NCLEX Endocrine Questions | Nurselytic

Questions 58

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NCLEX Endocrine Questions Questions

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Question 1 of 5

The client ate 45 g of carbohydrate (carb) with the dinner meal. The client is to receive 2 units of aspart insulin subcutaneously for each carb choice (CHO) eaten (1 carb choice = 15 g). Which syringe shows the correct amount of insulin that the nurse should administer?

Correct Answer: D

Rationale: The client should receive 6 units of insulin. Eating 45 g of carbohydrates equals 3 CHOs. If the client is to receive 2 units of insulin for each CHO, the total amount of aspart insulin is 3 CHO times 2 units per CHO = 6 units.

Question 2 of 5

The nurse assesses the client following a total thyroidectomy. Which finding indicates that the client has a positive Trousseau's sign?

Correct Answer: A

Rationale: Trousseau's sign is carpal spasm due to hypocalcemia from parathyroid gland injury during thyroidectomy.

Question 3 of 5

Because propylthiouracil (Propyl-Thyracil) can cause agranulocytosis, the nurse advises the client to notify the physician's health problem occurs?

Correct Answer: A

Rationale: Agranulocytosis, a side effect of propylthiouracil, can manifest as a persistent sore throat due to decreased white blood cells.

Question 4 of 5

Which laboratory value should be monitored by the nurse for the client diagnosed with diabetes insipidus?

Correct Answer: A

Rationale: Diabetes insipidus causes dilute urine, risking hypernatremia; serum sodium monitoring is critical. Calcium, urine glucose, and WBCs are unrelated.

Question 5 of 5

Which client action indicates a need for further teaching about insulin administration?

Correct Answer: D

Rationale: Injecting insulin into a lipodystrophic area can impair absorption, indicating a need for further teaching on site rotation.

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