Endocrine Disorders NCLEX Questions
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Question 1 of 5.
How does the nurse expect the urine that is collected for a routine urinalysis to appear?
A. Tea-colored
B. Pale yellow
C. Goldless
D. Light pink
Explanation: In diabetes insipidus, the urine is typically dilute and pale yellow due to the large volume of water excreted.
Question 2 of 5.
The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of 8.1%. Which interpretation should the nurse make based on this result?
A. This result is below normal levels.
B. This result is within acceptable levels.
C. This result is above recommended levels.
D. This result is dangerously high.
Explanation: An A1c of 8.1% is above the recommended target (<7% for most diabetics), indicating poor glycemic control. It is not normal, acceptable, or dangerously high (e.g., >10%).
Question 3 of 5.
The home health nurse is completing the admission assessment for a 76-year-old client diagnosed with type 2 diabetes controlled with 70/30 insulin. Which intervention should be included in the plan of care?
A. Assess the client's ability to read small print.
B. Monitor the client's serum prothrombin time (PT) level.
C. Teach the client how to perform a hemoglobin A1c test daily.
D. Instruct the client to check the feet weekly.
Explanation: Assessing the ability to read small print ensures the elderly client can read insulin labels and glucometer results, critical for safe management. PT is irrelevant, A1c is not daily, and foot checks are daily.
Question 4 of 5.
The nurse is developing a care plan for the client diagnosed with type 1 diabetes. The nurse identifies the problem 'high risk for hyperglycemia related to noncompliance with the medication regimen.' Which statement is an appropriate short-term goal for the client?
A. The client will have a blood glucose level between 90 and 140 mg/dL.
B. The client will demonstrate appropriate insulin injection technique.
C. The nurse will monitor the client's blood glucose levels four (4) times a day.
D. The client will maintain normal kidney function with 30-mL/hr urine output.
Explanation: Demonstrating correct insulin injection technique addresses noncompliance, a short-term, client-centered goal. Glucose levels and kidney function are outcomes, and nurse monitoring is not client-focused.
Question 5 of 5.
The client diagnosed with type 1 diabetes is found lying unconscious on the floor of the bathroom. Which intervention should the nurse implement first?
A. Administer 50% dextrose (IVP).
B. Notify the health-care provider.
C. Move the client to the ICU.
D. Check the serum glucose level.
Explanation: Checking glucose confirms hypoglycemia or hyperglycemia as the cause of unconsciousness, guiding treatment. Dextrose, HCP notification, or ICU transfer follow confirmation.