Diabetes Mellitus NCLEX Style Questions with 100% Verified Answers
1. The nurse is reviewing laboratory results for the a. A 48-year-old
clinic patients to be seen today. Which patient woman with a hemo-
meets the diagnostic criteria for diabetes melli- globin A1C of 8.4%
tus?
Criteria for a diagno-
a. A 48-year-old woman with a hemoglobin A1C of sis of diabetes melli-
8.4% tus include a hemoglo-
b. A 58-year-old man with a fasting blood glucose bin A1C e 6.5%, fast-
of 111 mg/dL ing plasma glucose lev-
c. A 68-year-old woman with a random plasma el =126 mg/dL, 2-hour
glucose of 190 mg/dL plasma glucose level
d. A 78-year-old man with a 2-hour glucose toler- =200 mg/dL during an
ance plasma glucose of 184 mg/dL oral glucose tolerance
test, or classic symp-
toms of hyperglycemia
or hyperglycemic crisis
with a random plasma
glucose =200 mg/dL.
2. The nurse teaches a 38-year-old man who was a. "I will discard any
recently diagnosed with type 1 diabetes mellitus insulin bottle that is
about insulin administration. Which statement by cloudy in appearance."
the patient requires an intervention by the nurse?
Intermediate-acting in-
a. "I will discard any insulin bottle that is cloudy sulin and combination
in appearance." premixed insulin will be
b. "The best injection site for insulin administra- cloudy in appearance.
tion is in my abdomen." Routine hygiene such
c. "I can wash the site with soap and water before as washing with soap
insulin administration." and rinsing with wa-
d. "I may keep my insulin at room temperature ter is adequate for skin
(75o F) for up to a month." preparation for the pa-
tient during self-injec-
tions. Insulin vials that
the patient is current-
ly using may be left
at room temperature
for up to 4 weeks un-
less the room temper-
, Diabetes Mellitus NCLEX Style Questions with 100% Verified Answers
ature is higher than
86° F (30° C) or be-
low freezing (less than
32° F [0° C]). Rotat-
ing sites to different
anatomic sites is no
longer recommended.
Patients should rotate
the injection within one
particular site, such as
the abdomen.
3. The nurse instructs a 22-year-old female patient b. "I may have a hy-
with diabetes mellitus about a healthy eating plan. poglycemic reaction if
Which statement made by the patient indicates I drink alcohol on an
that teaching was successful? empty stomach."
a. "I plan to lose 25 pounds this year by following The risk for alcohol-in-
a high-protein diet." duced hypoglycemia is
b. "I may have a hypoglycemic reaction if I drink reduced by eating car-
alcohol on an empty stomach." bohydrates when drink-
c. "I should include more fiber in my diet than a ing alcohol. Intensified
person who does not have diabetes." insulin therapy, such
d. "If I use an insulin pump, I will not need to limit as the use of an
the amount of saturated fat in my diet." insulin pump, allows
considerable flexibility
in food selection and
can be adjusted for
alterations from usu-
al eating and exercise
habits. However, satu-
rated fat intake should
still be limited to less
than 7% of total dai-
ly calories. Daily fiber
intake of 14 g/1000
kcal is recommended
for the general popu-
lation and for patients
, Diabetes Mellitus NCLEX Style Questions with 100% Verified Answers
with diabetes mellitus.
High-protein diets are
not recommended for
weight loss.
4. Which patient with type 1 diabetes mellitus would b. A 73-year-old patient
be at the highest risk for developing hypo- who takes propranolol
glycemic unawareness? (Inderal)
a. A 58-year-old patient with diabetic retinopathy Hypoglycemic un-
b. A 73-year-old patient who takes propranolol awareness is a condi-
(Inderal) tion in which a per-
c. A 19-year-old patient who is on the school track son does not experi-
team ence the warning signs
d. A 24-year-old patient with a hemoglobin A1C of and symptoms of hypo-
8.9% glycemia until the per-
son becomes incoher-
ent and combative or
loses consciousness.
Hypoglycemic aware-
ness is related to au-
tonomic neuropathy of
diabetes that interferes
with the secretion of
counterregulatory hor-
mones that produce
these symptoms. Old-
er patients and patients
who use â-adrener-
gic blockers (e.g., pro-
pranolol) are at risk
for hypoglycemic un-
awareness.
5. The nurse is teaching a 60-year-old woman with b. "I can help control
type 2 diabetes mellitus how to prevent diabetic my blood pressure by
nephropathy. Which statement made by the pa- avoiding foods high in
tient indicates that teaching has been success- salt."
ful?
