{"id":9451,"date":"2026-03-04T00:04:52","date_gmt":"2026-03-04T08:04:52","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=9451"},"modified":"2026-06-30T14:18:18","modified_gmt":"2026-06-30T22:18:18","slug":"nclex-question-of-the-day-t-1-d","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-t-1-d","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: T1D"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-t-1-d\/#The_correct_answer_to_todays_NCLEX%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX\u00ae Question is&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-t-1-d\/#Main_Takeaway\" >Main Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-t-1-d\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-t-1-d\/#Want_to_learn_more_about_this_topic\" >Want to learn more about this topic?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-t-1-d\/#References\" >References<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em>Today\u2019s <strong>NCLEX-RN\u00ae question of the day<\/strong> focuses on a <strong>diabetic patient<\/strong> who has developed <strong>pneumonia<\/strong>. Do you know the answer? Let&#8217;s find out!<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse in the <strong>critical care unit<\/strong> is reviewing laboratory test results for a patient with <strong>type 1 diabetes mellitus (DM)<\/strong> recently diagnosed with <strong>pneumonia<\/strong>. Based on the clinical findings, which condition should the nurse anticipate the healthcare provider diagnosing and treating?<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"834\" height=\"702\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/03\/image-5.png\" alt=\"Illustration of a desktop computer monitor displaying a table of laboratory test results with columns for test name, result, and reference range. Listed tests include arterial pH, serum bicarbonate, arterial carbon dioxide, serum glucose, beta-hydroxybutyrate (ketones), thyroid-stimulating hormone, and antidiuretic hormone, with several values shown outside their normal reference ranges.\" class=\"wp-image-9460\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/03\/image-5.png 834w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/03\/image-5.png?resize=300,253 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/03\/image-5.png?resize=768,646 768w\" sizes=\"auto, (max-width: 834px) 100vw, 834px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Thyroid storm<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Diabetes insipidus<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Hyperosmolar hyperglycemic state<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Diabetic ketoacidosis (DKA)<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Learn with Osmosis\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/iDxHtjjCMbU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Diabetic ketoacidosis (DKA)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> <strong>DKA<\/strong> is a life-threatening complication of <strong>type 1 DM<\/strong> caused by an <strong>insulin deficiency<\/strong>, where glucose cannot be taken up into cells and used for energy. <strong>Infections<\/strong>, like pneumonia, can precipitate DKA by increasing stress hormones that contribute to elevated glucose and reduced insulin utilization. As glucose levels rise, the kidneys reach the maximum amount of glucose they can reabsorb, so extra glucose spills into the urine, resulting in <strong>glycosuria<\/strong>. Additionally, since glucose is osmotically active, glycosuria is accompanied by a large amount of water in the urine, resulting in <strong>polyuria<\/strong>. Glucose also pulls water out of cells and into the bloodstream, expanding the blood volume and leaving the cells dehydrated. As an alternative energy source, fat is converted into glucose by metabolizing fatty acids, resulting in <strong>ketones<\/strong>. This results in a build-up of acidic <strong>ketones<\/strong> within the blood, giving rise to <strong>metabolic acidosis<\/strong>. DKA is evident in laboratory test results with a <strong>decreased pH<\/strong>, <strong>bicarbonate<\/strong>, and <strong>partial pressure of carbon dioxide<\/strong>; <strong>elevated serum glucose<\/strong>; and <strong>elevated serum ketones<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Takeaway\"><\/span>Main Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Diabetic ketoacidosis (DKA)<\/strong> is a life-threatening complication of <strong>type 1 diabetes mellitus (DM)<\/strong> caused by an <strong>insulin deficiency<\/strong>, where glucose cannot be taken up into cells and used for energy. Infections, like pneumonia, can precipitate DKA by increasing stress hormones that contribute to elevated glucose and reduced insulin utilization. As glucose levels rise, the kidneys reach the maximum amount of glucose they can reabsorb, so extra glucose spills into the urine, resulting in <strong>glycosuria<\/strong>. Additionally, since glucose is osmotically active, glycosuria is accompanied by a large amount of water in the urine, resulting in <strong>polyuria<\/strong>. Glucose also pulls water out of cells and into the bloodstream, expanding the blood volume and leaving the cells dehydrated. As an alternative energy source, fat is converted into glucose by metabolizing fatty acids, resulting in <strong>ketones<\/strong>. This results in a build-up of acidic <strong>ketones<\/strong> within the blood, giving rise to <strong>metabolic acidosis<\/strong>. DKA is evident in laboratory test results with a <strong>decreased pH<\/strong>, <strong>bicarbonate<\/strong>, and <strong>partial pressure of carbon dioxide<\/strong>; <strong>elevated serum glucose<\/strong>; and <strong>elevated serum ketones<\/strong>. <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"834\" height=\"702\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/03\/image-6.png\" alt=\"Illustration of a computer monitor displaying a table of laboratory test names alongside their normal reference ranges. Tests listed include arterial pH, serum bicarbonate, arterial carbon dioxide, serum glucose, beta-hydroxybutyrate (ketones), thyroid-stimulating hormone, and antidiuretic hormone.