Test-Taking Tip

First, eliminate the two options that focus on insulin administration. Next, eliminate the answer that means "do not exercise." Choose a prn option: carry a sugar source.

Content Area: Adult Health, Endocrine; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Illness Management

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Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]

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Answer 1 is incorrect because exercise facilitates glucose uptake into cells independent of insulin. Until the client is able to establish his/her own response, it is advisable to use pre-exercise insulin sparingly, if at all. Answer 2 is incorrect because, although rotation of insulin sites is important, it is not related to exercise. A person with diabetes should pick one location (such as the right thigh) and rotate injections within that site before switching to another. Answer 3 is correct because people with diabetes should carry a sugar source, especially when beginning an exercise program. Exercise facilitates glucose uptake into cells independent of insulin. If the client took a regular dose of insulin before exercising, the client could become hypoglycemic. Answer 4 is incorrect because exercise is beneficial for diabetes. It should be monitored but not prevented.

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