Nclex RN Diabetes Mellitus and Endocrine Disorder Practice Questions

 Nclex RN Diabetes Mellitus and Endocrine Disorder Practice Questions
01. A patient with a history of diabetes mellitus is in the second post-operative day following cholecystectomy. She has complained of nausea and isn't able to eat solid foods. The nurse enters
the room to find the patient confused and shaky. Which of the following is the most likely explanation
for the patient's symptoms?
A. Anesthesia reaction.
B. Hyperglycemia.
C. Hypoglycemia.
D. Diabetic ketoacidosis.

02.A newly diagnosed 8-year-old child with type I diabetes mellitus and his mother are receiving diabetes education prior to discharge. The physician has prescribed Glucagon for emergency use. The mother
asks the purpose of this medication. Which of the following statements by the nurse is correct?
A. Glucagon enhances the effect of insulin in case the blood sugar remains high one hour after injection.
B. Glucagon treats hypoglycemia resulting from insulin overdose.
C. Glucagon treats lipoatrophy from insulin injections.
D. Glucagon prolongs the effect of insulin, allowing fewer injections.

03. A patient with newly diagnosed diabetes mellitus is learning to recognize the symptoms of hypoglycemia. Which of the following symptoms is indicative of hypoglycemia?
A. Polydipsia.
B. Confusion.
C. Blurred vision.
D. Polyphagia.

04.A client with type 1 diabetes must undergo bowel resection in the morning. How should the nurse proceed while caring for him on the morning of surgery?
a)Administer half of the client's typical morning insulin dose as ordered.
b)Administer an oral antidiabetic agent as ordered.
c)Administer an I.V. insulin infusion as ordered.
d)Administer the client's normal daily dose of insulin as ordered.

05.A nurse is caring for a client with poorly managed diabetes mellitus who has a serious foot ulcer. When she informs him that the physician has ordered a wound care nurse to examine his foot,
the client asks why he should see anyone other than this nurse. He states, "It's no big deal. I'll keep it covered and put antibiotic ointment on it." What is the nurse's best response?
a)"We're very concerned about your foot and we want to provide the best possible care for you."
b)"This is a big deal and you need to recognize how serious it is."
c)"This is the physician's recommendation. The wound care nurse will see you today."
d)"You could lose your foot if you don't see the wound care nurse."

06.Which finding best indicates that a nursing assistant has an understanding of blood glucose meter use?
a)Verbalizing an understanding of blood glucose meter use
b)Documenting a normal blood glucose level
c)Providing documentation of previous certification
d)Demonstrating correct technique

07.A Nurse caring for a patient who is in diabetic ketoacidosis. Nurse observe the patient in Kussmaul respiration. What are Kussmaul respirations?
a.Abnormally deep, regular and increased respirations
b.Regular, slow respirations
c.Labored, increased respirations
d.Short periods of apnea

08.The nurse is caring for a client with pheochromocytoma. Which of the following must be included in planning the nursing care for this client ?
a.Monitor blood pressure frequently, assessing for hypertension.
b.Assess only for physical stressors present.
c.Collect a random urine sample.
d.Prepare the client for chemotherapy to shrink the tumor.

09.A nurse on a surgical floor is caring for a post-operative client who has just had a subtotal thyroidectomy. Which of the following assessments should be completed first on the client?
a.Assess for signs of tetany by checking for Chvostek’s and Trousseau’s signs
b.Assess dressing (if present) and the area under the client’s neck and shoulders for drainage.
c.Administer analgesic pain medications as ordered, and monitor their effectiveness.
d.Assess respiratory rate, rhythm, depth, and effort.

10.A nurse is assessing a newly admitted client with symptoms of heat intolerance, insomnia, palpitations, and increased sweating. Which of the following diagnoses may be the reason for these symptoms?   
a.Pretibial myxedema
b.Hyperthroidism
c.Proptosis
d.Hypothroidism

11. A clinic nurse is performing an assessment on a client who has hypothyroidism. The nurse would expect to note which clinical manifestation?
a) complaints of difficulty sleeping
b) complaints of diarrhea
c) significant weight loss since the last clinic visit
d) complaints of intolerance to cold weather

12. A nurse is caring for a client following thyroidectomy and is monitoring for complications. Which of the following if noted in the client, would indicate a need for physician notification?
a)surgical pain in the neck area
b)voice hoarseness
c)numbness and tingling around the mouth
d)weakness of the voice

13. A nurse is planning care for a client with a diagnosis of thyrotoxicosis (thyroid storm). Which of the following would the nurse include in the plan of care for the client?
a)use of a hypothermic (cooling) blanket
b)restriction of fluid intake
c)administration of levothyroxine (synthroid)
d)administration of enemas and stool softeners as needed

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