NCLEX STYLE EXAM QUESTIONS WITH
VERIFIED ANSWERS|| GUARANTEED PASS ||
ALREADY GRADED A+ || LATEST UPDATE
2025
After the home health nurse has taught a patient and family about how to use
glargine and regular insulin safely, which action by the patient indicates that the
teaching has been successful?
a. The patient disposes of the open insulin vials after 4 weeks.
b. The patient draws up the regular insulin in the syringe and then draws up the
glargine.
c. The patient stores extra vials of both types of insulin in the freezer until
needed.
d. The patient's family prefills the syringes weekly and stores them in the
refrigerator. - ANSWER-A
Rationale: Insulin can be stored at room temperature for 4 weeks. Glargine
should not be mixed with other insulins or prefilled and stored. Freezing alters
the insulin molecule and should not be done.
A type 1 diabetic patient who was admitted with severe hypoglycemia and
treated tells the nurse, "I did not have any of the usual symptoms of
hypoglycemia." Which question by the nurse will help identify a possible reason
for the patient's hypoglycemic unawareness?
a. "Do you use any calcium-channel blocking drugs for blood pressure?"
b. "Have you observed any recent skin changes?"
c. "Do you notice any bloating feeling after eating?"
,d. "Have you noticed any painful new ulcerations or sores on your feet?" -
ANSWER-C
Rationale: Hypoglycemic unawareness is caused by autonomic neuropathy,
which would also cause delayed gastric emptying.
Calcium-channel blockers are not associated with hypoglycemic unawareness,
although -adrenergic blockers can prevent patients from having symptoms of
hypoglycemia.
Skin changes can occur with diabetes, but these are not associated with
autonomic neuropathy. If the patient can feel painful areas on the feet,
neuropathy has not occurred.
A health care provider who has not been immunized for hepatitis B is exposed
to the hepatitis B virus (HBV) through a needle stick from an infected patient.
The infection control nurse informs the individual that treatment for the
exposure should include
a. baseline hepatitis B antibody testing now and in 2 months.
b. active immunization with hepatitis B vaccine.
c. hepatitis B immune globulin (HBIG) injection.
d. both the hepatitis B vaccine and HBIG injection. - ANSWER-D
Rationale: The recommended treatment for exposure to hepatitis B in
unvaccinated individuals is to receive both HBIG and the hepatitis B vaccine,
which would provide temporary passive immunity and promote active
immunity.
Antibody testing may also be done, but this would not provide protection from
the exposure.
,Which of the following persons would most likely be diagnosed with diabetes
mellitus? A 44-year-old:
a. Caucasian woman.
b. Asian woman.
c. African-American woman.
d. Hispanic male. - ANSWER-c. African-American woman.
Age-specific prevalence of diagnosed diabetes mellitus (DM) is higher for
African-Americans and Hispanics than for Caucasians. Among those younger
than 75, black women had the highest incidence.
Which of the following factors are risks for the development of diabetes
mellitus? (Select all that apply.)
a. Age over 45 years
b. Overweight with a waist/hip ratio >1
c. Having a consistent HDL level above 40 mg/dl
d. Maintaining a sedentary lifestyle - ANSWER-a. Age over 45 years
b. Overweight with a waist/hip ratio >1
d. Maintaining a sedentary lifestyle
Aging results in reduced ability of beta cells to respond with insulin effectively.
Overweight with waist/hip ratio increase is part of the metabolic syndrome of
DM II.
, There is an increase in atherosclerosis with DM due to the metabolic syndrome
and sedentary lifestyle.
Which laboratory test should a nurse anticipate a physician would order when
an older person is identified as high-risk for diabetes mellitus? (Select all that
apply.)
a. Fasting Plasma Glucose (FPG)
b. Two-hour Oral Glucose Tolerance Test (OGTT)
c. Glycosylated hemoglobin (HbA1C)
d. Finger stick glucose three times daily - ANSWER-a. Fasting Plasma Glucose
(FPG)
b. Two-hour Oral Glucose Tolerance Test (OGTT)
When an older person is identified as high-risk for diabetes, appropriate testing
would include FPG and OGTT. A FPG greater than 140 mg/dL usually
indicates diabetes. The OGTT is to determine how the body responds to the
ingestion of carbohydrates in a meal. HbA1C evaluates long-term glucose
control. A finger stick glucose three times daily spot-checks blood glucose
levels.
