history of diabetes).
2. When do most patients tend to develop gestational diabetes during pregnancy?
A. usually during the 1-3 month of pregnancy
B. usually during the 2-3 month of pregnancy
, C. usually during the 1-2 trimester of pregnancy
D. usually during the 2-3 trimester of pregnancy
The answer is D. Gestational diabetes is a form of diabetes that develops during
pregnancy, usually during 2nd or 3rd trimester.
3. You’re providing an educational class for pregnant women about gestational diabetes.
You discuss the role of insulin in the body. Select all the CORRECT statements about the
role and function of insulin:
A. “Insulin is a type of cell that provides glucose to the body from the blood.”
B. “Insulin is a hormone secreted by the beta cells of the pancreas.”
C. “Insulin influences cells by causing them to uptake glucose from the blood.”
D. “Insulin is a protein that helps carry glucose into the cell for energy.”
The answers are B and C. Insulin is a HORMONE secreted by the beta cells found in the
pancreas. It influences or causes cells to take in glucose from the blood. Option A and D
are incorrect statements about insulin.
4. A 32-year-old female is diagnosed with gestational diabetes. As the nurse you know
that what test below is used to diagnose a patient with this condition?
A. 1 hour glucose tolerance test
B. 24 hour urine collection
C. Hemoglobin A1C
D. 3 hour glucose tolerance test