NCLEX NGN EXAM LATEST ACTUAL EXAM 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+)

NCLEX NGN EXAM LATEST ACTUAL EXAM 2024
WITH UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS INCLUDING RATIONALES
(GRADED A+)
Which of the following oral diabetes agents would be classified as a
biguanide medication?
Miglitol (Glyset)
Metformin (Glucophage)
Pioglitazone (Actos)
Acarbose (Precose) - ANSWER-B
Rationale: "Metformin (Glucophage)" is correct. Biguanide
medications are most commonly used in the treatment of type
2 diabetes. They lower blood glucose by decreasing glucose
production in the liver and increasing the amount of sugar
absorbed by cells. An example of a biguanide medication is
metformin (Glucophage).
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A client with a history of diabetes has a blood sugar of 54 mg/dL.
They are conscious and awake, but feel cold and clammy,
diaphoretic, weak, and slightly confused. Which of the following is
NOT an appropriate intervention at this time?
Administer glucagon
Recheck blood sugar 15 min after intervention
Give 4 oz orange juice
Review recent insulin administration - ANSWER-A.
Rationale: The client is awake and alert, the priority is to
administer an oral form of glucose. Glucagon would be
indicated if the client is unconscious and doesn't have IV
access. If the client has IV access, they should receiving IV
Dextrose.
A nurse is assessing a client with a history of diabetes. The client
tells the nurse that she does not feel well. The nurse checks her
blood glucose levels and gets a result of 51 mg/dL. What signs or
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symptoms would the nurse expect to see with this blood glucose
level? Select all that apply.
Tremor
Hot, dry skin
Anxiety
Bradycardia
Weakness - ANSWER-A., C., E.
Rationale: "Anxiety", "Tremor", and "Weakness" are correct.
The client in this example is suffering from mild hypoglycemia
in which blood glucose levels are between 70 and 41 mg/dL.
The nurse would expect to see signs or symptoms of
restlessness and anxiety, weakness, sweating and tremor in
this client. Once the glucose level falls to below 40 mg/dL, the
client will experience confusion, double vision, drowsiness,
headache, and slurred speech. When the glucose level falls
below 20 mg/dL, the client can experience seizures and loss of
consciousness.
You are working telephone triage for an after-hours family medicine
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clinic. A patient has called who is diabetic and been sick for the last
3 days with a cold. Which of the following symptoms reported by
the patient is the LEAST concerning?
Small amount of ketones in urine
Confusion
Glucose of 321 mg/dL
Unable to keep down liquids - ANSWER-A.
Rationale: When a client with diabetes is ill, a small amount of
ketones in the urine is something to note, but not overly
concerning. Moderate to large amounts would be concerning.
Which of the following sleep disorders has been most commonly
associated with type 1 diabetes?
Delayed sleep phase syndrome
Sleepwalking
Insomnia
Night terrors - ANSWER-C.