Sherpath Questions with CORRECT Answers (Verified Update)
Q1: Which statement describes the relationship between insulin and potassium?
A. Insulin pushes potassium into the cells.
B. Insulin pulls potassium into the serum.
C. Potassium inactivates insulin.
D. Potassium interchanges with insulin.
Answer: A. Insulin pushes potassium into the cells.
Q2: Which parameter is definitive of diabetic ketoacidosis (DKA)?
A. Absent ketone bodies
B. Serum pH of 7.35
C. Serum bicarbonate in excess of 25 mEq/L
D. Blood glucose level of 275
Answer: D. Blood glucose level of 275
Q3: Which condition is the most common reason for a patient with type 1 diabetes to develop
diabetic ketoacidosis (DKA)?
A. Surgery
B. Infection
C. Starvation
D. Alcoholism
Answer: B. Infection
Q4: Which serum pH level indicates a mild state of diabetic ketoacidosis (DKA)?
A. 25
B. 40
C. 45
D. 90
Answer: A. 25
Q5: Which sign or symptom is an early indicator of diabetic ketoacidosis (DKA)? Select all that
apply. One, some, or all responses may be correct.
A. Polyuria
B. Polyphagia
C. Polydipsia
D. Skin tenting
E. Decreased LOC
Answer: A. Polyuria
B. Polyphagia
C. Polydipsia
, Q6: Which intervention should take place first in the care of a patient with diabetic ketoacidosis
(DKA)?
A. Insulin administration
B. Fluid replacement
C. Sodium replacement
D. Potassium chelation
Answer: B. Fluid replacement
Q7: Which range of blood glucose level must the nurse maintain until serum ketones have
cleared?
A. 140 to 200
B. 140 to 180
C. 100 to 140
D. 70 to 100
Answer: A. 140 to 200
Q8: Which assessment finding would indicate that fluid replacement has added too much volume
for the patient in diabetic ketoacidosis?
A. Pulmonary wheezing
B. Pulmonary rhonchi
C. Pulmonary crackles
D. Pleural rub
Answer: C. Pulmonary crackles
Q9: Which statement indicates that additional teaching provided to a patient recovering from
diabetic ketoacidosis (DKA) is required from the nurse? Select all that apply. One, some, or all
responses may be correct.
A. "I will take my usual dose of insulin if I am sick at home."
B. "I will skip my insulin injection if I become nauseated and cannot eat."
C. "I will call my health care provider if I begin voiding large amounts of urine."
D. "I will give myself an insulin shot if my blood sugar is above 140 mg/dL."
E. "I will monitor my blood sugar levels closely, which may mean four times a day at home."
Answer: B. "I will skip my insulin injection if I become nauseated and cannot eat."
Q1: Which statement describes the relationship between insulin and potassium?
A. Insulin pushes potassium into the cells.
B. Insulin pulls potassium into the serum.
C. Potassium inactivates insulin.
D. Potassium interchanges with insulin.
Answer: A. Insulin pushes potassium into the cells.
Q2: Which parameter is definitive of diabetic ketoacidosis (DKA)?
A. Absent ketone bodies
B. Serum pH of 7.35
C. Serum bicarbonate in excess of 25 mEq/L
D. Blood glucose level of 275
Answer: D. Blood glucose level of 275
Q3: Which condition is the most common reason for a patient with type 1 diabetes to develop
diabetic ketoacidosis (DKA)?
A. Surgery
B. Infection
C. Starvation
D. Alcoholism
Answer: B. Infection
Q4: Which serum pH level indicates a mild state of diabetic ketoacidosis (DKA)?
A. 25
B. 40
C. 45
D. 90
Answer: A. 25
Q5: Which sign or symptom is an early indicator of diabetic ketoacidosis (DKA)? Select all that
apply. One, some, or all responses may be correct.
A. Polyuria
B. Polyphagia
C. Polydipsia
D. Skin tenting
E. Decreased LOC
Answer: A. Polyuria
B. Polyphagia
C. Polydipsia
, Q6: Which intervention should take place first in the care of a patient with diabetic ketoacidosis
(DKA)?
A. Insulin administration
B. Fluid replacement
C. Sodium replacement
D. Potassium chelation
Answer: B. Fluid replacement
Q7: Which range of blood glucose level must the nurse maintain until serum ketones have
cleared?
A. 140 to 200
B. 140 to 180
C. 100 to 140
D. 70 to 100
Answer: A. 140 to 200
Q8: Which assessment finding would indicate that fluid replacement has added too much volume
for the patient in diabetic ketoacidosis?
A. Pulmonary wheezing
B. Pulmonary rhonchi
C. Pulmonary crackles
D. Pleural rub
Answer: C. Pulmonary crackles
Q9: Which statement indicates that additional teaching provided to a patient recovering from
diabetic ketoacidosis (DKA) is required from the nurse? Select all that apply. One, some, or all
responses may be correct.
A. "I will take my usual dose of insulin if I am sick at home."
B. "I will skip my insulin injection if I become nauseated and cannot eat."
C. "I will call my health care provider if I begin voiding large amounts of urine."
D. "I will give myself an insulin shot if my blood sugar is above 140 mg/dL."
E. "I will monitor my blood sugar levels closely, which may mean four times a day at home."
Answer: B. "I will skip my insulin injection if I become nauseated and cannot eat."
