Diabetes Mellitus NCLEX Style Questions
f9 f9 f9 f9
Thef9nursef9isf9reviewingf9laboratoryf9resultsf9forf9thef9clinicf9patientsf9tof9bef9
seenf9today.f9Whichf9patientf9meetsf9thef9diagnosticf9criteriaf9forf9diabetesf9m
ellitus?
a.f9Af948-year-oldf9womanf9withf9af9hemoglobinf9A1Cf9off98.4%f9
b.f9Af958-year-oldf9manf9withf9af9fastingf9bloodf9glucosef9off9111f9mg/dL
c.f9Af968-year-oldf9womanf9withf9af9randomf9plasmaf9glucosef9off9190f9mg/dL
d.f9Af978-year-oldf9manf9withf9af92-
hourf9glucosef9tolerancef9plasmaf9glucosef9off9184f9mg/dLf9-f9correctf9answer
✔ ✔ a.f9Af948-year-oldf9womanf9withf9af9hemoglobinf9A1Cf9off98.4%f9
Criteriaf9forf9af9diagnosisf9off9diabetesf9mellitusf9includef9af9hemoglobinf9A1
Cf9≥f96.5%,f9fastingf9plasmaf9glucosef9levelf9=126f9mg/dL,f92-
hourf9plasmaf9glucosef9levelf9=200f9mg/dLf9duringf9anf9oralf9glucosef9toleran
cef9test,f9orf9classicf9symptomsf9off9hyperglycemiaf9orf9hyperglycemicf9crisisf
9withf9af9randomf9plasmaf9glucosef9=200f9 mg/dL.
Thef9nursef9teachesf9af938-year-
oldf9manf9whof9wasf9recentlyf9diagnosedf9withf9typef91f9diabetesf9mellitusf9ab
outf9insulinf9administration.f9Whichf9statementf9byf9thef9patientf9requiresf9anf
9interventionf9byf9thef9nurse?
,a.f9"If9willf9discardf9anyf9insulinf9bottlef9thatf9isf9cloudyf9inf9appearance."f9
b.f9"Thef9bestf9injectionf9sitef9forf9insulinf9administrationf9isf9inf9myf9abdome
n."
c.f9"If9canf9washf9thef9sitef9withf9soapf9andf9waterf9beforef9insulinf9administrati
on."
d.f9"If9mayf9keepf9myf9insulinf9atf9roomf9temperaturef9(75of9F)f9forf9upf9tof9af9m
onth."f9-f9correctf9answer✔ ✔
a.f9"If9willf9discardf9anyf9insulinf9bottlef9thatf9isf9cloudyf9inf9appearance."f9
Intermediate-
actingf9insulinf9andf9combinationf9premixedf9insulinf9willf9bef9cloudyf9inf9app
earance.f9Routinef9hygienef9suchf9asf9washingf9withf9soapf9andf9rinsingf9withf
9waterf9isf9adequatef9forf9skinf9preparationf9forf9thef9patientf9duringf9self-
injections.f9Insulinf9vialsf9thatf9thef9patientf9isf9currentlyf9usingf9mayf9bef9leftf9
atf9roomf9temperaturef9forf9upf9tof94f9weeksf9unlessf9thef9roomf9temperaturef9is
f9higherf9thanf986°f9Ff9(30°f9C)f9orf9belowf9freezingf9(lessf9thanf932°f9Ff9[0°f9C])
.f9Rotatingf9sitesf9tof9differentf9anatomicf9sitesf9isf9nof9longerf9recommended.f
9Patientsf9shouldf9rotatef9thef9injectionf9withinf9onef9particularf9site,f9suchf9asf9
thef9abdomen.
Thef9nursef9instructsf9af922-year-
oldf9femalef9patientf9withf9diabetesf9mellitusf9aboutf9af9healthyf9eatingf9plan.f9
Whichf9statementf9madef9byf9thef9patientf9indicatesf9thatf9teachingf9wasf9succ
essful?
