Endocrine RN NCLEX Questions
Question 1 of 5.
The nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following would indicate the client is achieving the treatment goals?
A. Mean arterial pressure (MAP) 71 mmHg
B. Potassium 3.3 mEq/L (mmol) [3.5-5 mEq/L]
C. Blood glucose 255 mg/dL (14.15 mmol/L) [70-110 mg/dL, 4.0-11.0 mmol/L]
D. Serum pH 7.33 [7.35 and 7.45]
Explanation: In DKA, treatment aims to correct acidosis, hyperglycemia, and electrolyte imbalances. A serum pH of 7.33 is closer to the normal range (7.35-7.45), indicating improvement in acidosis. MAP of 71 mmHg is low, potassium is below normal, and glucose remains elevated, suggesting ongoing issues.
Question 2 of 5.
The nurse supervises a graduate nurse caring for a client newly admitted for postoperative management following a thyroidectomy. Which of the following actions by the graduate nurse indicates effective planning of the client's care?
A. A bottle of sterile water and petroleum-based gauze is at the bedside.
B. Obtains a prescription for magnesium sulfate.
C. The bedside is prepared with a tracheostomy set, oxygen, and suction.
D. Applies a cervical collar to the client
Explanation: Post-thyroidectomy, airway obstruction from swelling or hemorrhage is a risk. A tracheostomy set, oxygen, and suction are essential for emergency airway management. Sterile water and gauze are insufficient, magnesium sulfate is unrelated, and a cervical collar may restrict breathing.
Question 3 of 5.
The nurse plans care for a client experiencing a hyperglycemic-hyperosmolar state (HHS). The nurse should anticipate which prescriptions from the primary healthcare provider (PHCP)?
A. 0.9% saline infusion
B. Glargine insulin
C. Sodium polystyrene
D. Sodium bicarbonate
Explanation: HHS involves severe hyperglycemia and dehydration. 0.9% saline corrects fluid loss. Glargine is long-acting and not ideal for acute HHS, sodium polystyrene treats hyperkalemia, and bicarbonate is rarely used unless pH is critically low.
Question 4 of 5.
Select the client findings that require follow-up.
A. Capillary blood glucose
B. Peripheral pulse findings
C. Blood pressure
D. Not taking birth control
Explanation: Elevated glucose (254 mg/dL) suggests hyperglycemia, needing investigation. BP (145/93) indicates hypertension, requiring monitoring. Edema and BMI of 32 signal potential endocrine or cardiac issues. Peripheral pulses are normal and birth control is unrelated.
Question 5 of 5.
For each potential order, click to specify whether the potential order is indicated or not indicated for the client.
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Explanation: HbA1C assesses long-term glucose control, 24-hour cortisol tests for Cushing's, CMP evaluates electrolytes and glucose, and CBC checks for infection or anemia. Clonidine suppression is for pheochromocytoma, corticosteroids are not indicated, and neurology referral is unnecessary without neurological symptoms.
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