Endocrine RN NCLEX Questions
Home / Nursing & Allied Health Certifications / NCLEX RN / RN Endocrine
Question 1 of 5.
Complete the sentence below from the list of options. The client is at highest risk of developing....... based on the client's.............
A. hyperglycemic-hyperosmolar state
B. metabolic alkalosis
C. diabetic ketoacidosis
D. positive serum ketones.
E. glycosylated hemoglobin.
F. potassium level.
Explanation: In type 1 diabetes, fatigue, thirst, and dry mucous membranes with elevated glucose suggest DKA. Positive serum ketones confirm ketosis, a hallmark of DKA due to insulin deficiency.
Question 2 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 3 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 4 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 5 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.
Related Questions