Advanced Nursing Care for Diabetes Management
A challenging quiz focusing on critical decision-making, pathophysiology, and best practices in caring for patients with diabetes.
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Quiz Questions & Answers
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Question 1: A client with Type 1 Diabetes reports feeling shaky and diaphoretic. Which action should the nurse take first?
Administer the scheduled dose of NPH insulin.
Check the client’s blood glucose level.
Provide 4 oz of orange juice.
Call the healthcare provider.
Question 2: Which statement by a client regarding foot care indicates a need for further teaching?
"I will wash my feet daily with warm water and soap."
"I will use a mirror to check the bottoms of my feet."
"I will wear cotton socks with my shoes."
"I will use a heating pad to keep my feet warm at night."
Question 3: The nurse is preparing to administer insulin to a client. Which insulin can be administered intravenously?
Regular Insulin
NPH Insulin
Insulin Aspart
Insulin Glargine
Question 4: A client is prescribed Metformin for Type 2 Diabetes. Which laboratory result is most important to review before a scheduled Cardiac Catheterization?
Serum Creatinine
Hemoglobin A1c
Sodium
Fasting Blood Glucose
Question 5: A client with Type 1 Diabetes is ill with a "stomach flu." Which instruction is most important?
Increase the dose of insulin during the illness.
Check blood glucose and urine ketones every 4 hours.
Drink only water until the vomiting stops.
Stop taking insulin until you can keep food down.
Question 6: When mixing Regular and NPH insulin, which action is correct?
Draw up NPH (cloudy) first.
Shake the NPH vial vigorously.
Inject air into the Regular vial first.
Draw up Regular (clear) first.
Question 7: A client has a morning blood glucose of 250 mg/dL. The nurse notes the client had a 0300 blood glucose of 50 mg/dL. Which condition does the nurse suspect?
Insulin Resistance
Somogyi Effect
Dawn Phenomenon
Diabetic Ketoacidosis
Question 8: Which clinical finding is most indicative of Diabetic Ketoacidosis (DKA)?
Deep, rapid respirations and fruity breath
Profuse sweating and tremors
Lowered blood pressure and peripheral edema
Bradypnea and bradycardia
Question 9: A client is starting a new exercise program. What should the nurse teach the client?
Avoid carbohydrates before working out.
Exercise when insulin is at its peak.
Check blood glucose before, during, and after exercise.
Only exercise if blood glucose is over 250 mg/dL.
Question 10: What is the target Hemoglobin A1c level for a non-pregnant adult with diabetes?
Less than 7%
Exactly 8%
Between 9% and 10%
Less than 5%