NCLEX Endocrine Questions | Nurselytic

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NCLEX Endocrine Questions Questions

Extract:


Question 1 of 5

The client is diagnosed with hypothyroidism. Which signs/symptoms should the nurse expect the client to exhibit?

Correct Answer: A

Rationale: Hypothyroidism causes fatigue and hair loss due to slowed metabolism. Exophthalmos/nervousness (hyperthyroidism), sweating, and tetany are unrelated.

Question 2 of 5

Which interrelated concepts could be identified as actual or potential for a 56-year-old male client diagnosed with diabetes mellitus type 2? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Nutrition, metabolism, infection, and skin integrity are impacted by type 2 diabetes due to dietary needs, glucose control, infection risk, and neuropathy. Male reproduction is less directly affected.

Question 3 of 5

The client diagnosed with type 1 diabetes mellitus received regular insulin two (2) hours ago. The client is complaining of being jittery and nervous. Which interventions should the nurse implement? List in order of priority.

Order the Items

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Call the laboratory to confirm blood glucose level.
Administer a quick-acting carbohydrate.
Have the client eat a bologna sandwich.
Check the client’s blood glucose level at the bedside.
Determine if the client has had anything to eat.

Correct Answer: D,B,E,C,A

Rationale: 1. Check blood glucose at bedside: Jitteriness and nervousness suggest hypoglycemia, common 2 hours post-regular insulin (peak effect). Bedside glucose testing confirms hypoglycemia quickly, guiding treatment. 2. Administer quick-acting carbohydrate: If glucose is low (<70 mg/dL), a quick-acting carbohydrate (e.g., juice) rapidly corrects hypoglycemia. 3. Determine if the client has had anything to eat: Assessing recent food intake identifies if inadequate nutrition contributed to hypoglycemia, informing prevention. 4. Have the client eat a bologna sandwich: After stabilizing glucose, a complex meal sustains normoglycemia, but it’s slower-acting. 5. Call the laboratory: Lab confirmation is unnecessary and delays treatment, as bedside glucometry is standard.

Question 4 of 5

Which statement indicates that the client has misunderstood the nurse's teaching?

Correct Answer: D

Rationale: Type 1 diabetes requires lifelong insulin therapy, so dependence will not stop.

Question 5 of 5

Which nursing care measure is essential because a client has exophthalmos?

Correct Answer: A

Rationale: Exophthalmos (bulging eyes) in hyperthyroidism causes dry eyes, requiring artificial tears to prevent corneal damage.

Similar Questions

The client with type 1 DM is scheduled for major surgery in the morning. The nurse on the night shift observes that the client's daily insulin dose remains the same as previously given. Which nursing action is most appropriate?
The client is diagnosed with cancer of the head of the pancreas. Which signs and symptoms should the nurse expect to assess?
The client with type 2 diabetes controlled with biguanide oral diabetic medication is scheduled for a computed tomography (CT) scan with contrast of the abdomen to evaluate pancreatic function. Which intervention should the nurse implement?
Which question should the nurse ask when assessing the client for an endocrine dysfunction?
The nurse assesses that the client diagnosed with Cushing's syndrome has an irregular HR, right arm ecchymosis, 4+ pitting edema in the legs, and a blood glucose of 140 mg/dL. Which action should be the nurse's priority?

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