NCLEX-RN
NCLEX RN Endocrine Questions Questions
Question 1 of 5
The nurse is teaching a new group of nurses about insulin administration for a client with type I diabetes mellitus. Which of the following points should be included?
Correct Answer: A, B, C, D
Rationale: Subcutaneous administration is standard, IV regular insulin is for emergencies, rotation prevents tissue damage, and long-acting insulin shouldn't be mixed. Cold insulin can be irritating and should be warmed to room temperature.
Question 2 of 5
The nurse is reviewing endocrine disorders with a group of students. It would be correct for the nurse to identify which manifestation is associated with hyperthyroidism?
Correct Answer: B, C, D
Rationale: Hyperthyroidism increases metabolism, causing insomnia, elevated systolic BP, and sweating (diaphoresis). Red conjunctiva and confusion are not typical features of this condition.
Question 3 of 5
The nurse is evaluating the treatment plan for a client with type II diabetes mellitus. Select the findings in the nurses' note that indicate that the client is not meeting the treatment goals
Correct Answer: B, C, D
Rationale: HbA1C of 7.6% exceeds the target (<7%), indicating poor control. Weight gain and a painless ulcer suggest complications like poor circulation or neuropathy. Stopping barefoot walking and requesting classes are positive steps.
Question 4 of 5
The nurse is caring for a client who recently had a dosage increase of prescribed levothyroxine. Which of the assessments following the increase is a priority?
Correct Answer: B
Rationale: Levothyroxine increases metabolism, and a dosage increase can cause hyperthyroidism symptoms, including tachycardia. Monitoring heart rate is a priority to detect adverse effects like arrhythmias. Weight, activity status, and temperature are relevant but less urgent.
Question 5 of 5
The nurse is caring for a client who has acute pancreatitis. Based on the 11:15 AM vital signs, the nurse should prioritize which action? Click to view the exhibit for additional client information.
Correct Answer: B
Rationale: Acute pancreatitis causes severe pain, a hallmark symptom. Without vital signs data, pain assessment is the priority to guide treatment and comfort, preceding ECG, oxygen, or fluids.