Nclex RN Exams Practice Questions a Client With Endocrine Disorder

1. An adult client who has type 2 diabetes and requires insulin tells the nurse about feeling trembly, weak, and anxious before supper.The nurse should:
A. Tell the client to lie down for 30 min.
B. Have the client drink a glass of milk or orange juice.
C. Contact the client’s physician to decrease the insulin dose.
D. Administer the next dose of insulin.

2. The nurse is instructing a client with DM about a diet plan comprised of 45 g of carbohydrate
at each meal. Which selections does the nurse encourage?
A. 1 cup of skim milk, 1/2 cut unsweetened applesauce with cinnamon, 2 ounces of pork chop, 1/2 cup mashed potatoes, 1 cup coffee with cream.
B. 1 cup sugar-free hot chocolate, 3/4 cup unsweetened cold cereal, 1 slice bacon,1/2 cup scrambled egg, 1 cup skim milk, 1 slice whole wheat toast.
C. 1 cup yogurt (100 calorie, lite), 1/3 cup pasta, 1/2 cup peas, 1 cup canned pineapple in its own juice.
D. 2 ounces chicken breast, 1 cup cooked carrots,1 cup ice cream, 5 radishes, 1 can diet soda.

3. When evaluating teaching to a client on how to administer insulin, which of the following indicates that additional teaching is necessary?
A. Client draws up the regular insulin first and then the NPH.
B. Client rotates sites from legs to arms.
C. Client identifies that the syringe is U-100.
D. Client waits 30 min to eat breakfast after injecting rapid-acting insulin.

4. A client with newly diagnosed DM is scheduled to receive regular insulin 10 units and NPH insulin 20 units every morning. When should the nurse schedule the administration of these medications?
A. Regular insulin with breakfast; NPH after breakfast.
B. Both insulins 0.5 hr before breakfast.
C. In two separate syringes with breakfast.
D. NPH 1 hr before and regular 0.5 hr before breakfast.

5. The nurse is instructing a client with DM who takes insulin about the causes of hypoglycemia. The client understands the underlying cause of hypoglycemia when telling the nurse hypoglycemia is caused by:
A. Drinking too much water.
B. Getting too little exercise.
C. Eating too much food.
D. Taking too much insulin.

6. A client with hyperthyroidism is hospitalized to have a thyroidectomy. The physician has
prescribed propranolol (Inderal). In reviewing the client’s history, the nurse notes that
the client has asthma. The nurse should next:
A. Take the client’s pulse and hold the propranolol (Inderal) if the pulse is less than 100 beats per minute.
B. Count the client’s respirations and hold the propranolol (Inderal) if the respirations
are less than 20 breaths per minute.
C. Contact the physician; question the order for propranolol (Inderal) with the client’s asthma history.
D. Instruct the client to make position changes slowly.

7. A client with a pituitary tumor had a transsphenoidal hypophysectomy. Following surgery,
the nurse places the head of the bed in which of the following positions?
A. Flat.
B. Lowered 20 degrees.
C. Elevated 90 degrees.
D. Elevated 30 degrees.

8. A client with Addison disease is hospitalized for an acute crisis. During the crisis, which of
the following nursing diagnoses is a priority?
A. Deficit fluid volume.
B. Activity intolerance.
C. Anxiety.
D. Risk for injury.

9. A client with Cushing disease has an order to receive IV solution of 3% sodium chloride
(NaCl). The nurse contacts the physician to verify the order because:
A. 3% sodium chloride (NaCl) is a hypertonic solution that will increase the extracellular
fluid (ECF) volume.
B. 3% sodium chloride (NaCl) is a hypotonic solution that will cause extracellular fluid
(ECF) volume depletion.
C. 3% sodium chloride (NaCl) is like normal saline.
D. 3% sodium chloride (NaCl) is an isotonic solution with no net effect on cellular dynamics.

10. When sympathetic blocking agents are used to decrease the BP prior to removal of an adrenal
tumor, the nurse should instruct the client to:
A. Continue current prescriptions.
B. Change position cautiously.
C. Walk 30 min daily.
D. Place furniture for support.
Answer And Rational