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Qatar DHP Endocrine & Diabetes Nursing Practice Questions
Diabetes is one of the most heavily tested topics for Gulf nurses. Expect hypoglycaemia, DKA, insulin safety and thyroid and adrenal emergencies. Below are 5 free sample questions for the Qatar DHP (QCHP) nursing qualifying exam, each with the answer and a rationale.
What this topic covers
- Hypoglycaemia recognition and treatment
- DKA vs HHS
- Insulin types, timing and injection technique
- Sick-day rules and Ramadan fasting safety
- Thyroid storm and post-thyroidectomy care
- Adrenal crisis, SIADH and diabetes insipidus
The full bank has 91 endocrine & diabetes nursing questions, part of 1,500 questions across 16 nursing topics.
Free Qatar DHP endocrine & diabetes nursing questions
1. Which set of findings is expected in a patient with hypothyroidism?
- A. Tremor, exophthalmos and weight loss
- B. Polyuria, polydipsia and low urine specific gravity
- C. Fatigue, cold intolerance, constipation and dry skin
- D. Nervousness, heat intolerance, diarrhoea and warm moist skin
Show answer and rationale
Low thyroid hormone slows metabolism, producing fatigue, cold intolerance, constipation, dry skin and weight gain. Nervousness, heat intolerance and exophthalmos are features of hyperthyroidism.
Reference: Lewis Medical-Surgical Nursing – hypothyroidism
2. Which intervention is a first-line treatment for a patient with mild SIADH?
- A. Increased oral water intake
- B. Desmopressin administration
- C. Rapid infusion of 5% dextrose
- D. Fluid restriction
Show answer and rationale
Restricting fluid intake reduces water retention and allows sodium to rise. Dextrose 5% and extra water worsen hyponatraemia, and desmopressin is an ADH analogue used for diabetes insipidus.
Reference: Lewis Medical-Surgical Nursing – SIADH
3. Which item should be immediately available at the bedside of a patient returning from a total thyroidectomy?
- A. A nasogastric tube and feeding pump
- B. A lumbar puncture tray
- C. A tracheostomy set and suction equipment
- D. A urinary catheterisation set
Show answer and rationale
Airway obstruction from haematoma, laryngeal oedema or tetany is the most serious early risk after thyroidectomy, so emergency airway equipment, suction and oxygen must be at hand. The other items are not routinely needed.
Reference: Lewis Medical-Surgical Nursing – thyroidectomy
4. A patient has unexplained swings between high and low glucose readings. The nurse notices firm, rubbery lumps at the patient's usual abdominal injection spot. What is the most likely explanation?
- A. Normal tissue response that does not affect insulin action
- B. Injection into lipohypertrophy causing unpredictable insulin absorption
- C. Intramuscular injection due to excessive fat tissue
- D. An allergic reaction to the insulin preservative
Show answer and rationale
Lipohypertrophy from repeated use of the same site absorbs insulin erratically, causing variable glucose control. The patient should be taught to avoid these areas and rotate sites.
Reference: Lewis Medical-Surgical Nursing – insulin therapy
5. Before starting an intravenous insulin infusion for diabetic ketoacidosis, which laboratory result must the nurse ensure is known?
- A. Serum amylase
- B. Haemoglobin
- C. Serum potassium
- D. Serum calcium
Show answer and rationale
Insulin drives potassium into cells and can cause dangerous hypokalaemia; if potassium is already low, it must be replaced before or alongside insulin. The other results do not determine whether insulin can be safely started.
Reference: Lewis Medical-Surgical Nursing – diabetic ketoacidosis
Study tip
If a diabetic patient is confused or sweaty, check the blood glucose first. Treating hypoglycaemia comes before almost everything else.
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