NCLEX-PN
Endocrine Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client to self-administer insulin. The instructions should include teaching the client to:
Correct Answer: C
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin absorption. Insulin is injected subcutaneously, not into muscle, and massaging can alter absorption.
Question 2 of 5
If a regular diet is ordered, which between-meal snack should the nurse offer to help regulate the client's blood glucose level?
Correct Answer: A
Rationale: A small carton of milk provides a balance of carbohydrates and protein to stabilize blood glucose in hypoglycemia.
Question 3 of 5
The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of 8.1%. Which interpretation should the nurse make based on this result?
Correct Answer: C
Rationale: An A1c of 8.1% is above the recommended target (<7% for most diabetics), indicating poor glycemic control. It is not normal, acceptable, or dangerously high (e.g., >10%).
Question 4 of 5
An adult is admitted to the hospital with a diagnosis of hypothyroidism. Which findings would the nurse most likely elicit during the nursing assessment?
Correct Answer: C
Rationale: Hypothyroidism causes hypothermia and constipation due to slowed metabolism, unlike the other symptoms.
Question 5 of 5
The nurse is discussing discharge plans with a client who had a transsphenoidal hypophysectomy. Which statement made by the client indicates a need for more teaching?
Correct Answer: D
Rationale: Stopping medications when feeling better indicates a lack of understanding, as lifelong hormone replacement is often required post-hypophysectomy.