NCLEX-PN
Endocrine Disorders NCLEX Questions Questions
Question 1 of 5
The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of 8.1%. Which interpretation should the nurse make based on this result?
Correct Answer: C
Rationale: An A1c of 8.1% is above the recommended target (<7% for most diabetics), indicating poor glycemic control. It is not normal, acceptable, or dangerously high (e.g., >10%).
Question 2 of 5
The home health nurse is completing the admission assessment for a 76-year-old client diagnosed with type 2 diabetes controlled with 70/30 insulin. Which intervention should be included in the plan of care?
Correct Answer: A
Rationale: Assessing the ability to read small print ensures the elderly client can read insulin labels and glucometer results, critical for safe management. PT is irrelevant, A1c is not daily, and foot checks are daily.
Question 3 of 5
The nurse is developing a care plan for the client diagnosed with type 1 diabetes. The nurse identifies the problem 'high risk for hyperglycemia related to noncompliance with the medication regimen.' Which statement is an appropriate short-term goal for the client?
Correct Answer: B
Rationale: Demonstrating correct insulin injection technique addresses noncompliance, a short-term, client-centered goal. Glucose levels and kidney function are outcomes, and nurse monitoring is not client-focused.
Question 4 of 5
The client diagnosed with type 1 diabetes is found lying unconscious on the floor of the bathroom. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Checking glucose confirms hypoglycemia or hyperglycemia as the cause of unconsciousness, guiding treatment. Dextrose, HCP notification, or ICU transfer follow confirmation.
Question 5 of 5
The charge nurse is making client assignments in the intensive care unit. Which client should be assigned to the most experienced nurse?
Correct Answer: C
Rationale: DKA with PVCs indicates cardiac instability, requiring an experienced nurse for complex monitoring and intervention. High glucose, hypoglycemia, and normal osmolarity are less critical.