Diabetes Mellitus NCLEX Questions
An 18 year old female client, 5'4" tall, weighing 113 kg, comes to the clinic for a non healing
wound on her lower leg, which she has had for two (2) weeks. Which disease process
should the nurse suspect the client has developed?
1. Type 1 diabetes
2. Type 2 diabetes
3. Gestational diabetes
4. Acanthosis nigricans - correct answer-2
2. The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of
8.1%.Which interpretation should the nurse make based on this result?
1. This result is below normal levels
2. This resul tis within acceptable levels
3. This result is above recommended levels
4. This result is dangerously high - correct answer-3
3. The nurse administered 28 units of Humulin N, an intermediate-acting insulin, to a client
diagnosed with type 1 diabetes at 1600. Which intervention should the nurse implement?
1. Ensure the client eats the bedtime snack
2. Determine how much food the client ate at lunch
3. Perform a glucometer reading at 0700
4. Offer the client protein after administering insulin - correct answer-1
4. The client diagnosed with type 1 diabetes is receiving Humalog, a rapid-acting insulin, by
sliding scale. The order reads blood glucose level: <150, zero (0) units; 151-200, three (3)
units; 201-250, six (6) units; >251, contact health-care provider. The unlicensed assistive
personnel (UAP) reports to the nurse the client's glucometer reading is 189. How much
insulin should the nurse administer to the client? - correct answer-3 units
5. The ruse is discussing the importance of exercising with a client diagnosed with type 2
diabetes whose diabetes is well controlled with diet and exercise. Which information should
the nurse include in the teaching about diabetes?
1. Eat a simple carbohydrate snack before exercising
2. Carry peanut butter crackers when exercising
3. Encourage the client to walk 20 minutes the (3) times a week
4. Perform warmup and cool-down exercises - correct answer-4
6. The nurse is assessing the feet of a client with long-term type 2 diabetes. Which
assessment data warrant immediate intervention by the nurse?
1. The client has crumbling toenails
2. The client has athlete's foot
3. The client has a necrotic big toe
4. The client has thickened toenails - correct answer-3
An 18 year old female client, 5'4" tall, weighing 113 kg, comes to the clinic for a non healing
wound on her lower leg, which she has had for two (2) weeks. Which disease process
should the nurse suspect the client has developed?
1. Type 1 diabetes
2. Type 2 diabetes
3. Gestational diabetes
4. Acanthosis nigricans - correct answer-2
2. The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of
8.1%.Which interpretation should the nurse make based on this result?
1. This result is below normal levels
2. This resul tis within acceptable levels
3. This result is above recommended levels
4. This result is dangerously high - correct answer-3
3. The nurse administered 28 units of Humulin N, an intermediate-acting insulin, to a client
diagnosed with type 1 diabetes at 1600. Which intervention should the nurse implement?
1. Ensure the client eats the bedtime snack
2. Determine how much food the client ate at lunch
3. Perform a glucometer reading at 0700
4. Offer the client protein after administering insulin - correct answer-1
4. The client diagnosed with type 1 diabetes is receiving Humalog, a rapid-acting insulin, by
sliding scale. The order reads blood glucose level: <150, zero (0) units; 151-200, three (3)
units; 201-250, six (6) units; >251, contact health-care provider. The unlicensed assistive
personnel (UAP) reports to the nurse the client's glucometer reading is 189. How much
insulin should the nurse administer to the client? - correct answer-3 units
5. The ruse is discussing the importance of exercising with a client diagnosed with type 2
diabetes whose diabetes is well controlled with diet and exercise. Which information should
the nurse include in the teaching about diabetes?
1. Eat a simple carbohydrate snack before exercising
2. Carry peanut butter crackers when exercising
3. Encourage the client to walk 20 minutes the (3) times a week
4. Perform warmup and cool-down exercises - correct answer-4
6. The nurse is assessing the feet of a client with long-term type 2 diabetes. Which
assessment data warrant immediate intervention by the nurse?
1. The client has crumbling toenails
2. The client has athlete's foot
3. The client has a necrotic big toe
4. The client has thickened toenails - correct answer-3
