1|Page
NCLEX NGN EXAM LATEST ACTUAL EXAM
2024-2025 WITH UPDATED QUESTIONS AND
DETAILED CORRECT ANSWERS INCLUDING
RATIONALES (GRADED A+)
A nurse is educating a newly diagnosed diabetic client about what
to do when they are sick. Which of the following statements by the
client demonstrates that further education is necessary?
"I'll make sure to keep taking my Metformin, even though I'm sick."
"I'll double my insulin dosages while sick."
"I'll make sure to test my urine for ketones."
E. "I'll try to drink a glass of water every hour if possible." -
ANSWER-B.
Rationale: When sick, a client with diabetes may experience
higher blood sugars, but insulin dosages should continue to
be based on the actual blood sugar level and food intake.
Clients should not simply double their insulin levels, this
,2|Page
would not be appropriate.
A nurse assesses a client with diabetes mellitus and notes the
client only responds to a sternal rub by moaning, has capillary
blood glucose of 33 g/dL, and has an intravenous line that is
infiltrated with 0.45% normal saline. Which action should the nurse
take first?
Administer 1 mg of intramuscular glucagon.
Encourage the client to drink orange juice.
Insert a new intravenous access line.
Administer 25 mL dextrose 50% (D50) IV push. - ANSWER-A.
Rationale: The clients blood glucose level is dangerously low.
The nurse needs to administer glucagon IM immediately to
increase the clients blood glucose level. The nurse should
insert a new IV after administering the glucagon and can use
the new IV
,3|Page
site for future doses of D50 if the clients blood glucose level
does not rise. Once the client is awake, orange juice may be
administered orally along with a form of protein such as a
peanut butter.
The nurse providing education to a client who is newly diagnosed
with diabetes mellitus. Which of the following should the nurse
emphasize? Select all that apply.
Use a heating pad to keep feet warm
Cut toenails with rounded corners
Wear proper fitting shoes
Don't walk barefoot
Inspect feet daily - ANSWER-C. , D., E.
Rationale: There is a risk of injury when walking barefoot, so
the client should be taught to always wear shoes. Diabetes
Mellitus can cause poor circulation and decreased feeling in
the feet. Foot care is important to prevent sores and ulcers, as
these wounds heal slowly and poorly in the client with
, 4|Page
uncontrolled glucose levels.Wearing properly fitting shoes
helps reduce the risk of injuries and blisters to the feet.
A newly diagnosed patient with type 2 diabetes has been
prescribed metformin as an oral hypoglycemic agent. Which best
describes how the nurse would explain this medication?
"This is a type of oral insulin taken once a week"
"You can also use this medicine if you develop complications such
as diabetic ketoacidosis"
"You will need to take this when your blood glucose levels get low"
"This medication is used for type 2 diabetes but not for type 1" -
ANSWER-D.
Rationale: "This medication is used for type 2 diabetes but not
for type 1" is correct. Metformin is an oral hypoglycemic agent
that is used in the management of type 2 diabetes. Metformin
is used to control blood glucose levels by increasing the
liver's sensitivity to glucose levels in the blood. The patient
NCLEX NGN EXAM LATEST ACTUAL EXAM
2024-2025 WITH UPDATED QUESTIONS AND
DETAILED CORRECT ANSWERS INCLUDING
RATIONALES (GRADED A+)
A nurse is educating a newly diagnosed diabetic client about what
to do when they are sick. Which of the following statements by the
client demonstrates that further education is necessary?
"I'll make sure to keep taking my Metformin, even though I'm sick."
"I'll double my insulin dosages while sick."
"I'll make sure to test my urine for ketones."
E. "I'll try to drink a glass of water every hour if possible." -
ANSWER-B.
Rationale: When sick, a client with diabetes may experience
higher blood sugars, but insulin dosages should continue to
be based on the actual blood sugar level and food intake.
Clients should not simply double their insulin levels, this
,2|Page
would not be appropriate.
A nurse assesses a client with diabetes mellitus and notes the
client only responds to a sternal rub by moaning, has capillary
blood glucose of 33 g/dL, and has an intravenous line that is
infiltrated with 0.45% normal saline. Which action should the nurse
take first?
Administer 1 mg of intramuscular glucagon.
Encourage the client to drink orange juice.
Insert a new intravenous access line.
Administer 25 mL dextrose 50% (D50) IV push. - ANSWER-A.
Rationale: The clients blood glucose level is dangerously low.
The nurse needs to administer glucagon IM immediately to
increase the clients blood glucose level. The nurse should
insert a new IV after administering the glucagon and can use
the new IV
,3|Page
site for future doses of D50 if the clients blood glucose level
does not rise. Once the client is awake, orange juice may be
administered orally along with a form of protein such as a
peanut butter.
The nurse providing education to a client who is newly diagnosed
with diabetes mellitus. Which of the following should the nurse
emphasize? Select all that apply.
Use a heating pad to keep feet warm
Cut toenails with rounded corners
Wear proper fitting shoes
Don't walk barefoot
Inspect feet daily - ANSWER-C. , D., E.
Rationale: There is a risk of injury when walking barefoot, so
the client should be taught to always wear shoes. Diabetes
Mellitus can cause poor circulation and decreased feeling in
the feet. Foot care is important to prevent sores and ulcers, as
these wounds heal slowly and poorly in the client with
, 4|Page
uncontrolled glucose levels.Wearing properly fitting shoes
helps reduce the risk of injuries and blisters to the feet.
A newly diagnosed patient with type 2 diabetes has been
prescribed metformin as an oral hypoglycemic agent. Which best
describes how the nurse would explain this medication?
"This is a type of oral insulin taken once a week"
"You can also use this medicine if you develop complications such
as diabetic ketoacidosis"
"You will need to take this when your blood glucose levels get low"
"This medication is used for type 2 diabetes but not for type 1" -
ANSWER-D.
Rationale: "This medication is used for type 2 diabetes but not
for type 1" is correct. Metformin is an oral hypoglycemic agent
that is used in the management of type 2 diabetes. Metformin
is used to control blood glucose levels by increasing the
liver's sensitivity to glucose levels in the blood. The patient
