©BRIGHTSTARS EXAM SOLUTIONS
10/27/2024 1:24 PM
Diabetic Ketoacidosis NCLEX Questions
With Verified Answers
Which of the following is not a sign or symptom of Diabetic Ketoacidosis?*
A. Positive Ketones in the urine
B. Oliguria
C. Polydipsia
D. Abdominal Pain - answer✔B
Oliguria means low urinary output....in DKA you have high urinary ouput (POLYURIA).
A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous fluids of
0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then to start an
insulin drip per protocol. The patient's labs are the following: pH 7.25, Glucose 455, potassium
2.5. Which of the following is the most appropriate nursing intervention to perform next?*
A. Start the IV fluids and administer the insulin bolus and drip as ordered
B. Hold the insulin and notify the doctor of the potassium level of 2.5
C. Hold IV fluids and administer insulin as ordered
D. Recheck the glucose level - answer✔B
Remember when insulin is given it helps take potassium back into the cell which will cause
potassium blood levels to fall. Insulin therapy is to be started only if the patient's potassium level
is 3.3 or greater.
Which patient is MOST likely to develop Diabetic Ketoacidosis?*
A. A 25 year old female newly diagnosed with Cushing's Disease taking glucocorticoids.
B. A 36 year old male with diabetes mellitus who has been unable to eat the past 2 days due to a
gastrointestinal illness and has been unable to take insulin.
C. A 35 year old female newly diagnosed with Type 2 diabetes.
10/27/2024 1:24 PM
Diabetic Ketoacidosis NCLEX Questions
With Verified Answers
Which of the following is not a sign or symptom of Diabetic Ketoacidosis?*
A. Positive Ketones in the urine
B. Oliguria
C. Polydipsia
D. Abdominal Pain - answer✔B
Oliguria means low urinary output....in DKA you have high urinary ouput (POLYURIA).
A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous fluids of
0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then to start an
insulin drip per protocol. The patient's labs are the following: pH 7.25, Glucose 455, potassium
2.5. Which of the following is the most appropriate nursing intervention to perform next?*
A. Start the IV fluids and administer the insulin bolus and drip as ordered
B. Hold the insulin and notify the doctor of the potassium level of 2.5
C. Hold IV fluids and administer insulin as ordered
D. Recheck the glucose level - answer✔B
Remember when insulin is given it helps take potassium back into the cell which will cause
potassium blood levels to fall. Insulin therapy is to be started only if the patient's potassium level
is 3.3 or greater.
Which patient is MOST likely to develop Diabetic Ketoacidosis?*
A. A 25 year old female newly diagnosed with Cushing's Disease taking glucocorticoids.
B. A 36 year old male with diabetes mellitus who has been unable to eat the past 2 days due to a
gastrointestinal illness and has been unable to take insulin.
C. A 35 year old female newly diagnosed with Type 2 diabetes.
