Progressive Care Nursing Certification (PCCN) Practice Exam

Which symptoms indicate hypoglycemia?

1. Bradycardia and diaphoresis

2. Flushed dry skin and tachycardia

3. Anxiety and flushed dry skin

4. Tachycardia and trembling

The correct answer is: Tachycardia and trembling

Hypoglycemia, or low blood sugar, often presents with a range of symptoms that can indicate the body's physiological response to decreased glucose levels. The combination of tachycardia (increased heart rate) and trembling (shakiness) is particularly characteristic of hypoglycemia. When blood sugar levels drop, the body responds by releasing adrenaline (epinephrine) in an effort to restore normal glucose levels. This release of adrenaline can lead to increased heart rate, resulting in tachycardia. Trembling or shaking occurs because the body is in a state of heightened alertness, and the loss of readily available energy in the form of glucose triggers nervous system responses that manifest as tremors. The other symptoms mentioned in the incorrect options do not align accurately with the typical presentation of hypoglycemia. For example, bradycardia and diaphoresis might suggest a different physiological response, such as an alteration in vagal tone or a reaction that is not directly connected to low blood glucose. Flushed, dry skin and anxiety are also indicative of other conditions or states that do not specifically point to hypoglycemia. Recognizing the combination of tachycardia and trembling is crucial for nursing assessments and timely interventions in patients who may be experiencing low