RN Nursing Care of Children Type 1
Diabetes Mellitus with well revised
experts rationales and multiple choices
A+ Graded | 100 % Guaranteed Pass|
brand-new!!!!!
Which of the following manifestations are commonly associated with diabetes mellitus?
(Select all that apply.)
A. Blurred vision
B. Increased thirst
C. Excessive hunger
D. Slow wound healing
E. Decreased appetite
Correct Answers: A, B, C, D
Expert Rationale:
Diabetes mellitus develops when insulin production is insufficient or when the body cannot
effectively use insulin, resulting in persistent hyperglycemia. Elevated blood glucose affects
nearly every body system.
• A. Blurred vision — Correct. High blood glucose causes fluid shifts into the lens of
the eye, altering its shape and impairing focusing ability. Patients often report
fluctuating or blurred vision before diagnosis or during periods of poor glucose
control.
• B. Increased thirst (Polydipsia) — Correct. Excess glucose in the bloodstream draws
water into the urine through osmotic diuresis. Excessive urination leads to
dehydration, stimulating intense thirst.
• C. Excessive hunger (Polyphagia) — Correct. Although glucose is abundant in the
bloodstream, it cannot effectively enter cells without adequate insulin. Cells remain
"starved" for energy, causing persistent hunger.
, • D. Slow wound healing — Correct. Chronic hyperglycemia impairs immune function,
decreases circulation, and delays tissue repair, making wounds heal more slowly and
increasing infection risk.
• E. Decreased appetite — Incorrect. Newly diagnosed diabetes more commonly
presents with increased appetite rather than appetite loss.
Key Exam Tip: Remember the classic "Three Ps" of diabetes: Polyuria, Polydipsia, and
Polyphagia. Blurred vision and delayed wound healing are also hallmark manifestations.
Which urine dipstick finding most strongly supports a diagnosis of uncontrolled diabetes
mellitus?
A. Positive protein
B. Positive ketones
C. Positive leukocytes
D. Positive bilirubin
Correct Answer: B. Positive ketones
Expert Rationale:
Ketones are produced when the body breaks down fat for energy because glucose cannot
adequately enter cells. Their presence suggests insulin deficiency and may indicate diabetic
ketoacidosis (DKA), particularly in patients with type 1 diabetes.
• A. Positive protein — Incorrect. Proteinuria suggests kidney disease but is not
diagnostic of diabetes.
• B. Positive ketones — Correct. Indicates fat metabolism due to inadequate insulin
availability.
• C. Positive leukocytes — Incorrect. Suggests urinary tract infection.
• D. Positive bilirubin — Incorrect. Suggests liver or biliary disease.
Key Exam Tip: Glucose in urine indicates hyperglycemia, but ketones suggest more severe
insulin deficiency.
A nurse is performing a capillary blood glucose test. Which sequence should be followed?
A. Turn on the glucometer.
B. Cleanse the puncture site.
C. Puncture the skin with the lancet.
D. Lightly squeeze the finger.
Diabetes Mellitus with well revised
experts rationales and multiple choices
A+ Graded | 100 % Guaranteed Pass|
brand-new!!!!!
Which of the following manifestations are commonly associated with diabetes mellitus?
(Select all that apply.)
A. Blurred vision
B. Increased thirst
C. Excessive hunger
D. Slow wound healing
E. Decreased appetite
Correct Answers: A, B, C, D
Expert Rationale:
Diabetes mellitus develops when insulin production is insufficient or when the body cannot
effectively use insulin, resulting in persistent hyperglycemia. Elevated blood glucose affects
nearly every body system.
• A. Blurred vision — Correct. High blood glucose causes fluid shifts into the lens of
the eye, altering its shape and impairing focusing ability. Patients often report
fluctuating or blurred vision before diagnosis or during periods of poor glucose
control.
• B. Increased thirst (Polydipsia) — Correct. Excess glucose in the bloodstream draws
water into the urine through osmotic diuresis. Excessive urination leads to
dehydration, stimulating intense thirst.
• C. Excessive hunger (Polyphagia) — Correct. Although glucose is abundant in the
bloodstream, it cannot effectively enter cells without adequate insulin. Cells remain
"starved" for energy, causing persistent hunger.
, • D. Slow wound healing — Correct. Chronic hyperglycemia impairs immune function,
decreases circulation, and delays tissue repair, making wounds heal more slowly and
increasing infection risk.
• E. Decreased appetite — Incorrect. Newly diagnosed diabetes more commonly
presents with increased appetite rather than appetite loss.
Key Exam Tip: Remember the classic "Three Ps" of diabetes: Polyuria, Polydipsia, and
Polyphagia. Blurred vision and delayed wound healing are also hallmark manifestations.
Which urine dipstick finding most strongly supports a diagnosis of uncontrolled diabetes
mellitus?
A. Positive protein
B. Positive ketones
C. Positive leukocytes
D. Positive bilirubin
Correct Answer: B. Positive ketones
Expert Rationale:
Ketones are produced when the body breaks down fat for energy because glucose cannot
adequately enter cells. Their presence suggests insulin deficiency and may indicate diabetic
ketoacidosis (DKA), particularly in patients with type 1 diabetes.
• A. Positive protein — Incorrect. Proteinuria suggests kidney disease but is not
diagnostic of diabetes.
• B. Positive ketones — Correct. Indicates fat metabolism due to inadequate insulin
availability.
• C. Positive leukocytes — Incorrect. Suggests urinary tract infection.
• D. Positive bilirubin — Incorrect. Suggests liver or biliary disease.
Key Exam Tip: Glucose in urine indicates hyperglycemia, but ketones suggest more severe
insulin deficiency.
A nurse is performing a capillary blood glucose test. Which sequence should be followed?
A. Turn on the glucometer.
B. Cleanse the puncture site.
C. Puncture the skin with the lancet.
D. Lightly squeeze the finger.
