NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 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 2 of 5
The client is diagnosed with acute pancreatitis. Which health-care provider's admitting order should the nurse question?
Correct Answer: D
Rationale: A low-fat, low-carb diet is inappropriate during acute pancreatitis; clients are typically NPO to rest the pancreas. Bedrest, IV D5W, and weighing are appropriate.
Question 3 of 5
The client ate 45 g of carbohydrate (carb) with the dinner meal. The client is to receive 2 units of aspart insulin subcutaneously for each carb choice (CHO) eaten (1 carb choice = 15 g). Which syringe shows the correct amount of insulin that the nurse should administer?
Correct Answer: D
Rationale: The client should receive 6 units of insulin. Eating 45 g of carbohydrates equals 3 CHOs. If the client is to receive 2 units of insulin for each CHO, the total amount of aspart insulin is 3 CHO times 2 units per CHO = 6 units.
Question 4 of 5
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?
Correct Answer: C
Rationale: The HCP should be notified immediately to address the irregular HR, which may result from hypokalemia, a common issue in Cushing's syndrome.
Question 5 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.