NCLEX-PN
Endocrine Disorders NCLEX Questions
Question 1 of 5
The nurse administers a usual morning dose of 4 units of regular insulin and 8 units of NPH insulin at 7:30 am to the client with a blood glucose level of 110 mg/dL. Which statements regarding the client's insulin are correct?
Correct Answer: B
Rationale: The onset of regular insulin (short acting) is one-half to 1 hour, and the peak is 2 to 3 hours. The onset of NPH insulin (intermediate acting) is 2 to 4 hours, and the peak is 4 to 12 hours.
Question 2 of 5
The nurse teaches the client how the infusion pump operates and correctly points out that the infusion is typically administered in which location?
Correct Answer: C
Rationale: Insulin pumps deliver insulin into the subcutaneous tissue of the abdomen for consistent absorption.
Question 3 of 5
Twelve hours after a transsphenoidal hypophysectomy, the client keeps clearing his throat and complains of a drip in his mouth. To accurately assess this, the nurse should test the fluid for:
Correct Answer: A
Rationale: A post-nasal drip post-transsphenoidal hypophysectomy may indicate cerebrospinal fluid (CSF) leakage, which contains glucose (sugar), unlike saliva or mucus.
Question 4 of 5
Which characteristic findings would the nurse expect to assess in a client with Addison's disease? Select all that apply.
Correct Answer: A,D,E,F
Rationale: Addison's disease causes adrenal insufficiency, leading to salt craving, bronzed skin, hypoglycemia, and weight loss.
Question 5 of 5
Which signs/symptoms should make the nurse suspect the client is experiencing a thyroid storm?
Correct Answer: B
Rationale: Thyroid storm causes hyperpyrexia (high fever) and extreme tachycardia due to excessive thyroid hormone. Other options are hypothyroid or unrelated.