2025.
The nurse is caring for a pediatric client with type 1 DM. What item should the nurse assess to
determine the child's hydra on status?
A) skin turgor
B) serum glucose level
C) blood pressure
D) level of consciousness - Answer Skin turgor
The nurse is caring for a pediatric client who is experiencing DKA. The nurse plans to monitor
the child for cardiac arrhythmias caused by which of the following?
A) decreased urine output
B) decreased albumin level
C) decreased potassium level
D) elevated blood glucose level - Answer decreased potassium level
The nurse is caring for a pediatric client who has just been diagnosed with type 1 DM. What
symptom does the nurse expect this child to exhibit?
A) decreased blood glucose levels
B) decreased thirst
C) increased urine output
D) weight gain - Answer increased urine output
The nurse is reviewing fas ng serum blood glucose levels on several children on a medical-
surgical unit. For which child does the nurse expect to provide informa on about treatment
op ons for type 1 diabetes mellitus (DM)?
,A) child fas ng glucose level 120
B) child fas ng glucose level 140
C) child fas ng glucose level 80
D) child fas ng glucose level 100 - Answer 140
The nurse is caring for a child who has recently been diagnosed with type 1 diabetes mellitus
(DM). The nurse educates the child and parents that insulin dosing is based on which item?
A) age
B) urine output
C) diet
D) weight - Answer diet
The nurse is teaching a child with diabetes and her family about sick day guidelines. The nurse
evaluates the child and family have understood the teaching when they state which of the
following?
A) test for ketones when glucose is 200
B) test for ketones when glucose is 160
C) test for ketones when glucose is 180
D) test for ketones when glucose is 220 - Answer 220
The nurse is educa ng a group of children and their parents about risk factors for developing
type 1 DM. A parent asks the nurse to iden fy the most common age range for diagnosis. Which
answer by the nurse is the most accurate?
A) 16-18
B) birth-1
C) 2-6
D) 7-15 - Answer 7-15
, The nurse is teaching the parents of a child who was just recently diagnosed with type 1 DM
about maladapta on. What should the nurse instruct these parents to be alert for?
A) their child takes care of his blood glucose monitoring equipment
B) their child refuses to par cipate in care
C) their child wants to par cipate in his blood glucose monitoring
D) their child constantly wears his medic alert bracelet - Answer their child refuses to par cipate
in care
Which of the following are risk factors in DM type 1?
A) risk factors include obesity, sedentary lifestyle, and high fat diet
B) peak incidence of onset is b/w age 7-15
C) caused by insulin resistance
D) may be precipitated by a virus or environmental factor that triggers and inflammatory
response in the body
E) occurs more in caucasians than any other racial group - Answer B, D, E
What symptoms are indica ve of DKA for which families should be taught to monitor?
A) increase in urine output
B) any evidence of bacterial infec on
C) fruity breath
D) blood glucose >400 on 2 separate readings
E) temperature greater than 98.6 for 12 hours - Answer B, C, D
Which statements are parts of teaching for the family of a child diagnosed with type 2 DM?
A) limit or eliminate fast food consump on