ATI DIABETES MELLITUS EXAM 2024
LATEST UPDATES QUESTIONS AND
VERIFIED ANSWERS RATED A+/LATEST
VERSION /100% PASS GUARANTEED!
A nurse is caring for a client who has blood glucose of 52 mg/dL. The
client is lethargic but arousable. Which of the following actions
should the nurse perform first?
A. Recheck blood glucose in 15 min.
B. Provide a carbohydrate and protein food.
C. Provide 4 oz grape juice.
D. Report findings to the provider. -Ans > C. The client's acute need for a
rapidly absorbed carbohydrate, such as grape juice, takes priority
when treating the blood glucose of 52 mg/dL.
A nurse is preparing to administer a morning dose of rapid acting
insulin (NovoLog) to a client who has type 1 diabetes mellitus. Which
of the following is an appropriate action by the nurse?
A. Check the client's blood glucose immediately after breakfast.
B. Administer the insulin when breakfast arrives.
C. Hold breakfast for 1 hr after insulin administration.
D. Clarify the prescription because insulin should not be administered
at this time. -Ans > B. Administer rapid acting insulin when breakfast
,arrives to avoid a hypoglycemic episode.Aspart insulin is rapid-acting,
and should be administered 5 to 10 min before breakfast.
A nurse is preparing to administer the morning doses of glargine
(Lantus) insulin and regular (Humulin R) insulin to a client who has a
blood glucose of 278 mg/dL. Which of the following is an appropriate
nursing action?
A. Draw up the regular insulin and then the glargine insulin in the
same syringe.
B. Draw up the glargine insulin then the regular insulin in the same
syringe.
C. Draw up and administer regular and glargine insulin in separate
syringes.
D. Administer the regular insulin, wait 1 hr, and then administer the
glargine insulin. -Ans > C. Administer each insulin as a separate
injection. These insulins are not compatible and should not be drawn
up in the same syringe.
A nurse is presenting information to a group of clients about nutrition
habits that prevent type 2 diabetes mellitus. Which of the following
should the nurse include in the information? (Select all that apply.)
A. Eat less meat and processed foods.
B. Decrease intake of saturated fats.
C. Increase daily fiber intake.
D. Limit saturated fat intake to 15% of daily caloric intake.
E. Include omega-3 fatty acids in the diet. -Ans > A. Limit meats and
processed foods, which can prevent diabetes and hyperlipidemia.
,B. Lower LDL by decreasing intake of saturated fats, which can
prevent diabetes and hyperlipidemia.
C. Increase dietary fiber to control weight gain and decrease the risk
of diabetes and hyperlipidemia.
E. Include omega-3 fatty acids for secondary prevention of diabetes
and heart disease.
A nurse is teaching foot care to a client who has diabetes mellitus.
Which of the following information should the nurse include in the
teaching? (Select all that apply.)
A. Remove calluses using over-the-counter remedies.
B. Apply lotion between toes.
C. Perform nail care after bathing.
D. Trim toenails straight across.
E. Wear closed-toe shoes. -Ans > C. Perform nail care after bathing,
when toenails are soft and easier to trim.
D. Trim toenails straight across to prevent injury to soft tissue of the
toes.
E. Wear closed-toe shoes to prevent injury to soft tissue of the toes
and feet.
An acute, life-threatening condition characterized by
hyperglycemia(greater than 300 mg/dL) resulting in the breakdown
of body fat for energy and an accumulation of
ketones in the blood and urine. -Ans > Diabetic Ketoacidosis
True or False?
, Diabetic Ketoacidosis has a slow onset and a high mortality rate. -Ans >
False!
The onset is rapid, and the mortality rate of DKA is less than 5%.
An acute, life-threatening condition characterized by
profound hyperglycemia (greater than 600 mg/dL), that leads to
dehydration, and an absence of ketosis. -Ans > Hyperglycemic-
hyperosmolar state (HHS)
True or False?
Hyperglycemic-hyperosmolar state (HHS) has a gradual onset over
several days, and if left untreated can lead to coma and death. -Ans >
True!
What are some risk factors associated with Diabetic Ketoacidosis?
Name three -Ans > - Lack of sufficient insulin related to undiagnosed or
untreated type 1 diabetes mellitus
- Nonadherence to a diabetic regimen
- Reduced or missed dose of insulin
- Any condition that increases carbohydrate metabolism, such as
physical or emotional stress, illness, infection (No. 1 cause of DKA),
surgery, or trauma that requires an increased need for insulin
- Increased hormone production (e.g., cortisol, glucagon,
epinephrine) stimulates the liver to produce glucose and decreases
the effect of insulin.
