NCLEX Endocrine Questions | Nurselytic

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NCLEX Endocrine Questions Questions

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Question 1 of 5

Which monitoring approach is best for the nurse to recommend?

Correct Answer: B

Rationale: A glucometer provides accurate, real-time blood glucose levels for effective diabetes management.

Question 2 of 5

If the screening includes a measurement of postprandial blood glucose, the nurse is correct in explaining that blood will be drawn at which time?

Correct Answer: B

Rationale: Postprandial blood glucose is measured 2 hours after a meal to assess glucose metabolism.

Question 3 of 5

The client diagnosed with type 1 diabetes mellitus received regular insulin two (2) hours ago. The client is complaining of being jittery and nervous. Which interventions should the nurse implement? List in order of priority.

Order the Items

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Call the laboratory to confirm blood glucose level.
Administer a quick-acting carbohydrate.
Have the client eat a bologna sandwich.
Check the client’s blood glucose level at the bedside.
Determine if the client has had anything to eat.

Correct Answer: D,B,E,C,A

Rationale: 1. Check blood glucose at bedside: Jitteriness and nervousness suggest hypoglycemia, common 2 hours post-regular insulin (peak effect). Bedside glucose testing confirms hypoglycemia quickly, guiding treatment. 2. Administer quick-acting carbohydrate: If glucose is low (<70 mg/dL), a quick-acting carbohydrate (e.g., juice) rapidly corrects hypoglycemia. 3. Determine if the client has had anything to eat: Assessing recent food intake identifies if inadequate nutrition contributed to hypoglycemia, informing prevention. 4. Have the client eat a bologna sandwich: After stabilizing glucose, a complex meal sustains normoglycemia, but it’s slower-acting. 5. Call the laboratory: Lab confirmation is unnecessary and delays treatment, as bedside glucometry is standard.

Question 4 of 5

Antibiotics are ordered for a client who has had a transsphenoidal hypophysectomy. He asks why he is receiving an antibiotic when he does not have an infection. The primary reason for administering antibiotics to this client is based on which information?

Correct Answer: B

Rationale: The transsphenoidal approach through the mouth increases the risk of meningitis due to oral bacteria, necessitating prophylactic antibiotics.

Question 5 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.

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