This quiz on HHNS (Hyperglycemic Hyperosmolar Nonketotic Syndrome NCLEX Questions) will test you on how to care for the diabetic patient who is experiencing this condition. As the nurse, you must know typical signs and symptoms of HHNS patient teaching, and expected medical treatments.
Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS) are both complication of diabetes mellitus, but there are differences between the two complications that you must know as a nurse.
This endocrine teaching series will test your knowledge on how to differentiate between the two conditions, along with a video lecture.
This HHNS quiz will test you on the following for the NCLEX exam:
- Signs and Symptoms of HHNS
- Causes of HHNS
- Patient education for HHNS
- Treatments of HHNS
- DKA vs HHNS
Lecture on HHNS
(NOTE: When you hit submit, it will refresh this same page. Scroll down to see your results.)
NCLEX Questions on Hyperglycemic Hyperosmolar Nonketotic Syndrome
1. Which of the following patients is MOST LIKELY experiencing Hyperglycemic Hyperosmolar Nonketotic Syndrome based on their symptoms?
A. A 72 year old with a health history of diabetes who has a blood glucose of 300 mg/dL and is complaining of thirst and frequent urination.
B. A 66 year old with type I diabetes that has ketones present in their urine.
C. A 69 year old admitted with an infection of the right foot with a health history of diabetes that reports missing several doses of Metformin and has a blood glucose of 600 mg/dL.
D. A 6 year old that is presenting with polyuria, polydipsia, abdominal pain, and vomiting.
2. Which of the following is NOT a typical finding in HHNS?
A. Dehydration
B. Blood pH <7.35
C. Mental status changes
D. Osmotic diuresis
3. True or False: Treatment of Hyperglycemic Hyperosmolar Nonketotic Syndrome is similar to the treatment of Diabetic Ketoacidosis.
4. A patient is being discharged home after recovering from HHNS. Which statement by the patient requires patient re-education about this condition?
A. “I will monitor my blood glucose levels regularly.”
B. “This condition happens suddenly without any warning signs.”
C. “If I become sick I will monitor my blood glucose more frequently and drink lots of fluids.”
D. “It is important I take my medication as prescribed.”
5. True or False: DKA and HHNS mainly occur in type 2 diabetics.
6. True or False: Hypertonic fluids, such as 3% saline, are the first line of treatment to correct dehydration in HHNS.
7. Which of the following statements is INCORRECT about Hyperglycemic Hyperosmolar Nonketotic Syndrome?
A. HHNS occurs mainly in type 2 diabetics.
B. This condition presents without ketones in the urine.
C. Metabolic alkalosis presents in severe HHNS.
D. Intravenous Regular insulin is used to treat hyperglycemia.
8. A patient undergoing treatment for Hyperglycemic Hyperosmolar Nonketotic Syndrome has a blood glucose of 799. The doctor has ordered intravenous fluids and intravenous Regular insulin therapy. Which of the following findings causes concern before starting insulin therapy?
A. Regular insulin cannot be given intravenously; therefore, the nurse needs to clarify the doctor’s order.
B. The patient’s potassium level is 3.1.
C. The patient is complaining of severe thirst and has dry mucous membranes.
D. The patient is confused and drowsy.
Answer Key:
1. C
2. B
3. True
4. B
5. False
6. False
7. C
8. B
More NCLEX Endocrine Quizzes
(NOTE: When you hit submit, it will refresh this same page. Scroll down to see your results.)
Don’t forget to tell your friends about this quiz by sharing it your Facebook, Twitter, and other social media. You can also take more fun nursing quizzes.
*Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. Please refer to the latest NCLEX review books for the latest updates in nursing. This quiz is copyright RegisteredNurseRn.com. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others.