Diabetes Mellitus Practice Questions
A newly diagnosed DM Type I client has been stabilized with daily insulin injections. A nurse
prepares a discharge teaching plan regarding the insulin and plans to reinforce which of the
following concenpts?
a. always keep insulin vials refrigerated
b. ketones in the urine singnify a need for less insulin
c. increase the amount of insulin before unusual exercise
d. systematically rotate insulin injections within one anatomic site - correct answer-D.
systematically rotate insulin injections within one anatomic site
A client with a diagnosis of DKA is being treated in an emergency room. Which finding would
a nurse expect to note as a confirming diagnosis?
a. comatose state
b. decreased urine output
c. increased respiration and increased pH
d. elevated blood glucose levels and low plasma bicarbonate level - correct answer-D.
elevated blood glucose level and low plasma bicarb level
A client with DM demonstrates acute anxiety when first admitted for treatment of
hyperglycemia. The appropriate intervention to decrease the client's anxiety is to:
a. administer a sedative
b. convey empathy, trust, and respect towards the client
c. ignore the signs and symptoms of anxiety so that they will soon disappear
d. make sure that the client knows all the correct medical terms - correct answer-B. convey
empathy, trust, and respect toward the client
A nurse teaches a client with DM about differentiating between hypoglycemia and
ketoacidosis. The client demonstrates an understanding of the teaching by stating that
glucose will be taken if which symptom develops?
a. polyuria
b. shakiness
c. blurred vision
d. fruity breath odor - correct answer-B. shakiness
A client is admitted with a diagnosis of DKA. The initial blood glucose level was 950 mg/dL.
An IV infusion of regular insulin is initiated, along with IV rehydration with normal saline. The
serum glucose level is now 240 mg/dL. The nurse would next prepare to administer which of
the following?
a. ampule 50% dextrose
b. NPH insulin subcut
c. IV fluids 5% dextrose
d. Phenytoin (Dilantin) for prevention of seizures - correct answer-C. IV fluids with 5%
dextrose
A newly diagnosed DM Type I client has been stabilized with daily insulin injections. A nurse
prepares a discharge teaching plan regarding the insulin and plans to reinforce which of the
following concenpts?
a. always keep insulin vials refrigerated
b. ketones in the urine singnify a need for less insulin
c. increase the amount of insulin before unusual exercise
d. systematically rotate insulin injections within one anatomic site - correct answer-D.
systematically rotate insulin injections within one anatomic site
A client with a diagnosis of DKA is being treated in an emergency room. Which finding would
a nurse expect to note as a confirming diagnosis?
a. comatose state
b. decreased urine output
c. increased respiration and increased pH
d. elevated blood glucose levels and low plasma bicarbonate level - correct answer-D.
elevated blood glucose level and low plasma bicarb level
A client with DM demonstrates acute anxiety when first admitted for treatment of
hyperglycemia. The appropriate intervention to decrease the client's anxiety is to:
a. administer a sedative
b. convey empathy, trust, and respect towards the client
c. ignore the signs and symptoms of anxiety so that they will soon disappear
d. make sure that the client knows all the correct medical terms - correct answer-B. convey
empathy, trust, and respect toward the client
A nurse teaches a client with DM about differentiating between hypoglycemia and
ketoacidosis. The client demonstrates an understanding of the teaching by stating that
glucose will be taken if which symptom develops?
a. polyuria
b. shakiness
c. blurred vision
d. fruity breath odor - correct answer-B. shakiness
A client is admitted with a diagnosis of DKA. The initial blood glucose level was 950 mg/dL.
An IV infusion of regular insulin is initiated, along with IV rehydration with normal saline. The
serum glucose level is now 240 mg/dL. The nurse would next prepare to administer which of
the following?
a. ampule 50% dextrose
b. NPH insulin subcut
c. IV fluids 5% dextrose
d. Phenytoin (Dilantin) for prevention of seizures - correct answer-C. IV fluids with 5%
dextrose