LATEST UPDATES QUESTIONS AND
VERIFIED ANSWERS RATED A+/LATEST
VERSION /100% PASS GUARANTEED!
A nurse is caring for a client who has blood glucose of 52 mg/dL. The
client is lethargic but arousable. Which of the following actions
should the nurse perform first?
A. Recheck blood glucose in 15 min.
B. Provide a carbohydrate and protein food.
C. Provide 4 oz grape juice.
D. Report findings to the provider. -Ans > C. The client's acute need for a
rapidly absorbed carbohydrate, such as grape juice, takes priority
when treating the blood glucose of 52 mg/dL.
A nurse is preparing to administer a morning dose of rapid acting
insulin (NovoLog) to a client who has type 1 diabetes mellitus. Which
of the following is an appropriate action by the nurse?
A. Check the client's blood glucose immediately after breakfast.
B. Administer the insulin when breakfast arrives.
C. Hold breakfast for 1 hr after insulin administration.
D. Clarify the prescription because insulin should not be administered
at this time. -Ans > B. Administer rapid acting insulin when breakfast
,arrives to avoid a hypoglycemic episode.Aspart insulin is rapid-acting,
and should be administered 5 to 10 min before breakfast.
A nurse is preparing to administer the morning doses of glargine
(Lantus) insulin and regular (Humulin R) insulin to a client who has a
blood glucose of 278 mg/dL. Which of the following is an appropriate
nursing action?
A. Draw up the regular insulin and then the glargine insulin in the
same syringe.
B. Draw up the glargine insulin then the regular insulin in the same
syringe.
C. Draw up and administer regular and glargine insulin in separate
syringes.
D. Administer the regular insulin, wait 1 hr, and then administer the
glargine insulin. -Ans > C. Administer each insulin as a separate
injection. These insulins are not compatible and should not be drawn
up in the same syringe.
A nurse is presenting information to a group of clients about nutrition
habits that prevent type 2 diabetes mellitus. Which of the following
should the nurse include in the information? (Select all that apply.)
A. Eat less meat and processed foods.
B. Decrease intake of saturated fats.
C. Increase daily fiber intake.
D. Limit saturated fat intake to 15% of daily caloric intake.
E. Include omega-3 fatty acids in the diet. -Ans > A. Limit meats and
processed foods, which can prevent diabetes and hyperlipidemia.
,B. Lower LDL by decreasing intake of saturated fats, which can
prevent diabetes and hyperlipidemia.
C. Increase dietary fiber to control weight gain and decrease the risk
of diabetes and hyperlipidemia.
E. Include omega-3 fatty acids for secondary prevention of diabetes
and heart disease.
A nurse is teaching foot care to a client who has diabetes mellitus.
Which of the following information should the nurse include in the
teaching? (Select all that apply.)
A. Remove calluses using over-the-counter remedies.
B. Apply lotion between toes.
C. Perform nail care after bathing.
D. Trim toenails straight across.
E. Wear closed-toe shoes. -Ans > C. Perform nail care after bathing,
when toenails are soft and easier to trim.
D. Trim toenails straight across to prevent injury to soft tissue of the
toes.
E. Wear closed-toe shoes to prevent injury to soft tissue of the toes
and feet.
An acute, life-threatening condition characterized by
hyperglycemia(greater than 300 mg/dL) resulting in the breakdown
of body fat for energy and an accumulation of
ketones in the blood and urine. -Ans > Diabetic Ketoacidosis
True or False?
, Diabetic Ketoacidosis has a slow onset and a high mortality rate. -Ans >
False!
The onset is rapid, and the mortality rate of DKA is less than 5%.
An acute, life-threatening condition characterized by
profound hyperglycemia (greater than 600 mg/dL), that leads to
dehydration, and an absence of ketosis. -Ans > Hyperglycemic-
hyperosmolar state (HHS)
True or False?
Hyperglycemic-hyperosmolar state (HHS) has a gradual onset over
several days, and if left untreated can lead to coma and death. -Ans >
True!
What are some risk factors associated with Diabetic Ketoacidosis?
Name three -Ans > - Lack of sufficient insulin related to undiagnosed or
untreated type 1 diabetes mellitus
- Nonadherence to a diabetic regimen
- Reduced or missed dose of insulin
- Any condition that increases carbohydrate metabolism, such as
physical or emotional stress, illness, infection (No. 1 cause of DKA),
surgery, or trauma that requires an increased need for insulin
- Increased hormone production (e.g., cortisol, glucagon,
epinephrine) stimulates the liver to produce glucose and decreases
the effect of insulin.
