NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
The client diagnosed with type 2 diabetes is admitted to the intensive care unit (ICU) with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) coma. Which assessment data should the nurse expect the client to exhibit?
Correct Answer: C
Rationale: HHNS causes severe dehydration, leading to dry mucous membranes. Kussmaul’s respirations and ketone odor are DKA-specific, and diarrhea/pain are less common.
Question 2 of 5
Which arterial blood gas results should the nurse expect in the client diagnosed with diabetic ketoacidosis?
Correct Answer: D
Rationale: DKA causes metabolic acidosis (low pH 7.30, low HCO3 18) with compensatory respiratory alkalosis (low PaCO2 30). Other options show normal or alkalotic states.
Question 3 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 4 of 5
The nurse is caring for the client admitted in Addisonian crisis. Which medication, if prescribed, should the nurse plan to administer?
Correct Answer: D
Rationale: Hydrocortisone is a corticosteroid used to replace deficient glucocorticoids in Addisonian crisis.
Question 5 of 5
If the screening includes a measurement of postprandial blood glucose, the nurse is correct in explaining that blood will be drawn at which time?
Correct Answer: B
Rationale: Postprandial blood glucose is measured 2 hours after a meal to assess glucose metabolism.