NCLEX Questions on Diabetes Mellitus (21-25)
Welcome to NCLEX Questions on Diabetes Mellitus. Before you begin answering the questions, you may first want to take a peek about the material that will surely help you the pass the NCLEX examination :
Enjoy answering and I hope that Nurse Certifications can somehow help you in your future examination.
21. The nurse requests that a client with diabetes mellitus ask his or her significant other(s) to attend an educational conference about the self-administration of insulin. The client questions why significant others need to be included. The nurse’s best response would be:
a) family members can take you to the doctor
b) family members are at risk of developing diabetes
c) nurses need someone to call and check on a client’s progress
d) clients and families often work together to develop strategies for the management of diabetes
22. A male client is admitted to the hospital with diabetic ketoacidosis (DKA). The client’s daughter says to the nurse, “My mother died last month, and now this. I’ve been trying to follow all of the instructions form the doctor, but what have I done wrong?” The nurse makes which response to the client’s daughter?
a) tell me what you think you did wrong
b) maybe we can keep your father in the hospital for a while longer to give you a rest
c) you should talk to the social worker about getting you someone at home who is more capable with managing a diabetic’s care
d) an emotional stress such as your mother’s death can trigger DKA in a diabetic client, even though the prescribed regimen is being followed
23. A client with hyperaldosteronism has developed renal failure and says to the nurse, “This means that i will die very soon.” The nurse makes which appropriate response to the client?
a) you will do just fine
b) what are you thinking about?
c) you sound discouraged today
d) I read that death is a beautiful experience
24. A client with diabetes mellitus has expressed frustration with learning the diabetic regimen and insulin administration. Which of the following is an initial action by the home care nurse?
a) attempt to identify the cause of the frustration
b) call the physician to discuss the termination of home-care services
c) offer to administer the insulin on a daily basis until the client is ready to learn
d) continue with diabetic teaching, knowing that the client will overcome any frustrations
25. A client who has been newly diagnosed with diabetes mellitus has a nursing diagnosis of Ineffective health maintenance related to anxiety regarding the self-administration of insulin. Initially, the nurse should plan to:
a) teach a family member to give the client the insulin
b) use an orange for the client to inject into until the client is less anxious
c) insert the needle, and have the client push in the plunger and remove the needle
d) give the injection until the client feels confident enough to do so by himself or herself
NCLEX Questions on Diabetes Mellitus
Answers and Rationale
- Families and significant others may be included in diabetes education to assist with adjustments of the diabetic regimen. Although options A and B may be accurate, they are not the most appropriate responses. Option C devalues the client, disregards the issue of independence, and promotes powerlessness.
- initiate the physiological mechanism of DKA. Options A and C substantiate the daughters’ feelings of guilt and incompetence. Option B is not a cost-effective intervention.
- Option C uses the therapeutic communication technique of reflection, and it both clarifies and encourages the further expression of the client’s feelings. Options A and D deny the client’s concerns and provide false reassurance. Option B requests an explanation and does not encourage the expression of feelings.
- The home-care nurse must determine what is causing the client’s frustration. Continuing to teach may only further block the learning process. Administering the insulin provides only a short-term solution. Terminating the client from home-care services achieves nothing and is considered abandonment unless other follow-up care is arranged.
- Some clients find it difficult to insert a needle into their own skin. For these clients, the nurse might assist by selecting the site and inserting the needle. Then, as a first step in self-injection, the client can push in the plunger and remove the needle. Options A and D place the client in a dependent role. Option B is not realistic, considering the subject of the question.
After you reviewed your answers through its rationale, you can now proceed to the next set of questions:
or you can go back and start from the beginning: