NCLEX RN Questions on Endocrine System

NCLEX RN Questions on Endocrine System Related

Review NCLEX RN Questions on Endocrine System related questions and content

The following scenario applies to the next 1 items
The nurse in physician's office is caring for a 41-year-old male
Item 1 of 1
Nurses' Notes
1100 - Client presents for a routine follow-up and a medication refill. Client has no acute concerns and reports full adherence to his prescribed medications. Vital signs: T 97.5° F (36.4° C), P 90, RR 18, BP 138/88, pulse oximetry reading 96% on room air.

Medical History
• diabetes mellitus (type 2)
• hyperlipidemia
• hypertension
• irritable bowel syndrome
Current Medications
• metformin 1 gram by mouth daily
• glipizide 5 mg by mouth daily, before breakfast
• lisinopril 40 mg by mouth daily
• multivitamin 1 tablet by mouth daily
• atorvastatin 80 mg by mouth daily

The nurse reviews the client's medical record. Please complete the sentence below from the list of options. Based on the August glycated hemoglobin A1C results the client is

  • A. going to require a prescription for insulin.
  • B. having frequent episodes of hyperglycemia.
  • C. demonstrating evidence of good glucose control.
  • D. None of the above
Correct Answer: C

Rationale: Without specific HbA1C results, stable type 2 diabetes with adherence to metformin and glipizide suggests good control, assuming prior results were within target (<7%).

You may also like to solve these questions

The nurse is caring for a client newly diagnosed with diabetic nephropathy. The nurse anticipates a prescription for which medication?

  • A. Ciprofloxacin
  • B. Enalapril
  • C. Sevelamer
  • D. Epoetin alfa
Correct Answer: B

Rationale: Enalapril, an ACE inhibitor, slows diabetic nephropathy progression by reducing intraglomerular pressure. Ciprofloxacin treats infections, sevelamer manages hyperphosphatemia, and epoetin alfa treats anemia, none of which are primary for nephropathy.

The nurse is assessing a client with hypothyroidism. Which of the following assessment findings would be expected?

  • A. Decreased libido
  • B. Bradycardia
  • C. Heat intolerance
  • D. Fatigue
  • E. Constipation
Correct Answer: A, B, D, E

Rationale: Hypothyroidism slows metabolism, leading to decreased libido, bradycardia, fatigue, and constipation. Heat intolerance is associated with hyperthyroidism, not hypothyroidism.

The nurse is caring for a client receiving a continuous infusion of regular insulin. The nurse should plan to monitor which clinical data?

  • A. Hourly blood glucose
  • B. Potassium
  • C. BUN and creatinine
  • D. Gastric pH
  • E. Fasting blood glucose
Correct Answer: A, B

Rationale: Insulin lowers glucose and shifts potassium into cells, risking hypokalemia. Hourly glucose and potassium monitoring are critical to adjust therapy and prevent complications.

The nurse is interviewing a client taking prescribed methimazole for hyperthyroidism. Which assessment finding requires notification to the physician?

  • A. body mass index (BMI) 23
  • B. sore throat
  • C. pulse (P) 84
  • D. skin rash
Correct Answer: B

Rationale: Sore throat may indicate agranulocytosis, a rare but serious methimazole side effect, requiring immediate physician notification. BMI 23, pulse 84, and skin rash are less urgent unless severe.

The nurse is assessing a client with diabetes mellitus type 2. Which of the following findings would be consistent with a diagnosis of diabetes mellitus type 2?

  • A. Fasting blood glucose level 110 mg/dL (6.1 mmol/L) [70-110 mg/dL, 4.0-6.0 mmol/L]
  • B. Hemoglobin A1c (HbA1c) level 7.5% [ < 5.7%]
  • C. Elevated Serum Insulin Levels
  • D. Presence of ketones in the urine
Correct Answer: B

Rationale: HbA1c of 7.5% indicates poor long-term glucose control, consistent with type 2 diabetes (diagnosis: ≥6.5%). Fasting glucose at 110 mg/dL is borderline, elevated insulin reflects resistance, and ketones are more typical of type 1 or DKA.

Copyright © 2025 Nokea. All rights reserved.