OMSB Endocrine & Diabetes Nursing Practice Questions

1. Which group of symptoms is classically associated with hyperglycaemia?

1. A. Cold intolerance, weight gain and constipation
2. B. Sweating, tremor and palpitations
3. C. Polyuria, polydipsia and polyphagia
4. D. Bradycardia, hypothermia and lethargy

2. A patient asks what the HbA1c test measures. Which explanation is correct?

1. A. The amount of insulin the pancreas is producing
2. B. Average blood glucose over roughly the previous 2–3 months
3. C. Blood glucose at the exact time the sample is taken
4. D. Glucose levels over the previous 24 hours only

3. A patient taking insulin plans to start playing football twice a week. Which advice is most appropriate?

1. A. Check glucose before exercise and carry fast-acting carbohydrate
2. B. Exercise only when blood glucose is below 4.0 mmol/L (72 mg/dL)
3. C. Omit all insulin doses on exercise days
4. D. Avoid eating anything for 4 hours before exercise

4. A patient with Addison's disease presents with vomiting, confusion, BP 76/40 mmHg and glucose 3.1 mmol/L (56 mg/dL). Which prescribed treatment is the priority?

1. A. Intravenous furosemide to protect the kidneys
2. B. Intravenous hydrocortisone with 0.9% sodium chloride and dextrose
3. C. Oral fludrocortisone with increased dietary salt
4. D. Subcutaneous insulin with potassium replacement

5. On the first day after transsphenoidal hypophysectomy, a patient's urine output is 400 mL/h for 2 hours with a specific gravity of 1.002. What should the nurse do?

1. A. Report the findings promptly as possible diabetes insipidus
2. B. Restrict the patient's oral fluid intake
3. C. Encourage the patient to cough and deep breathe
4. D. Document this as a normal post-operative diuresis