NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
The nurse administered 28 units of Humulin N, an intermediate-acting insulin, to a client diagnosed with type 1 diabetes at 1600. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Humulin N peaks in 4–12 hours, risking nocturnal hypoglycemia. A bedtime snack prevents this. Lunch intake is irrelevant, morning glucose checks are too late, and protein alone is insufficient.
Question 2 of 5
Which diet does the nurse expect will be ordered for the client with hypothyroidism?
Correct Answer: C
Rationale: A high-roughage, low-calorie diet supports weight loss and relieves constipation in hypothyroidism.
Question 3 of 5
Which I.V. medication can the nurse expect the physician to order to treat the client's condition?
Correct Answer: A
Rationale: Calcium gluconate is used to treat tetany caused by hypocalcemia in hypoparathyroidism.
Question 4 of 5
The nurse is preparing to administer the following medications. Which medication should the nurse question administering?
Correct Answer: A
Rationale: Administering thyroid hormone without T3/T4 levels risks overtreatment, as levels confirm hypothyroidism. Insulin, diuretics, and digoxin are appropriate based on data.
Question 5 of 5
Which assessment data indicate the client diagnosed with diabetic ketoacidosis is responding to the medical treatment?
Correct Answer: B
Rationale: Alertness and orientation indicate resolving DKA, as cerebral function improves. Persistent dehydration, acidosis (pH 7.29), and hypokalemia are not signs of improvement.