DIABETES, DKA, HHNS NCLEX REVIEW QUESTIONS WITH CORRECT ANSWERS 2025

DIABETES, DKA, HHNS NCLEX REVIEW QUESTIONS
WITH CORRECT ANSWERS 2025

TheNclientNdiagnosedNwithNtypeN2NdiabetesNisNadmittedNtoNtheNintensiveNcareNunitNwithNhyperosm
olarNhyperglycemicNnonketonicNsyndromeN(HHNS)Ncoma.NWhichNassessmentNdataNshouldNtheNnur
seNexpectNtheNclientNtoNexhibit?

1.NKussmaul'sNrespirations.

2.NDiarrheaNandNepigastricNpain.

3.NDryNmucousNmembranes.

4.NKetoneNbreathNodor.N-NCORRECTNANSWERN-
3.DryNmucousNmembranesNareNaNresultNofNtheNhyperglycemiaNandNoccurNwithNbothNHHNSNandNDK
A.



TheNelderlyNclientNisNadmittedNtoNtheNintensiveNcareNdepartmentNdiagnosedNwithNsevereNHHNS.N
WhichNcollaborativeNinterventionNshouldNtheNnurseNincludeNinNtheNplanNofNcare?

1.NInfuseN0.9%NnormalNsalineNintravenously.

2.NAdministerNintermediate-actingNinsulin.

3.NPerformNbloodNglucometerNchecksNdaily.

4.NMonitorNarterialNbloodNgasNresults.N-NCORRECTNANSWERN-
1.TheNinitialNfluidNreplacementNisN0.9%normalNsalineN(anNisotonicNsolution)Nintravenously,Nfollowe
dNbyN0.45%Nsaline.TheNrateNdependsNonNtheNclient'sNfluidNvolumeNstatusNandNphysicalNhealth,Nesp
eciallyNofNtheNheart.



WhichNelectrolyteNreplacementNshouldNtheNnurseNanticipateNbeingNorderedNbyNthehealth-
careNproviderNinNtheNclientNdiagnosedNwithNDKANwhoNhasNjustNbeenNadmittedNtotheNICU?



1.NGlucose.

2.NPotassium.

3.NCalcium.

, 4.NSodiumN-NCORRECTNANSWERN-
2.TheNclientNinNDKANlosesNpotassiumNfromincreasedNurinaryNoutput,Nacidosis,Ncata-
bolicNstate,NandNvomiting.NReplacementisNessentialNforNpreventingNcardiacNdys-
rhythmiasNsecondaryNtoNhypokalemia



TheNclientNdiagnosedNwithNHHNSNwasNadmittedNyesterdayNwithNaNbloodNglucoseNlevelNofN780Nmg/
dL.NTheNclient'sNbloodNglucoseNlevelNisNnowN300Nmg/dL.NWhichNinterventionNshouldNtheNnurseNim
plement?



1.NIncreaseNtheNregularNinsulinNIVNdrip.

2.NCheckNtheNclient'sNurineNforNketones.

3.NProvideNtheNclientNwithNaNtherapeuticNdiabeticNmeal.

4.NNotifyNtheNHCPNtoNobtainNanNorderNtoNdecreaseNinsulin.N-NCORRECTNANSWERN-
4.NWhenNtheNglucoseNlevelNisNdecreasedNtoNaroundN300Nmg/dL,NtheNregularNinsulinNinfusionNthera
pyNisNdecreased.NSubcutaneousNinsulinNwillNbeNadministeredNperNslidingNscale.



TheNclientNdiagnosedNwithNtypeN1NdiabetesNisNfoundNlyingNunconsciousNonNtheNfloorNofNtheNbathro
om.NWhichNinterventionNshouldNtheNnurseNimplementNfirst?



1.NAdministerN50%NdextroseNIVP.

2.NNotifyNtheNhealth-careNprovider.

3.NMoveNtheNclientNtoNtheNICU.

4.NCheckNtheNserumNglucoseNlevel.N-NCORRECTNANSWERN-
1.NTheNnurseNshouldNassumeNtheNclientNisNhypoglycemicNandNadministerNIVPNdextrose,NwhichNwillN
rouseNtheNclientNimmediately.NIfNtheNcollapseNisNtheNresultNofNhyperglycemia,NthisNadditionalNdext
roseNwillNnotNfurtherNinjureNtheNclient.



WhichNassessmentNdataNindicateNtheNclientNdiagnosedNwithNdiabeticNketoacidosisNisNrespondingNt
oNtheNmedicalNtreatment?