Diabetes Quiz 25| RN HUB

Question 1: A client with type 2 diabetes is preparing for discharge. The nurse emphasizes the importance of checking their feet daily. What is the primary rationale for this teaching?

To detect early signs of infection or injury
To improve circulation in the lower extremities
To help the client practice daily hygiene
To prevent dry skin and cracking

Rationale: Clients with diabetes are at higher risk for infections or injuries due to neuropathy and poor healing. Daily foot inspection can help detect problems early.

Question 2: A client with diabetes is prescribed glargine insulin. What is the most important teaching point?

"Take this insulin with your largest meal."
"This insulin provides steady glucose control and should not be mixed with other insulins."
"You will need to monitor for a peak in activity two hours after administration."
"Administer this insulin immediately before meals."

Rationale: Glargine insulin is a long-acting insulin that provides steady glucose control and does not have a significant peak. It should not be mixed with other insulins.

Question 3: A nurse is teaching a client about the symptoms of hypoglycemia. Which symptom should the client report immediately?

Frequent urination
Sweating, shakiness, and confusion
Increased appetite and thirst
Blurred vision

Rationale: Symptoms like sweating, shakiness, and confusion are classic signs of hypoglycemia, requiring immediate treatment to prevent severe complications.

Question 4: A client with type 1 diabetes asks why they need to test for ketones during illness. What is the nurse’s best response?

"It helps determine if you are dehydrated."
"It helps detect diabetic ketoacidosis (DKA), a serious complication."
"It ensures your kidneys are functioning properly."
"It measures the effectiveness of your insulin dose."

Rationale: Testing for ketones during illness helps detect DKA, a life-threatening complication caused by inadequate insulin levels and high blood sugar.

Question 5: A client with diabetes is planning to exercise. What is the nurse’s priority teaching point?

"Exercise will lower your blood sugar, so avoid eating beforehand."
"Check your blood sugar before and after exercise."
"Always reduce your insulin dose on days you plan to exercise."
"Exercise is safe regardless of your blood sugar level."

Rationale: Checking blood sugar before and after exercise helps monitor for hypoglycemia or hyperglycemia and ensures safety during physical activity.

Diabetes NCLEX Practice Quiz

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