, a.f9"If9planf9tof9losef925f9poundsf9thisf9yearf9byf9followingf9af9high-
proteinf9diet."
b.f9"If9mayf9havef9af9hypoglycemicf9reactionf9iff9If9drinkf9alcoholf9onf9anf9empt
yf9stomach."
c.f9"If9shouldf9includef9moref9fiberf9inf9myf9dietf9thanf9af9personf9whof9doesf9no
tf9havef9diabetes."f9
d.f9"Iff9If9usef9anf9insulinf9pump,f9If9willf9notf9needf9tof9limitf9thef9amountf9off9sa
turatedf9fatf9inf9myf9diet."f9-f9correctf9answer✔ ✔
b.f9"If9mayf9havef9af9hypoglycemicf9reactionf9iff9If9drinkf9alcoholf9onf9anf9em
ptyf9stomach."
Thef9riskf9forf9alcohol-
inducedf9hypoglycemiaf9isf9reducedf9byf9eatingf9carbohydratesf9whenf9drinki
ngf9alcohol.f9Intensifiedf9insulinf9therapy,f9suchf9asf9thef9usef9off9anf9insulinf9p
ump,f9allowsf9considerablef9flexibilityf9inf9foodf9selectionf9andf9canf9bef9adju
stedf9forf9alterationsf9fromf9usualf9eatingf9andf9exercisef9habits.f9However,f9sa
turatedf9fatf9intakef9shouldf9stillf9bef9limitedf9tof9lessf9thanf97%f9off9totalf9dailyf
9calories.f9Dailyf9fiberf9intakef9off914f9g/1000f9kcalf9isf9recommended f9forf9the
f9generalf9populationf9andf9forf9patientsf9with f9diabetesf9 mellitus.f9High-
proteinf9dietsf9aref9notf9recommendedf9forf9weightf9loss.
Whichf9patientf9withf9typef91f9diabetesf9mellitusf9wouldf9bef9atf9thef9highestf9ri
skf9forf9developingf9hypoglycemicf9unawareness?
a.f9Af958-year-oldf9patientf9withf9diabeticf9retinopathy
f9 f9 f9 f9
Thef9nursef9isf9reviewingf9laboratoryf9resultsf9forf9thef9clinicf9patientsf9tof9bef9
seenf9today.f9Whichf9patientf9meetsf9thef9diagnosticf9criteriaf9forf9diabetesf9m
ellitus?
a.f9Af948-year-oldf9womanf9withf9af9hemoglobinf9A1Cf9off98.4%f9
b.f9Af958-year-oldf9manf9withf9af9fastingf9bloodf9glucosef9off9111f9mg/dL
c.f9Af968-year-oldf9womanf9withf9af9randomf9plasmaf9glucosef9off9190f9mg/dL
d.f9Af978-year-oldf9manf9withf9af92-
hourf9glucosef9tolerancef9plasmaf9glucosef9off9184f9mg/dLf9-f9correctf9answer
✔ ✔ a.f9Af948-year-oldf9womanf9withf9af9hemoglobinf9A1Cf9off98.4%f9
Criteriaf9forf9af9diagnosisf9off9diabetesf9mellitusf9includef9af9hemoglobinf9A1
Cf9≥f96.5%,f9fastingf9plasmaf9glucosef9levelf9=126f9mg/dL,f92-
hourf9plasmaf9glucosef9levelf9=200f9mg/dLf9duringf9anf9oralf9glucosef9toleran
cef9test,f9orf9classicf9symptomsf9off9hyperglycemiaf9orf9hyperglycemicf9crisisf
9withf9af9randomf9plasmaf9glucosef9=200f9 mg/dL.
Thef9nursef9teachesf9af938-year-
oldf9manf9whof9wasf9recentlyf9diagnosedf9withf9typef91f9diabetesf9mellitusf9ab
outf9insulinf9administration.f9Whichf9statementf9byf9thef9patientf9requiresf9anf
9interventionf9byf9thef9nurse?
