EXAM QUESTIONS WITH DETAILED
ANSWERS 2026
a nurse is caring for a client who has BG 52 mg/dL. the client is lethargic but arousable.
which of the following actions should the nurse perform first?
a. recheck BG in 15 minutes
b. provide a carb & protein food
c. provide 15 g of simple carbohydrates
d. report findings to the provider - ANSWERSc
a nurse is preparing to administer a morning dose of insulin aspart to a client who has
type 1 DM. which of the following actions should the nurse take?
a. check BG immediately after breakfast
b. administer insulin when breakfast arrives
c. hold breakfast for 1 hour after insulin administration
d. clarify the prescription because insulin should not be administered at this time -
ANSWERSb
a nurse is preparing to administer morning doses of insulin glargine and regular insulin
to a client who has a BG of 278 mg/dL. which of the actions should the nurse take?
a. draw up the regular insulin & then the glargine insulin in the same syringe
b. draw up the glargine insulin then the regular insulin in the same syringe
c. draw up & administer regular & glargine in separate syringes
d. administer the regular insulin, wait 1 hour, then administer glargine - ANSWERSc
a nurse is presenting info to a group of clients about nutrition habits that prevent type 2
DM. which of the following should the nurse include in the info? SATA
a. eat at regular intervals
b. decrease intake of saturated fats
c. increase daily fiber intake
d. limit saturated fat intake to 15% of daily caloric intake
e. include omega-3 fatty acids in the diet - ANSWERSa, b, c, e
a nurse is teaching foot care to a client who has DM. which of the following info should
the nurse include in the teaching? SATA
a. remove calluses using over the counter remedies
b. apply lotion between toes
c. test water temp with fingers before bathing
d. trim toenails straight across
e. wear closed-toe shoes - ANSWERSd, e
, a nurse is reviewing the health history of a client who has type 2 DM. which of the
following are risk factors for HHS? SATA
a. evidence of recent myocardial infarction
b. BUN 35 mg/dL
c. takes a calcium channel blocker
d. age 77
e. daily insulin injections - ANSWERSa, b, c, d
a nurse is assessing a client who has DKA & ketones in the urine. the nurse should
expect which of the following findings? SATA
a. weight gain
b. fruity odor of breath
c. abdominal pain
d. kussmaul respirations
e. metabolic acidosis - ANSWERSb, c, d, e
a nurse is reviewing lab reports of a client who has HHS. which of the following findings
should the nurse expect?
a. blood pH 7.2
b. blood osmolarity 350 mOsm/L
c. blood potassium 3.8 mg/dL
d. blood creatinine 0.8 mg/dL - ANSWERSb
a nurse is reviewing the medical record for a client who is to begin therapy for DKA.
which of the following prescriptions should the nurse expect?
a. administer an IV infusion of the regular insulin at 0.3 unit/kg/hr
b. administer a slow IV infusion of 3% sodium chloride
c. rapidly administer an IV infusion of 0.9% sodium chloride
d. add glucose to the IV infusion when BG is 350 mg/dL - ANSWERSc
a nurse is providing discharge teaching to a DKA patient. which of the following info
should the nurse include about preventing DKA? SATA
a. drink 2 L fluids daily
b. monitor BG every 4 hours when ill
c. administer insulin as prescribed when ill
d. notify the provider when BG is 200 mg/dL
e. report ketones in the urine after 24 hours of illness - ANSWERSa, b, c, e
a nurse is planning care for a client who has chronic pyelonephritis. which of the
following actions should the nurse plan to take? SATA
a. monitor urinary output
b. palpate the CVA
c. encourage daily fluid intake of 1 L
d. administer antibiotics - ANSWERSa, b, d