NUR 112 CLINICAL DILEMMA ACTIVITY
MARGOT DAVIS STUDY GUIDE 2026
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
⩥ The client diagnosed with type 1 diabetes has a glycosylated
hemoglobin (A1c) of 8.1%. Which interpretation should the nurse make
based on this result?
1. This result is below normal levels.
2. This result is within acceptable levels.
3. This result is above recommended levels.
4. This result is dangerously high. Answer: 3
⩥ The nurse administered 28 units of Humulin N, an intermediate-acting
insulin, to a client diagnosed with type 1 diabetes at 1600. Which
intervention should the nurse implement?
1. Ensure the client eats the bedtime snack.
2. Determine how much food the client ate at lunch.
3. Perform a glucometer reading at 0700.
4. Offer the client protein after administering insulin. Answer: 1
⩥ The nurse is discussing the importance of exercising with a client
diagnosed with type 2 diabetes whose diabetes is well controlled with
,diet and exercise. Which information should the nurse include in the
teaching about diabetes?
1. Eat a simple carbohydrate snack before exercising.
2. Carry peanut butter crackers when exercising.
3. Encourage the client to walk 20 minutes three (3) times a week.
4. Perform warmup and cool-down exercises. Answer: 4
⩥ The nurse is assessing the feet of a client with long-term type 2
diabetes. Which assessment data warrant immediate intervention by the
nurse?
1. The client has crumbling toenails.
2. The client has athlete's foot.
3. The client has a necrotic big toe.
4. The client has thickened toenails. Answer: 3
⩥ The home health nurse is completing the admission assessment for a
76-year-old client diagnosed with type 2 diabetes controlled with 70/30
insulin. Which intervention should be included in the plan of care?
1. Assess the client's ability to read small print.
2. Monitor the client's serum PT level.
3. Teach the client how to perform a hemoglobin A1c test daily.
4. Instruct the client to check the feet weekly. Answer: 1
,⩥ The client with type 2 diabetes controlled with biguanide oral diabetic
medication is scheduled for a computed tomography (CT) scan with
contrast of the abdomen to evaluate pancreatic function. Which
intervention should the nurse implement?
1. Provide a high-fat diet 24 hours prior to test.
2. Hold the biguanide medication for 48 hours prior to test.
3. Obtain an informed consent form for the test.
4. Administer pancreatic enzymes prior to the test. Answer: 2
⩥ The diabetic educator is teaching a class on diabetes type 1 and is
discussing sick-day rules. Which interventions should the diabetes
educator include in the discussion? Select all that apply.
1. Take diabetic medication even if unable to eat the client's normal
diabetic diet.
2. If unable to eat, drink liquids equal to the client's normal caloric
intake.
3. It is not necessary to notify the health-care provider if ketones are in
the urine.
4. Test blood glucose levels and test urine ketones once a day and keep a
record.
5. Call the health-care provider if glucose levels are higher than 180
mg/dL. Answer: 1, 2, 5
⩥ The client received 10 units of Humulin R, a fast-acting insulin, at
0700. At 1030 the unlicensed assistive personnel (UAP) tells the nurse
, the client has a headache and is really acting "funny." Which
intervention should the nurse implement first?
1. Instruct the UAP to obtain the blood glucose level.
2. Have the client drink eight (8) ounces of orange juice.
3. Go to the client's room and assess the client for hypoglycemia.
4. Prepare to administer one (1) ampule 50% dextrose intravenously.
Answer: 3
⩥ The nurse at a freestanding health care clinic is caring for a 56-year-
old male client who is homeless and is a type 2 diabetic controlled with
insulin. Which action is an example of client advocacy?
1. Ask the client if he has somewhere he can go and live.
2. Arrange for someone to give him insulin at a local homeless shelter.
3. Notify Adult Protective Services about the client's situation.
4. Ask the HCP to take the client off insulin because he is homeless.
Answer: 2
⩥ The nurse is developing a care plan for the client diagnosed with type
1 diabetes. The nurse identifies the problem "high risk for
hyperglycemia related to noncompliance with the medication regimen."
Which statement is an appropriate short-term goal for the client?