1. The nurse is reviewing laboratory results for the a. A 48-year-old
clinic patients to be seen today. Which patient woman with a hemo-
meets the diagnostic criteria for diabetes melli- globin A1C of 8.4%
tus?
Criteria for a diagno-
a. A 48-year-old woman with a hemoglobin A1C of sis of diabetes melli-
8.4% tus include a hemoglo-
b. A 58-year-old man with a fasting blood glucose bin A1C e 6.5%, fast-
of 111 mg/dL ing plasma glucose lev-
c. A 68-year-old woman with a random plasma el =126 mg/dL, 2-hour
glucose of 190 mg/dL plasma glucose level
d. A 78-year-old man with a 2-hour glucose toler- =200 mg/dL during an
ance plasma glucose of 184 mg/dL oral glucose tolerance
test, or classic symp-
toms of hyperglycemia
or hyperglycemic crisis
with a random plasma
glucose =200 mg/dL.
2. The nurse teaches a 38-year-old man who was a. "I will discard any
recently diagnosed with type 1 diabetes mellitus insulin bottle that is
about insulin administration. Which statement by cloudy in appearance."
the patient requires an intervention by the nurse?
Intermediate-acting in-
a. "I will discard any insulin bottle that is cloudy sulin and combination
in appearance." premixed insulin will be
b. "The best injection site for insulin administra- cloudy in appearance.
tion is in my abdomen." Routine hygiene such
c. "I can wash the site with soap and water before as washing with soap
insulin administration." and rinsing with wa-
d. "I may keep my insulin at room temperature ter is adequate for skin
(75o F) for up to a month." preparation for the pa-
tient during self-injec-
tions. Insulin vials that
the patient is current-
ly using may be left
at room temperature
for up to 4 weeks un-
less the room temper-
, Diabetes Mellitus NCLEX Style Questions with 100% Verified Answers
ature is higher than
86° F (30° C) or be-
low freezing (less than
32° F [0° C]). Rotat-
ing sites to different
anatomic sites is no
longer recommended.
Patients should rotate
the injection within one
particular site, such as
the abdomen.
3. The nurse instructs a 22-year-old female patient b. "I may have a hy-
with diabetes mellitus about a healthy eating plan. poglycemic reaction if
Which statement made by the patient indicates I drink alcohol on an
that teaching was successful? empty stomach."
a. "I plan to lose 25 pounds this year by following The risk for alcohol-in-
a high-protein diet." duced hypoglycemia is
b. "I may have a hypoglycemic reaction if I drink reduced by eating car-
alcohol on an empty stomach." bohydrates when drink-
c. "I should include more fiber in my diet than a ing alcohol. Intensified
person who does not have diabetes." insulin therapy, such
d. "If I use an insulin pump, I will not need to limit as the use of an
the amount of saturated fat in my diet." insulin pump, allows
considerable flexibility
in food selection and
can be adjusted for
alterations from usu-
al eating and exercise
habits. However, satu-
rated fat intake should
still be limited to less
than 7% of total dai-
ly calories. Daily fiber
intake of 14 g/1000
kcal is recommended
for the general popu-
lation and for patients
, Diabetes Mellitus NCLEX Style Questions with 100% Verified Answers
with diabetes mellitus.
High-protein diets are
not recommended for
weight loss.
4. Which patient with type 1 diabetes mellitus would b. A 73-year-old patient
be at the highest risk for developing hypo- who takes propranolol
glycemic unawareness? (Inderal)
a. A 58-year-old patient with diabetic retinopathy Hypoglycemic un-
b. A 73-year-old patient who takes propranolol awareness is a condi-
(Inderal) tion in which a per-
c. A 19-year-old patient who is on the school track son does not experi-
team ence the warning signs
d. A 24-year-old patient with a hemoglobin A1C of and symptoms of hypo-
8.9% glycemia until the per-
son becomes incoher-
ent and combative or
loses consciousness.
Hypoglycemic aware-
ness is related to au-
tonomic neuropathy of
diabetes that interferes
with the secretion of
counterregulatory hor-
mones that produce
these symptoms. Old-
er patients and patients
who use â-adrener-
gic blockers (e.g., pro-
pranolol) are at risk
for hypoglycemic un-
awareness.
5. The nurse is teaching a 60-year-old woman with b. "I can help control
type 2 diabetes mellitus how to prevent diabetic my blood pressure by
nephropathy. Which statement made by the pa- avoiding foods high in
tient indicates that teaching has been success- salt."
ful?
