Nursing Care: Complex Glucose Alterations – High-Yield Exam Questions with Answers (DKA vs HHS, Hyperglycemic Emergencies, Fluid Resuscitation & Nursing Management)Latest Updated 2026

Nursing Care: Complex Glucose Alterations – High-Yield Exam Questions with Answers (DKA vs HHS, Hyperglycemic Emergencies, Fluid Resuscitation & Nursing Management)Latest Updated 2026 The nurse is caring for a client brought to the emergency department 30 minutes ago by paramedics after being found unresponsive on the sidewalk. There is no medical history or identification available. Based on the initial laboratory results, the nurse identifies that this client is experiencing which condition? diabetic ketoacidosis (DKA) A nurse is admitting a client with suspected hyperosmolar hyperglycemia syndrome (HHS). When reviewing the client's health history, which is a contributing factor to the development of HHS? Select all that apply. *recovering from influenza *age 77 years old *prescribed a daily calcium channel blocker *recent myocardial infarction (MI) The nurse is caring for two clients experiencing a hyperglycemic emergency. For the client with hyperglycemic hyperosmolar syndrome (HHS), which action should the nurse anticipate taking while it will not be required for the other client experiencing diabetic ketoacidosis (DKA)? aggressive fluid replacement to correct dehydration Select only one answer from each drop-down list. Claire 1. profound diuresis 2. non-compliance with treatment Cecily 1. diabetic ketoacidosis (DKA) 2. does not produce During a hyperglycemic emergency, Claire's and Cecily's laboratory results will differ. Match the expected values to the sister who is most likely to have that result. Select only one answer from each drop-down list. Claire 1. greater than 600 mg/dL 2. greater than 30 mg/dL 3. greater than 1.5 mg/dL 4. absent 5. absence of acidosis Cecily 1. 300-800 mg/dL 2. greater than 30 mg/dL 3. greater than 1.5 mg/dL 4. present 5. metabolic acidosis Which prescribed order should be facilitated within 30 minutes, 1 hour, or inquired with the provider? Each health care provider order is associated with only one answer. Within 30 minutes *intravenous (IV) 0.9% saline at 200 ml/hour *capillary blood glucose every 15 minutes for 2 hours *comprehensive metabolic panel (CMP) Within 1 hour *hourly serum blood glucose for 4 hours *strict intake and output *1800 calorie American Diabetes Association (ADA) diet as tolerated Question the order *regular insulin infusion at 10 units per hour *oxygen 2 L per nasal cannula Claire is resting comfortably in the intensive care unit (ICU) and asks the nurse when she may be transferred to a medical-surgical unit where her school-aged children can visit. After reviewing the most recent laboratory test results, what is the nurse's best reply? "Your potassium and glucose levels have both decreased this past hour, but the values are not where they need to be for you to leave the ICU." Claire is being discharged home after recovering from hyperglycemic hyperosmolar syndrome (HHS). Which statement by the patient requires patient re-education about this condition? "This condition happens suddenly without any warning signs." The triage nurse at a health care provider's office is speaking with Claire, who is not feeling well. What information from the Patient Information section of the EHR (the words or phrases highlighted below) should the nurse recognize as contributing to her current health condition? Select that all apply. *African American and Asian American descent *gestational diabetes *diagnosed with diabetes mellitus type 2 (DM2). *increased fluid intake *increased urinary output *eating "poorly" For each client finding below, click to specify if the finding is consistent with the disease process of diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar syndrome (HHS), and/or diabetes insipidus (DI). Note: Each finding may support more than one disease process. Each column will have