NCLEX Endocrine Questions

NCLEX Endocrine Questions Related

Review NCLEX Endocrine Questions related questions and content

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.

  • A. Call the laboratory to confirm blood glucose level.
  • B. Administer a quick-acting carbohydrate.
  • C. Have the client eat a bologna sandwich.
  • D. Check the client’s blood glucose level at the bedside.
  • E. 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.

You may also like to solve these questions

When the nurse conducts an admission history, which subjective symptom is the client likely to describe?

  • A. Difficulty urinating
  • B. Intolerance to cold
  • C. Profuse perspiration
  • D. Excessive appetite
Correct Answer: B

Rationale: Intolerance to cold is a common symptom of myxedema due to decreased metabolic rate.

A woman with a tumor of the adrenal cortex says to the nurse, 'Will I always look this ugly? I hate having a beard.' What is the best response for the nurse to make?

  • A. After surgery, you will not develop any more symptoms, but the changes you have now will linger.'
  • B. That varies from person to person. You should ask your physician.'
  • C. After surgery, your appearance should gradually return to normal.'
  • D. Electrolysis and plastic surgery should make your appearance normal.'
Correct Answer: C

Rationale: Post-adrenalectomy, hormonal imbalances causing symptoms like hirsutism should resolve, gradually normalizing appearance.

The client with type 2 diabetes controlled with biguanide oral diabetic medication is scheduled for a computed tomography (CT) scan with contrast of the abdomen to evaluate pancreatic function. Which intervention should the nurse implement?

  • A. Provide a high-fat diet 24 hours prior to test.
  • B. Hold the biguanide medication for 48 hours prior to test.
  • C. Obtain an informed consent form for the test.
  • D. Administer pancreatic enzymes prior to the test.
Correct Answer: B

Rationale: Biguanides (e.g., metformin) are held 48 hours before contrast CT to prevent lactic acidosis due to contrast-induced kidney injury. High-fat diets, consent, and enzymes are irrelevant.

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?

  • A. Illustration 1: 16 units
  • B. Illustration 2: 29 units
  • C. Illustration 3: 1 unit
  • D. Illustration 4: 6 units
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.

The concepts of nutrition and metabolism have been identified for the client. Which referral should the nurse include in the plan of care?

  • A. Physical therapy.
  • B. Social work.
  • C. Speech therapy.
  • D. Dietary.
Correct Answer: D

Rationale: A dietary referral addresses nutrition and metabolism, optimizing dietary management for conditions like diabetes. Other referrals are unrelated.

Copyright © 2025 Nokea. All rights reserved.