1. The client will have a blood glucose level between 90 and 140 mg/dL.
2. The client will demonstrate appropriate insulin injection technique.
MARGOT DAVIS STUDY GUIDE 2026
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
⩥ The client diagnosed with type 1 diabetes has a glycosylated
hemoglobin (A1c) of 8.1%. Which interpretation should the nurse make
based on this result?
1. This result is below normal levels.
2. This result is within acceptable levels.
3. This result is above recommended levels.
4. This result is dangerously high. Answer: 3
⩥ The nurse administered 28 units of Humulin N, an intermediate-acting
insulin, to a client diagnosed with type 1 diabetes at 1600. Which
intervention should the nurse implement?
1. Ensure the client eats the bedtime snack.
2. Determine how much food the client ate at lunch.
3. Perform a glucometer reading at 0700.
4. Offer the client protein after administering insulin. Answer: 1
⩥ The nurse is discussing the importance of exercising with a client
diagnosed with type 2 diabetes whose diabetes is well controlled with
,diet and exercise. Which information should the nurse include in the
teaching about diabetes?
1. Eat a simple carbohydrate snack before exercising.
2. Carry peanut butter crackers when exercising.
3. Encourage the client to walk 20 minutes three (3) times a week.
4. Perform warmup and cool-down exercises. Answer: 4
⩥ The nurse is assessing the feet of a client with long-term type 2
diabetes. Which assessment data warrant immediate intervention by the
nurse?
1. The client has crumbling toenails.
2. The client has athlete's foot.
3. The client has a necrotic big toe.
4. The client has thickened toenails. Answer: 3
⩥ The home health nurse is completing the admission assessment for a
76-year-old client diagnosed with type 2 diabetes controlled with 70/30
insulin. Which intervention should be included in the plan of care?
1. Assess the client's ability to read small print.
2. Monitor the client's serum PT level.
3. Teach the client how to perform a hemoglobin A1c test daily.
4. Instruct the client to check the feet weekly. Answer: 1
,⩥ The client with type 2 diabetes controlled with biguanide oral diabetic
medication is scheduled for a computed tomography (CT) scan with
contrast of the abdomen to evaluate pancreatic function. Which
intervention should the nurse implement?
1. Provide a high-fat diet 24 hours prior to test.
2. Hold the biguanide medication for 48 hours prior to test.
3. Obtain an informed consent form for the test.
4. Administer pancreatic enzymes prior to the test. Answer: 2
⩥ The diabetic educator is teaching a class on diabetes type 1 and is
discussing sick-day rules. Which interventions should the diabetes
educator include in the discussion? Select all that apply.
1. Take diabetic medication even if unable to eat the client's normal
diabetic diet.
2. If unable to eat, drink liquids equal to the client's normal caloric
intake.
3. It is not necessary to notify the health-care provider if ketones are in
the urine.
4. Test blood glucose levels and test urine ketones once a day and keep a
record.
5. Call the health-care provider if glucose levels are higher than 180
mg/dL. Answer: 1, 2, 5
⩥ The client received 10 units of Humulin R, a fast-acting insulin, at
0700. At 1030 the unlicensed assistive personnel (UAP) tells the nurse
, the client has a headache and is really acting "funny." Which
intervention should the nurse implement first?
1. Instruct the UAP to obtain the blood glucose level.
2. Have the client drink eight (8) ounces of orange juice.
3. Go to the client's room and assess the client for hypoglycemia.
4. Prepare to administer one (1) ampule 50% dextrose intravenously.
Answer: 3
⩥ The nurse at a freestanding health care clinic is caring for a 56-year-
old male client who is homeless and is a type 2 diabetic controlled with
insulin. Which action is an example of client advocacy?
1. Ask the client if he has somewhere he can go and live.
2. Arrange for someone to give him insulin at a local homeless shelter.
3. Notify Adult Protective Services about the client's situation.
4. Ask the HCP to take the client off insulin because he is homeless.
Answer: 2
⩥ The nurse is developing a care plan for the client diagnosed with type
1 diabetes. The nurse identifies the problem "high risk for
hyperglycemia related to noncompliance with the medication regimen."
Which statement is an appropriate short-term goal for the client?
1. The client will have a blood glucose level between 90 and 140 mg/dL.
2. The client will demonstrate appropriate insulin injection technique.