Of which of the following symptoms might an older woman with diabetes
mellitus complain?
a. Anorexia
b. Pain intolerance
c. Weight loss
d. Perineal itching - ANSWER-d. Perineal itching
VERIFIED ANSWERS|| GUARANTEED PASS ||
ALREADY GRADED A+ || LATEST UPDATE
2025
After the home health nurse has taught a patient and family about how to use
glargine and regular insulin safely, which action by the patient indicates that the
teaching has been successful?
a. The patient disposes of the open insulin vials after 4 weeks.
b. The patient draws up the regular insulin in the syringe and then draws up the
glargine.
c. The patient stores extra vials of both types of insulin in the freezer until
needed.
d. The patient's family prefills the syringes weekly and stores them in the
refrigerator. - ANSWER-A
Rationale: Insulin can be stored at room temperature for 4 weeks. Glargine
should not be mixed with other insulins or prefilled and stored. Freezing alters
the insulin molecule and should not be done.
A type 1 diabetic patient who was admitted with severe hypoglycemia and
treated tells the nurse, "I did not have any of the usual symptoms of
hypoglycemia." Which question by the nurse will help identify a possible reason
for the patient's hypoglycemic unawareness?
a. "Do you use any calcium-channel blocking drugs for blood pressure?"
b. "Have you observed any recent skin changes?"
c. "Do you notice any bloating feeling after eating?"
,d. "Have you noticed any painful new ulcerations or sores on your feet?" -
ANSWER-C
Rationale: Hypoglycemic unawareness is caused by autonomic neuropathy,
which would also cause delayed gastric emptying.
Calcium-channel blockers are not associated with hypoglycemic unawareness,
although -adrenergic blockers can prevent patients from having symptoms of
hypoglycemia.
Skin changes can occur with diabetes, but these are not associated with
autonomic neuropathy. If the patient can feel painful areas on the feet,
neuropathy has not occurred.
A health care provider who has not been immunized for hepatitis B is exposed
to the hepatitis B virus (HBV) through a needle stick from an infected patient.
The infection control nurse informs the individual that treatment for the
exposure should include
a. baseline hepatitis B antibody testing now and in 2 months.
b. active immunization with hepatitis B vaccine.
c. hepatitis B immune globulin (HBIG) injection.
d. both the hepatitis B vaccine and HBIG injection. - ANSWER-D
Rationale: The recommended treatment for exposure to hepatitis B in
unvaccinated individuals is to receive both HBIG and the hepatitis B vaccine,
which would provide temporary passive immunity and promote active
immunity.
Antibody testing may also be done, but this would not provide protection from
the exposure.
,Which of the following persons would most likely be diagnosed with diabetes
mellitus? A 44-year-old:
a. Caucasian woman.
b. Asian woman.
c. African-American woman.
d. Hispanic male. - ANSWER-c. African-American woman.
Age-specific prevalence of diagnosed diabetes mellitus (DM) is higher for
African-Americans and Hispanics than for Caucasians. Among those younger
than 75, black women had the highest incidence.
Which of the following factors are risks for the development of diabetes
mellitus? (Select all that apply.)
a. Age over 45 years
b. Overweight with a waist/hip ratio >1
c. Having a consistent HDL level above 40 mg/dl
d. Maintaining a sedentary lifestyle - ANSWER-a. Age over 45 years
b. Overweight with a waist/hip ratio >1
d. Maintaining a sedentary lifestyle
Aging results in reduced ability of beta cells to respond with insulin effectively.
Overweight with waist/hip ratio increase is part of the metabolic syndrome of
DM II.
, There is an increase in atherosclerosis with DM due to the metabolic syndrome
and sedentary lifestyle.
Which laboratory test should a nurse anticipate a physician would order when
an older person is identified as high-risk for diabetes mellitus? (Select all that
apply.)
a. Fasting Plasma Glucose (FPG)
b. Two-hour Oral Glucose Tolerance Test (OGTT)
c. Glycosylated hemoglobin (HbA1C)
d. Finger stick glucose three times daily - ANSWER-a. Fasting Plasma Glucose
(FPG)
b. Two-hour Oral Glucose Tolerance Test (OGTT)
When an older person is identified as high-risk for diabetes, appropriate testing
would include FPG and OGTT. A FPG greater than 140 mg/dL usually
indicates diabetes. The OGTT is to determine how the body responds to the
ingestion of carbohydrates in a meal. HbA1C evaluates long-term glucose
control. A finger stick glucose three times daily spot-checks blood glucose
levels.
Of which of the following symptoms might an older woman with diabetes
mellitus complain?
a. Anorexia
b. Pain intolerance
c. Weight loss
d. Perineal itching - ANSWER-d. Perineal itching