\" class=\"wp-image-9461\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/03\/image-6.png 834w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/03\/image-6.png?resize=300,253 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/03\/image-6.png?resize=768,646 768w\" sizes=\"auto, (max-width: 834px) 100vw, 834px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Thyroid storm<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> Thyroid storm occurs in patients with <strong>uncontrolled hyperthyroidism<\/strong>, causing a <strong>hypermetabolic state<\/strong> due to <strong>elevated levels of thyroid hormones<\/strong>. Based on the laboratory test results, another option is more appropriate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Diabetes insipidus<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> \u202f<strong>Diabetes insipidus<\/strong> is a disorder caused by a deficiency of <strong>antidiuretic hormone (ADH)<\/strong> that leads to <strong>polyuria<\/strong> as the kidneys are unable to conserve water. Based on the laboratory test results, another option is more appropriate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Hyperosmolar hyperglycemic state<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> \u202f<strong>Hyperosmolar hyperglycemic state<\/strong> is an endocrine emergency related to extremely <strong>elevated glucose levels<\/strong> due to insufficient insulin and excess glucagon. <strong>Hyperosmolar hyperglycemic state<\/strong> is more common in patients with <strong>type 2 DM<\/strong> than in <strong>type 1 DM<\/strong> as patients with type 2 DM still produce some insulin, whereas patients with type 1 DM have a complete lack of insulin production. Because of this difference, patients with <strong>hyperosmolar hyperglycemic state<\/strong> do not develop <strong>ketoacidosis<\/strong> as their bodies do not need to break down fats and protein for new supplies of glucose. Based on the laboratory test results, another option is more appropriate.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_this_topic\"><\/span>Want to learn more about this topic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Watch the Osmosis video:<\/strong> <strong><a href=\"https:\/\/www.osmosis.org\/learn\/Video_Case_Study_-_Diabetic_Ketoacidosis\">Critical care case study &#8211; Diabetic ketoacidosis: Nursing<\/a><\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>References<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Flynn Makic, M.B. &amp; Morata, L.T. (2024). Sole\u2019s introduction to critical care nursing. Elsevier.<\/li>\n\n\n\n<li>Pagana, K. D., Pagana, T. J., &amp; Pagana, T. N. (2025). Mosby\u2019s diagnostic and laboratory test reference. Elsevier.<\/li>\n\n\n\n<li>Urden, L.D., Stacy, K.M., &amp; Lough, M.E. (2022). Critical care nursing: Diagnosis and management. Elsevier.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/03\/Blog_Display_Ads_RN1_2023.png?w=700\" alt=\"\" class=\"wp-image-5423\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/03\/Blog_Display_Ads_RN1_2023.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/03\/Blog_Display_Ads_RN1_2023.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Try <strong>Osmosis from Elsevier<\/strong> today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/plans\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>free trial<\/strong><\/a>&nbsp;and find out why millions of current and future <strong>clinicians <\/strong>and <strong>caregivers <\/strong>love <strong>learning by Osmosis<\/strong>.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A patient with newly diagnosed type 1 diabetes presents with pneumonia. Learn a structured nursing approach to spotting a potential life-threatening diabetic emergency, including key assessment steps, monitoring priorities, and when to escalate care to the provider.<\/p>\n","protected":false},"author":276,"featured_media":9463,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,1366,32],"tags":[489,2809,369,2810,274,156,1340,1832,2808,1134],"class_list":["post-9451","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-questions","category-nursing","tag-clinical-reasoning","tag-diabetic-emergency","tag-emergency-nursing","tag-labs","tag-nursing-assessment","tag-patient-safety","tag-pneumonia","tag-rn","tag-triage","tag-type-1-diabetes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: T1D - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-t-1-d\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: T1D - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"A patient with newly diagnosed type 1 diabetes presents with pneumonia. 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