QUESTIONS WITH 100% CORRECT
ANSWERS | LATEST VERSION 2025/2026.
1. A 10-year-old child with newly diagnosed type 1 diabetes mellitus presents with polyuria,
polydipsia, and weight loss. Which diagnostic test result would confirm the diagnosis?
A) Fasting blood glucose of 5.5 mmol/L
B) Hemoglobin A1C of 5.8%
C) Random blood glucose of 12 mmol/L
D) Oral glucose tolerance test result of 9.5 mmol/L
** - ANS : C) Random blood glucose of 12 mmol/L**
2. A nurse is teaching a parent about the symptoms of hyperglycemia in a child with type 1
diabetes mellitus. Which statement by the parent indicates a need for further teaching?
A) "My child may urinate more frequently."
B) "My child may complain of being very thirsty."
C) "My child will have an increased energy level."
D) "My child might experience weight loss."
** - ANS : C) "My child will have an increased energy level."**
3. A child with type 1 diabetes is experiencing nocturia and excessive thirst. The nurse
anticipates which lab finding?
A) Blood glucose level of 6.5 mmol/L
B) Blood glucose level of 12 mmol/L
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,C) Fasting blood glucose level of 4.5 mmol/L
D) Hemoglobin A1C of 5.7%
** - ANS : B) Blood glucose level of 12 mmol/L**
4. A child is admitted to the emergency department with suspected diabetic ketoacidosis (DKA).
Which assessment finding supports this diagnosis?
A) Weight gain and decreased appetite
B) Hypoglycemia and bradycardia
C) Fruity breath odor and Kussmaul respirations
D) Hypertension and polyphagia
** - ANS : C) Fruity breath odor and Kussmaul respirations**
5. A nurse is reviewing the lab results of a child with type 1 diabetes. Which result indicates
poor long-term glycemic control?
A) Fasting blood glucose of 6.5 mmol/L
B) Hemoglobin A1C of 8.2%
C) Random blood glucose of 7.8 mmol/L
D) Oral glucose tolerance test result of 9.5 mmol/L
** - ANS : B) Hemoglobin A1C of 8.2%**
6. The nurse is teaching a child with type 1 diabetes about insulin administration. Which
statement by the child indicates correct understanding?
A) "I should shake the insulin vial before drawing it up."
B) "I will inject my insulin at the same site every day."
C) "I need to rotate injection sites to prevent lipodystrophy."
D) "I should always inject insulin into a muscle for fast absorption."
** - ANS : C) "I need to rotate injection sites to prevent lipodystrophy."**
7. A school nurse is monitoring a child with type 1 diabetes. The child becomes shaky, pale, and
diaphoretic during recess. What is the priority nursing action?
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, A) Call the child's parents to pick them up
B) Have the child sit down and rest
C) Check the child's blood glucose level
D) Administer a dose of long-acting insulin
** - ANS : C) Check the child's blood glucose level**
8. The nurse is caring for a child newly diagnosed with type 1 diabetes. Which teaching point is
most important for preventing long-term complications?
A) Checking urine ketones daily
B) Strict blood glucose control
C) Limiting physical activity
D) Increasing carbohydrate intake
** - ANS : B) Strict blood glucose control**
9. A child with type 1 diabetes is experiencing nausea, vomiting, and abdominal pain. What
should the nurse assess first?
A) Blood glucose level
B) Level of consciousness
C) Skin turgor
D) Blood pressure
** - ANS : A) Blood glucose level**
10. A child with type 1 diabetes asks why insulin is necessary. What is the best response by the
nurse?
A) "Insulin helps break down sugar so it can be used for energy."
B) "Insulin allows glucose to enter your cells and provide energy."
C) "Insulin removes sugar from your bloodstream."
D) "Insulin cures diabetes when taken regularly."
** - ANS : B) "Insulin allows glucose to enter your cells and provide energy."**
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