,a.f9"If9willf9discardf9anyf9insulinf9bottlef9thatf9isf9cloudyf9inf9appearance."f9
b.f9"Thef9bestf9injectionf9sitef9forf9insulinf9administrationf9isf9inf9myf9abdome
n."
c.f9"If9canf9washf9thef9sitef9withf9soapf9andf9waterf9beforef9insulinf9administrati
on."
d.f9"If9mayf9keepf9myf9insulinf9atf9roomf9temperaturef9(75of9F)f9forf9upf9tof9af9m
onth."f9-f9correctf9answer✔ ✔
a.f9"If9willf9discardf9anyf9insulinf9bottlef9thatf9isf9cloudyf9inf9appearance."f9
Intermediate-
actingf9insulinf9andf9combinationf9premixedf9insulinf9willf9bef9cloudyf9inf9app
earance.f9Routinef9hygienef9suchf9asf9washingf9withf9soapf9andf9rinsingf9withf
9waterf9isf9adequatef9forf9skinf9preparationf9forf9thef9patientf9duringf9self-
injections.f9Insulinf9vialsf9thatf9thef9patientf9isf9currentlyf9usingf9mayf9bef9leftf9
atf9roomf9temperaturef9forf9upf9tof94f9weeksf9unlessf9thef9roomf9temperaturef9is
f9higherf9thanf986°f9Ff9(30°f9C)f9orf9belowf9freezingf9(lessf9thanf932°f9Ff9[0°f9C])
.f9Rotatingf9sitesf9tof9differentf9anatomicf9sitesf9isf9nof9longerf9recommended.f
9Patientsf9shouldf9rotatef9thef9injectionf9withinf9onef9particularf9site,f9suchf9asf9
thef9abdomen.
Thef9nursef9instructsf9af922-year-
oldf9femalef9patientf9withf9diabetesf9mellitusf9aboutf9af9healthyf9eatingf9plan.f9
Whichf9statementf9madef9byf9thef9patientf9indicatesf9thatf9teachingf9wasf9succ
essful?
, a.f9"If9planf9tof9losef925f9poundsf9thisf9yearf9byf9followingf9af9high-
proteinf9diet."
b.f9"If9mayf9havef9af9hypoglycemicf9reactionf9iff9If9drinkf9alcoholf9onf9anf9empt
yf9stomach."
c.f9"If9shouldf9includef9moref9fiberf9inf9myf9dietf9thanf9af9personf9whof9doesf9no
tf9havef9diabetes."f9
d.f9"Iff9If9usef9anf9insulinf9pump,f9If9willf9notf9needf9tof9limitf9thef9amountf9off9sa
turatedf9fatf9inf9myf9diet."f9-f9correctf9answer✔ ✔
b.f9"If9mayf9havef9af9hypoglycemicf9reactionf9iff9If9drinkf9alcoholf9onf9anf9em
ptyf9stomach."
Thef9riskf9forf9alcohol-
inducedf9hypoglycemiaf9isf9reducedf9byf9eatingf9carbohydratesf9whenf9drinki
ngf9alcohol.f9Intensifiedf9insulinf9therapy,f9suchf9asf9thef9usef9off9anf9insulinf9p
ump,f9allowsf9considerablef9flexibilityf9inf9foodf9selectionf9andf9canf9bef9adju
stedf9forf9alterationsf9fromf9usualf9eatingf9andf9exercisef9habits.f9However,f9sa
turatedf9fatf9intakef9shouldf9stillf9bef9limitedf9tof9lessf9thanf97%f9off9totalf9dailyf
9calories.f9Dailyf9fiberf9intakef9off914f9g/1000f9kcalf9isf9recommended f9forf9the
f9generalf9populationf9andf9forf9patientsf9with f9diabetesf9 mellitus.f9High-
proteinf9dietsf9aref9notf9recommendedf9forf9weightf9loss.
Whichf9patientf9withf9typef91f9diabetesf9mellitusf9wouldf9bef9atf9thef9highestf9ri
skf9forf9developingf9hypoglycemicf9unawareness?
a.f9Af958-year-oldf9patientf9withf9diabeticf9retinopathy