NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
During change of shifts, a nurse discovers that a hospitalized client with diabetes received two doses of insulin. After notifying the physician, which nursing action is most appropriate?
Correct Answer: D
Rationale: Monitoring blood glucose is critical to detect and manage potential hypoglycemia from the double dose.
Question 2 of 5
How soon after administering the client's dose of regular insulin subcutaneously should the nurse assess for signs of hypoglycemia?
Correct Answer: B
Rationale: Regular insulin peaks around 2-4 hours, but early hypoglycemia can occur within 30 minutes, requiring assessment.
Question 3 of 5
Which action by the nurse provides the best data for monitoring the client's therapeutic response to sodium restriction?
Correct Answer: B
Rationale: Measuring pedal edema assesses fluid retention, a key indicator of sodium restriction response in Cushing's syndrome.
Question 4 of 5
Which medication order should the nurse question in the client diagnosed with untreated hypothyroidism?
Correct Answer: C
Rationale: Sedatives risk respiratory depression in untreated hypothyroidism due to slowed metabolism. Thyroid hormones, oxygen, and laxatives are appropriate.
Question 5 of 5
The client is diagnosed with acute pancreatitis. Which health-care provider's admitting order should the nurse question?
Correct Answer: D
Rationale: A low-fat, low-carb diet is inappropriate during acute pancreatitis; clients are typically NPO to rest the pancreas. Bedrest, IV D5W, and weighing are appropriate.