NCLEX RN Diabetes Mellitus Nursing Test Bank Latest 2023 Graded A+

NCLEX RN Diabetes Mellitus Nursing Test Bank Latest 2023 Graded A+ A patient with newly diagnosed type 2 diabetes mellitus asks the nurse what type 2 means in relation to diabetes. Which statement by the nurse about type 2 diabetes is correct? a. Insulin is not used to control blood glucose in patients with type 2 diabetes. b. Complications of type 2 diabetes are less serious than those of type 1 diabetes. c. Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglyc - d A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about a. self-monitoring of blood glucose. b. use of low doses of regular insulin. c. lifestyle changes to lower blood glucose. d. effects of oral hypoglycemic medications. - C Which action by a type 1 diabetic patient indicates that the nurse should implement teaching about exercise and glucose control? a. The patient always carries hard candies when engaging in exercise. b. The patient goes for a vigorous walk when the glucose is 200 mg/dL. c. The patient has a peanut butter sandwich before going for a bicycle ride. d. The patient increases daily exercise when ketones are present in the urine. - D When assessing the patient experiencing the onset of symptoms of type 1 diabetes, which question is most appropriate for the nurse to ask? a. Have you lost any weight lately? b. How long have you felt anorexic? c. Is your urine unusually dark colored? d. Do you crave fluids containing sugar? - A To evaluate the effectiveness of treatment for a patient with type 2 diabetes who is scheduled for a follow-up visit in the clinic, which test will the nurse plan to schedule for the patient? a. Urine dipstick for glucose b. Oral glucose tolerance test c. Fasting blood glucose level d. Glycosylated hemoglobin level - D A patient who has just been diagnosed with type 2 diabetes has a nursing diagnosis of imbalanced nutrition: more than body requirements. Which patient goal is most important for this patient? a. The patient will have a glycosylated hemoglobin level of less than 7%. b. The patient will have a diet and exercise plan that results in weight loss. c. The patient will choose a diet that distributes calories throughout the day. d. The patient will state the reasons for eliminating simple sugars in the diet. - A A patient who has type 1 diabetes plans to take a swimming class daily at 1:00 PM. The clinic nurse will plan to teach the patient to a. check glucose level before, during, and after swimming. b. delay eating the noon meal until after the swimming class. c. increase the morning dose of neutral protamine Hagedorn (NPH) insulin. d. time the morning insulin injection so that the peak occurs while swimming. - A An 18-year-old with newly diagnosed type 1 diabetes has received diet instruction. The nurse determines a need for additional instruction when the patient says, a. I may have an occasional alcoholic drink if I include it in my meal plan. b. I will need a bedtime snack because I take an evening dose of NPH insulin. c. I may eat whatever I want, as long as I use enough insulin to cover the calories. d. I will eat meals as scheduled, even if I am not hungry, to prevent hypoglycemia. - C Which action is most important for the nurse to take in order to assist a diabetic patient to engage in moderate daily exercise? a. Remind the patient that exercise will improve self-esteem. b. Determine what type of exercise activities the patient enjoys. c. Give the patient a list of activities that are moderate in intensity. d. Teach the patient about the effects of exercise on glucose level. - B The nurse has been teaching the patient to administer a dose of 10 units of regular insulin and 28 units of NPH insulin. The statement by the patient that indicates a need for additional instruction is, a. I need to rotate injection sites among my arms, legs, and abdomen each day. b. I will buy the 0.5 mL syringes because the line markings will be easier to see. c. I should draw up the regular insulin first after injecting air into the NPH bottle. d. I do not need to aspirate the plunger to check for blood before injecting insulin. - A After the nurse has finished teaching a patient about self-administration of the prescribed aspart (NovoLog) insulin, which patient action indicates good understanding of the teaching? a. The patient avoids injecting the insulin into the upper abdominal area. b. The patient cleans the skin with soap and water before insulin administration. c. The patient places the insulin back in the freezer after administering the prescribed insulin dose. d. The patient pushes the plunger down and immediately removes the syringe from the injection site. - B