The nurse is preparing to administer metformin to a client with diabet

Endocrine RN NCLEX Questions

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Question 1 of 5.

The nurse is preparing to administer metformin to a client with diabetes mellitus (type two). Which of the following laboratory test results should the nurse monitor during the therapy?

A. white blood cell (WBC) count

B. vitamin B12 level

C. serum uric acid level

D. thyroid-stimulating hormone (TSH) level

Explanation: Metformin can cause vitamin B12 deficiency over time, requiring monitoring. WBC, uric acid, and TSH are not primarily affected by metformin.

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.

Extract:The following scenario applies to the next 6 items The nurse in the clinic is caring for a 32-year-old female client. Item 1 of 6 Nurses' Notes 1559: Client reports to the outpatient clinic with reports of persistent fatigue, weakness, lethargy, and lower back pain over the last 8 months. She is also concerned because she has gained 24 pounds (10.9 kg) over the past 4 months. She stated that the weight gain has been so significant that she developed reddened streaks on her abdomen from the weight gain. The client is concerned because, over the past month, she has noticed she has been drinking more often and has had increased hunger. She has also noticed she is urinating more frequently. She went to urgent care one week ago and tested negative for urinary tract infection. She also noticed that her menstrual cycle has been irregular. She is not on birth control and took a home pregnancy test, which was negative. During the assessment, the client was fully alert and oriented. Clear lung sounds bilaterally. Skin was dry. Excessive facial hair was noted. 1+ pedal and ankle edema bilaterally. Peripheral pulses palpable, 2+, and regular. Body mass index (BMI) of 32. Vital signs: T 97.5Â° F (36.4Â° C), P 93, RR 18, BP 145/93, pulse oximetry reading 96% on room air. She is currently taking escitalopram for persistent depressive disorder. Laboratory Results Capillary Blood Glucose 1613: 254 mg/dL [70-110 mg/dL]

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.