NURS EXAM QUESTION WITH ANSWERS ON ENDOCRINE ASSURED A+
A nursing diagnosis for a patient with newly diagnosed diabetes is Risk for Injury related to sensory
alterations. Which key points should you include in the teaching plan for this patient? SELECT ALL
THAT APPLY
A. Clean and inspect your feet every day
B. Be sure that your shoes fit properly
C. Nylon socks are best to prevent friction on your toes from shoes (cotton socks)
D. Only a podiatrist should trim your toenails
E. Report any non-healing skin breaks to your healthcare provider
A UAP tells you that while assisting with the morning care of a postoperative patient with type 3
diabetes, who has been given insulin the patient asked if she will always need to take insulin now.
What is your priority for teaching this patient?
i. Explain to the patient they are now considered type 1
ii. Tell the patient to monitor finger stick glucose levels every 4 hours after discharge
iii. Teach the patient that a person with type 2 diabetes does not always need to take
insulin
iv. Talk with the patient about the relationship between illness and increase glucose levels
A patient is admitted to the ED and a diagnosis of myxedema coma is made. Which action would the
nurse prepare to carry out initially?
A. Maintain a patent airway
A patient is brought to the ED in an unresponsive state, and a diagnosis of hyperglycemic
hyperosmolar nonketotic syndrome is made. The nurse would immediately prepare to initiate which
anticipated healthcare provider’s prescription.
A. Endotracheal intubation
B. 100 units of NPH insulin
, C. Intravenous infusion of normal saline
D. Intravenous infusion of sodium bicarbonate
A patient with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the ED. Which findings
would the nurse expect to note as confirming this diagnosis? SELECT ALL THAT APPLY
A. Increase in pH (decreased)
B. Comatose state (COULD be but not always)
C. Deep, rapid breathing (Kussmal)
D. Decreased urine output
E. Elevated blood glucose
F. Low plasma bicarbonate level
The nurse teaches a patient with diabetes mellitus about differentiating between hypoglycemia and
ketoacidosis. The patient demonstrates an understanding of the teaching by stating that a form of
glucose should be taken if which symptoms develop. SELECT ALL THAT APPLY
A. Polyuria
a. Shakiness
b. Palpitations
c. Blurred vision
d. Lightheadedness
e. Fruity breath odor
The nurse provides instructions to a patient newly diagnosed with type 1 diabetes. The nurse
recognizes accurate understanding of the measures to prevent diabetic ketoacidosis when the
patient makes which statement?
A. “I will stop taking my insulin if I’m too sick to eat.” (never stop it, may need to increase)
B. “I will decrease my insulin dose during times of illness.”
C. “I will adjust my insulin dose according to the level of glucose in my urine.”
D. “I will notify my health care provider if my blood glucose level is higher than 250.”
A nursing diagnosis for a patient with newly diagnosed diabetes is Risk for Injury related to sensory
alterations. Which key points should you include in the teaching plan for this patient? SELECT ALL
THAT APPLY
A. Clean and inspect your feet every day
B. Be sure that your shoes fit properly
C. Nylon socks are best to prevent friction on your toes from shoes (cotton socks)
D. Only a podiatrist should trim your toenails
E. Report any non-healing skin breaks to your healthcare provider
A UAP tells you that while assisting with the morning care of a postoperative patient with type 3
diabetes, who has been given insulin the patient asked if she will always need to take insulin now.
What is your priority for teaching this patient?
i. Explain to the patient they are now considered type 1
ii. Tell the patient to monitor finger stick glucose levels every 4 hours after discharge
iii. Teach the patient that a person with type 2 diabetes does not always need to take
insulin
iv. Talk with the patient about the relationship between illness and increase glucose levels
A patient is admitted to the ED and a diagnosis of myxedema coma is made. Which action would the
nurse prepare to carry out initially?
A. Maintain a patent airway
A patient is brought to the ED in an unresponsive state, and a diagnosis of hyperglycemic
hyperosmolar nonketotic syndrome is made. The nurse would immediately prepare to initiate which
anticipated healthcare provider’s prescription.
A. Endotracheal intubation
B. 100 units of NPH insulin
, C. Intravenous infusion of normal saline
D. Intravenous infusion of sodium bicarbonate
A patient with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the ED. Which findings
would the nurse expect to note as confirming this diagnosis? SELECT ALL THAT APPLY
A. Increase in pH (decreased)
B. Comatose state (COULD be but not always)
C. Deep, rapid breathing (Kussmal)
D. Decreased urine output
E. Elevated blood glucose
F. Low plasma bicarbonate level
The nurse teaches a patient with diabetes mellitus about differentiating between hypoglycemia and
ketoacidosis. The patient demonstrates an understanding of the teaching by stating that a form of
glucose should be taken if which symptoms develop. SELECT ALL THAT APPLY
A. Polyuria
a. Shakiness
b. Palpitations
c. Blurred vision
d. Lightheadedness
e. Fruity breath odor
The nurse provides instructions to a patient newly diagnosed with type 1 diabetes. The nurse
recognizes accurate understanding of the measures to prevent diabetic ketoacidosis when the
patient makes which statement?
A. “I will stop taking my insulin if I’m too sick to eat.” (never stop it, may need to increase)
B. “I will decrease my insulin dose during times of illness.”
C. “I will adjust my insulin dose according to the level of glucose in my urine.”
D. “I will notify my health care provider if my blood glucose level is higher than 250.”
