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RN Nursing Care of Children with Type 1 Diabetes Mellitus – Comprehensive Pediatric Exam Questions with Rationales Graded A+ Latest Updated 2026

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RN Nursing Care of Children with Type 1 Diabetes Mellitus – Comprehensive Pediatric Exam Questions with Answers (Assessment, Insulin Therapy, Blood Glucose Monitoring & Family Education) Nurse Tammy is assessing Derek for other manifestations of diabetes mellitus. For which of the following manifestations should Nurse Tammy assess? (select all that apply) Blurred vision, Increased thirst, excessive hunger, slow wound healing Nurse Tammy is preparing to review the results of Derek's urine dipstick. Which of the following results should Nurse Tammy expect as an indication of DM? Positive ketones Nurse Tammy is preparing to preform a fingerstick to check Derek's blood glucose level. Identify the order in which Nurse Tammy should perform the following steps. (reorder the steps by dragoon them into the desired sequence.) 1.Turn on glucometer 2.Cleanse the puncture site 3.Puncture the skin w/lancet ly squeeze the site drop of blood to test strip gentle pressure to the puncture site w/ gauze Nurse Chris is determining the insulin to administer to Derek. Prescribed is insulin 0.4units/kg/day subq in four divided doses. Derek weighs 88 lb. Which of the following dosages should nurse Chris plan to administer 4 Nurse Chris is teaching Deborah and Derek about the hemoglobin A1c. Which of the following statements by Deborah indicates an understanding of the teaching? is A1C is 7, it means his BS are well controlled Nurse Chris is selecting a snack for Derek. Which of the following snacks should Nurse Chris choose? Six whole grain crackers w/ 2oz mild cheddar cheese Nurse Chris is teaching Deborah about a fasting blood glucose test. Which of the following statements indicates Deborah's understanding of the teaching Fasting glucose should be between 70 - 110mg/dl Nurse Chris is responding to Deborah's report that Derek is tearful, irritable, and not acting like himself. Nurse Chris observes that Derek is diaphoretic. Which of the following actions should Nurse Chris take? Give 4oz OJ Chris is teaching Deb and Derek about insulin onset and peak times. Regular insulin start working within 30 minutes after injection Chris is teaching Derek and Deb about injection site rotation and insulin injection techniques. Which of the following statements by Derek indicates an understanding of the teaching? I should inject the insulin straight in at a 90* angle Nurse Chris is teaching Deb and Derek about insulin pens Derek should store the pen at room temp once its been opened Nurse teaching Derek and Deb about insulin pumps. I would need to change the insulin pump needle about every 2 days Chris is teaching Derek and Deborah about DM during illness. Derek should check his blood level every 3 hours when he's sick Teaching about exercise and DM. I should eat a complex carb snack before i exercise addressing derek concerns about his peers making fun of him Sometime a person who has diabetes feels embarrassed when they hate to check their sugar in from

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RN Nursing Care of Children with Type 1 Diabetes
Mellitus – Comprehensive Pediatric Exam Questions
with Answers (Assessment, Insulin Therapy, Blood
Glucose Monitoring & Family Education)
Nurse Tammy is assessing Derek for other manifestations of diabetes mellitus. For which of the
following manifestations should Nurse Tammy assess? (select all that apply)

Blurred vision, Increased thirst, excessive hunger, slow wound healing

Nurse Tammy is preparing to review the results of Derek's urine dipstick. Which of the following
results should Nurse Tammy expect as an indication of DM?

Positive ketones

Nurse Tammy is preparing to preform a fingerstick to check Derek's blood glucose level. Identify
the order in which Nurse Tammy should perform the following steps. (reorder the steps by
dragoon them into the desired sequence.)

1.Turn on glucometer
2.Cleanse the puncture site
3.Puncture the skin w/lancet
4.lightly squeeze the site
5.apply drop of blood to test strip
6.apply gentle pressure to the puncture site w/ gauze

Nurse Chris is determining the insulin to administer to Derek. Prescribed is insulin
0.4units/kg/day subq in four divided doses. Derek weighs 88 lb. Which of the following dosages
should nurse Chris plan to administer

4

Nurse Chris is teaching Deborah and Derek about the hemoglobin A1c. Which of the following
statements by Deborah indicates an understanding of the teaching?

is A1C is 7, it means his BS are well controlled

Nurse Chris is selecting a snack for Derek. Which of the following snacks should Nurse Chris
choose?

Six whole grain crackers w/ 2oz mild cheddar cheese

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