Endocrine Disorders NCLEX Questions
Home / Nursing & Allied Health Certifications / NCLEX PN / Endocrine
Question 1 of 5.
The nurse is planning to complete noon assessments for four assigned clients with type 1 DM. All of the clients received subcutaneous insulin aspart at 0800 hours. Place the clients in the order of priority for the nurse's assessment.
A. The 60-year-old client who is nauseated and has just vomited for the second time
B. The 45-year-old client who is dyspneic and has chest pressure and new-onset atrial fibrillation
C. The 75-year-old client with a fingerstick blood glucose level of 300 mg/dL
D. The 50-year-old client with a fingerstick blood glucose level of 70 mg/dL
Explanation: The 45-year-old client with dyspnea, chest pressure, and atrial fibrillation is at risk for a cardiac event, requiring immediate assessment. The 60-year-old with vomiting is next due to potential hypoglycemia. The 75-year-old with hyperglycemia needs attention but is less urgent. The 50-year-old with normal glucose is last.
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.
Related Questions