The nurse is conducting a health screening at a local health fair. Whi

Endocrine RN NCLEX Questions

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Question 1 of 5.

The nurse is conducting a health screening at a local health fair. Which of the following should the nurse recognize as a risk factor for developing type II diabetes mellitus?

A. Gestational diabetes

B. Metabolic syndrome

C. Chronic corticosteroid use

D. Gastric bypass surgery

E. Obesity

Explanation: Gestational diabetes, metabolic syndrome, chronic steroids, and obesity increase type 2 diabetes risk via insulin resistance. Gastric bypass often improves glucose control.

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.