Endocrine RN NCLEX Questions Related

The nurse is caring for a client who has diabetes mellitus. Which of the following would indicate the client is achieving the treatment goals?

• A. Fasting blood glucose 145 mg/dl (8.05 mmol/L) [70-110 mg/dL, 4.0-6.0 mmol/L]
• B. Creatinine 2.3 mg/dl (203.32 μmol/L) [Male: 0.6-1.2 mg/dL Female: 0.5-1.1 mg/dL, Male 49-93 ¼mol/L Female 22-75 ¼mol/L]
• C. Urine Specific Gravity 1.043 [1.005-1.030]
• D. Hemoglobin A1C 6.7% [ < 7%]

The following scenario applies to the next 6 items
The nurse in the clinic is caring for a 32-year-old female client.
Item 1 of 6
Nurses' Notes
1559: Client reports to the outpatient clinic with reports of persistent fatigue, weakness, lethargy, and lower back pain over the last 8 months. She is also concerned because she has gained 24 pounds (10.9 kg) over the past 4 months. She stated that the weight gain has been so significant that she developed reddened streaks on her abdomen from the weight gain. The client is concerned because, over the past month, she has noticed she has been drinking more often and has had increased hunger. She has also noticed she is urinating more frequently. She went to urgent care one week ago and tested negative for urinary tract infection. She also noticed that her menstrual cycle has been irregular. She is not on birth control and took a home pregnancy test, which was negative. During the assessment, the client was fully alert and oriented. Clear lung sounds bilaterally. Skin was dry. Excessive facial hair was noted. 1+ pedal and ankle edema bilaterally. Peripheral pulses palpable, 2+, and regular. Body mass index (BMI) of 32. Vital signs: T 97.5° F (36.4° C), P 93, RR 18, BP 145/93, pulse oximetry reading 96% on room air. She is currently taking escitalopram for persistent depressive disorder.

Laboratory Results
Capillary Blood Glucose
1613: 254 mg/dL [70-110 mg/dL]

Select the client findings that require follow-up.

• A. Capillary blood glucose
• B. Peripheral pulse findings
• C. Blood pressure
• D. Not taking birth control

The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following laboratory tests require careful monitoring?

• A. Potassium
• B. Sodium
• C. Glucose
• D. Magnesium

The nurse is counseling a client who has prediabetes. The nurse understands that the client is meeting the treatment goal, as evidenced by

• A. total cholesterol of 215 mg/dL (5.55 mmol/L) [ < 200 mg/dL, < 5.2 mmol/L]
• B. hemoglobin A1C of 5.4% [ < 6.4%]
• C. fasting blood glucose 128 mg/dL (7.10 mmol/L) [70-110 mg/dL, 4.0-6.0 mmol/L]
• D. random blood glucose of 210 mg/dL (11.66 mmol/L) [70-110 mg/dL, 4.0-6.0 mmol/L]

The nurse is conducting a health screening at a local health fair. Which of the following should the nurse recognize as a risk factor for developing type II diabetes mellitus?

• A. Gestational diabetes
• B. Metabolic syndrome
• C. Chronic corticosteroid use
• D. Gastric bypass surgery
• E. Obesity