NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
The nurse knows the diabetic client understands what 'free' foods on the exchange list means if the client excludes which one of the following from a meal plan?
Correct Answer: C
Rationale: Light beer contains carbohydrates and calories, unlike free foods such as iced tea, flavored water, and club soda.
Question 2 of 5
Which nursing instruction should the nurse discuss with the client who is receiving glucocorticoids for Addison’s disease?
Correct Answer: B
Rationale: Addison’s disease requires glucocorticoid replacement, and doses must be increased during stress or infection to mimic the body’s natural cortisol response and prevent adrenal crisis. Tapering applies to exogenous steroid cessation, empty stomach intake is incorrect, and socks are irrelevant.
Question 3 of 5
Which assessment findings would the nurse expect to document the patient's health care, and the patient's health care? Select all that apply.
Correct Answer: C,E,F
Rationale: DKA is characterized by acetone breath, warm/flushed skin, vomiting, abdominal pain, and thirst due to hyperglycemia and dehydration.
Question 4 of 5
The nurse administers a usual morning dose of 4 units of regular insulin and 8 units of NPH insulin at 7:30 am to the client with a blood glucose level of 110 mg/dL. Which statements regarding the client's insulin are correct?
Correct Answer: B
Rationale: The onset of regular insulin (short acting) is one-half to 1 hour, and the peak is 2 to 3 hours. The onset of NPH insulin (intermediate acting) is 2 to 4 hours, and the peak is 4 to 12 hours.
Question 5 of 5
When the nurse teaches the client how to self-administer potassium iodide (Lugol's solution), which instruction is most appropriate?
Correct Answer: C
Rationale: Diluting potassium iodide in fruit juice improves palatability and reduces gastric irritation.