NCLEX-PN
Endocrine Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which instruction should the nurse give the client about insulin administration during periods of illness?
Correct Answer: A
Rationale: Frequent blood glucose monitoring during illness helps adjust insulin doses to prevent complications.
Question 2 of 5
The nurse is assessing the client who has type 2 DM. Which findings indicate to the nurse that the client is experiencing HHNS? Select all that apply.
Correct Answer: A,C,D
Rationale: A serum osmolality of 364 mOsm/kg, very dry mucous membranes, and a BP of 90/42 indicate HHNS due to elevated osmolality, dehydration, and hypotension from osmotic diuresis.
Question 3 of 5
The diabetic client tells the nurse that breakfast is always skipped. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Consistent meal timing is crucial for blood glucose control in diabetes.
Question 4 of 5
Which client statement indicates a correct understanding of corticosteroid therapy for Addison's disease?
Correct Answer: B
Rationale: Corticosteroid therapy for Addison's disease requires daily administration to replace deficient hormones and maintain physiological balance.
Question 5 of 5
The health-care provider has ordered 40 g/24 hr of intranasal vasopressin for a client diagnosed with diabetes insipidus. Each metered spray delivers 10 g. The client takes the medication every 12 hours. How many sprays are delivered at each dosing time?
Correct Answer: 2 sprays
Rationale:
Total dose: 40 g/24 hr, split every 12 hr = 20 g/dose. Each spray = 10 g, so 20 g ÷ 10 g/spray = 2 sprays per dose.