WorksheetsDiabetes and Insulin Nursing Questions
Total questions: 20
Worksheet time: 13mins
A patient with type 1 diabetes reports shakiness, dizziness, tremors and blurry vision. Blood glucose is 48 mg/dL. After administering orange juice, which nursing action is next?
Document the episode
Notify the provider
Recheck blood glucose in 15 minutes
Give insulin
The nurse is teaching a client about insulin glargine (Lantus). Which statement indicates correct understanding?
I should mix this insulin with regular insulin.
I should inject this insulin at the same time every day.
I will take this insulin only before meals.
This insulin peaks in about 6 hours.
A client receives regular insulin at 7 AM. At what time should the nurse be most alert for signs of hypoglycemia?
7:15 AM
10:00 AM
12:00 PM
5:00 PM
Which clinical finding supports a diagnosis of diabetic ketoacidosis (DKA)?
Blood glucose 180 mg/dL, no ketones
Blood glucose 600 mg/dL, dry mucous membranes, Kussmaul respirations
Blood glucose 60 mg/dL, cool and clammy skin
Blood glucose 110 mg/dL, bradycardia
A client with DKA has dry mucous membranes and poor skin turgor. The priority intervention is:
Start an IV infusion of normal saline
Administer subcutaneous insulin
Restrict fluids
Monitor temperature hourly
The nurse is caring for a diabetic patient with peripheral neuropathy. Which nursing diagnosis is highest priority?
Impaired skin integrity
Risk for injury
Ineffective coping
Disturbed body image
A type 1 diabetic skips breakfast after taking morning insulin. The nurse anticipates which symptoms?
Polyuria and dry mouth
Tremors and confusion
Fruity breath and Kussmaul respirations
Flushed skin and thirst
The nurse differentiates type 1 from type 2 diabetes primarily by noting:
Weight loss is common in type 2 diabetes
Type 1 diabetes has absolute insulin deficiency
Type 2 diabetes occurs only in children
Type 1 diabetes is managed with oral agents
A nurse teaches a client with diabetic neuropathy about nail care. Which statement indicates a need for further teaching?
I’ll cut my toenails straight across.
I’ll file the edges gently to prevent sharp corners.
I’ll soak my feet for 20 minutes before trimming.
I’ll check my feet every day for redness or blisters.
Which nursing intervention has highest priority for a patient with diabetes insipidus?
A client with DI is prescribed desmopressin (DDAVP). Which finding indicates effective treatment?
Urine output increases to 300 mL/hr
Urine specific gravity increases to 1.020
Serum sodium increases to 155 mEq/L
Weight decreases by 2 kg in 24 hours
A patient with small-cell lung cancer develops confusion, seizures, and muscle cramps. The nurse suspects SIADH. Which lab result supports this?
Serum sodium 118 mEq/L
Serum osmolality 310 mOsm/kg
Urine specific gravity 1.002
Hematocrit 50%
After adrenalectomy for pheochromocytoma, the priority assessment is:
Blood glucose level
Fluid intake and output
Blood pressure and heart rate
Daily weight
A client with hypothyroidism reports fatigue, cold intolerance, and weight gain. Which lab result supports this diagnosis?
T3 and T4 elevated, TSH low
T3 and T4 low, TSH high
T3 and T4 high, TSH high
T3 and T4 low, TSH low
Which medication is used to treat hypothyroidism?
Levothyroxine
Methimazole
Propylthiouracil
Desmopressin
After thyroidectomy for hyperthyroidism, which finding requires immediate intervention?
Hoarse voice
Tingling around mouth and fingertips
Neck incision swelling
Sore throat
The nurse monitors a client post-adrenalectomy for pheochromocytoma. Which assessment requires immediate action?
Blood pressure 88/56 mmHg
Mild nausea
Small amount of serosanguinous drainage
Complaints of incisional pain
A patient with hyperthyroidism is started on methimazole. Which finding requires immediate notification to the provider?
Weight loss of 2 pounds
Fatigue
Sore throat and fever
Hair thinning
A client with hypothyroidism is taking levothyroxine. Which statement indicates effective teaching?
I can stop the medication when I feel better.
I’ll take my medicine with breakfast each morning.
I’ll take my medication at the same time every morning on an empty stomach.
Which of the following statements is correct?
I’ll take it with orange juice.
I’ll take it with milk.
I’ll take it on an empty stomach.
I’ll take it with my calcium supplement.
