Kuwait MOH Endocrine & Diabetes Nursing Practice Questions

1. Which breathing pattern is characteristic of a patient with diabetic ketoacidosis?

1. A. Deep, rapid Kussmaul respirations
2. B. Shallow, slow respirations with long pauses
3. C. Cheyne-Stokes respirations with periods of apnoea
4. D. Prolonged expiration with wheezing

2. How does the nurse elicit Trousseau sign?

1. A. Inflate a blood pressure cuff above systolic pressure on the upper arm for up to 3 minutes
2. B. Flex the patient's neck towards the chest
3. C. Tap the facial nerve just in front of the ear
4. D. Stroke the sole of the foot from heel to toe

3. Which situation is most likely to precipitate an adrenal crisis in a patient taking long-term corticosteroids?

1. A. Abruptly stopping the corticosteroid
2. B. Taking the dose at the same time each day
3. C. Taking the corticosteroid with breakfast
4. D. Eating a high-protein diet

4. Which group of findings is classic for phaeochromocytoma?

1. A. Episodes of severe headache, sweating and palpitations with high blood pressure
2. B. Weight gain, cold intolerance and a slow heart rate
3. C. Moon face, purple abdominal striae and central obesity
4. D. Excessive thirst, polyuria and very dilute urine

5. A patient on evening insulin has high fasting glucose readings. To help distinguish the Somogyi effect from the dawn phenomenon, what should the nurse advise?

1. A. Check blood glucose 2 hours after lunch each day
2. B. Measure HbA1c again in one week
3. C. Check blood glucose between 2 am and 3 am for several nights
4. D. Test urine for glucose each morning