ATI Real Life RN Nursing Care of Children 4.0: Type 1 Diabetes Mellitus Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

ATI Real Life RN Nursing Care of Children 4.0: Type 1 Diabetes Mellitus Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the priority nursing action for a child with type 1 diabetes showing signs of hypoglycemia? Give 15 grams of a fast-acting carbohydrate What is a common sign of hypoglycemia in a school-aged child? Irritability What is the purpose of checking ketones in the urine of a child with type 1 diabetes? To detect risk for diabetic ketoacidosis What insulin type is used to cover meals in children with type 1 diabetes? Rapid-acting insulin How often should blood glucose be checked in a child with type 1 diabetes who is ill? 1 Every 3 to 4 hours What should a parent do if their child’s blood glucose is 60 mg/dL before gym class? Give a carbohydrate snack before activity What is the best injection site for insulin in a toddler? Anterior thigh Why should insulin injection sites be rotated? To prevent lipodystrophy What is the expected onset time of rapid-acting insulin like lispro? 15 minutes What is an early sign of hyperglycemia in a child? Increased thirst What should a nurse teach about managing diabetes during a fever? 2 Continue insulin and monitor glucose closely What is the best beverage to give a child who is hypoglycemic and alert? Orange juice Why should a child with type 1 diabetes carry a source of glucose at all times? To treat unexpected hypoglycemia What is an appropriate HbA1c target for a school-aged child with type 1 diabetes? Less than 7.5% What education should the nurse give about physical activity and insulin needs? Activity may lower blood glucose, so adjust insulin or eat a snack What symptom is most concerning in a child with type 1 diabetes and a fruity breath odor? Possible diabetic ketoacidosis What is the correct response to a blood glucose reading of 42 mg/dL in a conscious child? 3 Give 15 grams of simple carbohydrates and recheck in 15 minutes What should a school nurse do if a student with diabetes becomes confused during lunch? Check blood glucose level immediately What is the long-term complication of poorly managed type 1 diabetes? Kidney damage What should parents do if their child is vomiting but not eating? Continue insulin and check blood glucose and ketones What symptom should prompt urgent evaluation in a child with type 1 diabetes? Rapid breathing and abdominal pain Why is it important to give insulin before meals rather than after in children? To prevent post-meal hyperglycemia What type of insulin provides 24-hour basal coverage? 4 Long-acting insulin When is it safe for a child to self-administer insulin injections? When they demonstrate correct technique and understanding How can parents support a young child with diabetes at school? Provide snacks, glucose tab