Endocrine Nursing –
Practice Questions 2026 |
Answers, Rationales &
Comprehensive NCLEX
Review | Complete Ethics
Study Guide
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,A client is brought to the ED in an unresponsive state, and C
a dX of hyperglycemic hyperosmolar nonketotic syndrome
is made. The nurse would IMMEDIATELY prepare to
initiate which anticipated health care provider's
prescription?
a) endotracheal intubation
b) 100 units of NPH insulin
c) IV infusion of normal saline
d) IV infusion of sodium bicarbonate
An external insulin pump is prescribed for a client with DM D
and the client asks the nurse about the functioning of the
pump. The nurse bases the response on which information
about the pump?
a) is timed to release programmed doses of short-duration
or NPH insulin into the bloodstream at specific intervals
b) continuously infuses small amounts of NPH insulin into
the bloodstream while regularly monitoring blood glucose
levels
c) is surgically attached to the pancreas and infuses
regular insulin into the pancreas, which in turn releases the
insulin into the bloodstream
d) gives a small continuous dose of short-duration insulin
subQ-- and the client can self-administer a bolus with an
additional dose from the pump before each meal
A client with a diagnosis of DKA is being treated in the ED. C, E, F
Which findings would the nurse expect to note as
confirming this diagnosis? SATA:
a) increase in pH
b) comatose state
c) deep, rapid breathing
d) decreased urine output
e) elevated blood glucose level
f) low plasma bicarbonate level
The nurse teaches a client with DM about differentiating B, C, E
between hypoglycemia and ketoacidosis. The client
demonstrates an understanding of the teaching by stating
that a form of glucose should be taken if which symptoms
develop? SATA:
a) polyuria
b) shakiness
c) palpitations
d) blurred vision
e) lightheadedness
f) fruity breath odor
A client with DM demonstrates acute anxiety when first B
admitted to the hospital for the treatment of hyperglycemia.
What is the MOST APPROPRIATE intervention to
decrease the client's anxiety?
a) administer a sedative
b) convey empathy, trust, and respect toward the client
c) ignore the signs and symptoms of anxiety so that they
will soon disappear
d) make sure that the client knows all the correct medical
terms to understand what is happening
, The nurse provides instructions to a client newly dX with D
type I DM. The nurse recognizes accurate understanding
of measures to prevent DKA when the client makes which
statement?
a) I will stop taking my insulin if I'm too sick to eat
b) i will decrease my insulin dose during times of illness
c) i will adjust my insulin dose according to the level of
glucose in my urine
d) i will notify my HCP if my blood glucose level is higher
than 250 mg/dL
A client is admitted to a hospital with a dX of DKA. The C
initial blood glucose level was 950 mg/dL. A continuous
intravenous infusion of short-acting insulin is initiated,
along with IV rehydration with normal saline. The serum
glucose level is now 240 mg/dL. The nurse would next
prepare to administer which item?
a) ampule of 50% dextrose
b) NPH insulin subcutaneously
c) IV fluids containing dextrose
d) Phenytoin (Dilantin) for the prevention of seizures
The nurse is monitoring a client newly dX with DM for A
signs of complications. Which sign, if exhibited in the
client, would indicate hyperglycemia?
a) polyuria
b) diaphoresis
c) hypertension
d) increased pulse rate
The nurse is preparing a plan of care for a client with DM B
who has hyperglycemia. The nurse places highest priority
on which client problem?
a) lack of knowledge
b) inadequate fluid volume
c) compromised family coping
d) inadequate consumption of nutrients
The home health nurse visits a client with a dX of type 1 A
DM. The client relates a history of vomiting and diarrhea
and tells the nurse that no food has been consumed for
the last 24 hours. Which additional statement by the client
indicates a NEED FOR FURTHER TEACHING?
a) i need to stop my insulin
b) i need to increase my fluid intake
c) i need to monitor my blood glucose every 3 to 4 hours
d) i need to call the HCP because of these symptoms
The nurse is caring for a client after hypophysectomy and B
notes clear nasal drainage from the client's nostril. The
nurse should take which initial action?
a) lower the head of the bed
b) test the drainage for glucose
c) obtain a culture of the drainage
d) continue to observe the drainage
After several diagnostic tests, a client is dX with diabetes C
insipidus. The nurse performs an assessment on the client,
knowing that which symptom is most indicative of this
disorder?
a) fatigue
b) diarrhea
c) polydipsia
d) weight gain
Practice Questions 2026 |
Answers, Rationales &
Comprehensive NCLEX
Review | Complete Ethics
Study Guide
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,A client is brought to the ED in an unresponsive state, and C
a dX of hyperglycemic hyperosmolar nonketotic syndrome
is made. The nurse would IMMEDIATELY prepare to
initiate which anticipated health care provider's
prescription?
a) endotracheal intubation
b) 100 units of NPH insulin
c) IV infusion of normal saline
d) IV infusion of sodium bicarbonate
An external insulin pump is prescribed for a client with DM D
and the client asks the nurse about the functioning of the
pump. The nurse bases the response on which information
about the pump?
a) is timed to release programmed doses of short-duration
or NPH insulin into the bloodstream at specific intervals
b) continuously infuses small amounts of NPH insulin into
the bloodstream while regularly monitoring blood glucose
levels
c) is surgically attached to the pancreas and infuses
regular insulin into the pancreas, which in turn releases the
insulin into the bloodstream
d) gives a small continuous dose of short-duration insulin
subQ-- and the client can self-administer a bolus with an
additional dose from the pump before each meal
A client with a diagnosis of DKA is being treated in the ED. C, E, F
Which findings would the nurse expect to note as
confirming this diagnosis? SATA:
a) increase in pH
b) comatose state
c) deep, rapid breathing
d) decreased urine output
e) elevated blood glucose level
f) low plasma bicarbonate level
The nurse teaches a client with DM about differentiating B, C, E
between hypoglycemia and ketoacidosis. The client
demonstrates an understanding of the teaching by stating
that a form of glucose should be taken if which symptoms
develop? SATA:
a) polyuria
b) shakiness
c) palpitations
d) blurred vision
e) lightheadedness
f) fruity breath odor
A client with DM demonstrates acute anxiety when first B
admitted to the hospital for the treatment of hyperglycemia.
What is the MOST APPROPRIATE intervention to
decrease the client's anxiety?
a) administer a sedative
b) convey empathy, trust, and respect toward the client
c) ignore the signs and symptoms of anxiety so that they
will soon disappear
d) make sure that the client knows all the correct medical
terms to understand what is happening
, The nurse provides instructions to a client newly dX with D
type I DM. The nurse recognizes accurate understanding
of measures to prevent DKA when the client makes which
statement?
a) I will stop taking my insulin if I'm too sick to eat
b) i will decrease my insulin dose during times of illness
c) i will adjust my insulin dose according to the level of
glucose in my urine
d) i will notify my HCP if my blood glucose level is higher
than 250 mg/dL
A client is admitted to a hospital with a dX of DKA. The C
initial blood glucose level was 950 mg/dL. A continuous
intravenous infusion of short-acting insulin is initiated,
along with IV rehydration with normal saline. The serum
glucose level is now 240 mg/dL. The nurse would next
prepare to administer which item?
a) ampule of 50% dextrose
b) NPH insulin subcutaneously
c) IV fluids containing dextrose
d) Phenytoin (Dilantin) for the prevention of seizures
The nurse is monitoring a client newly dX with DM for A
signs of complications. Which sign, if exhibited in the
client, would indicate hyperglycemia?
a) polyuria
b) diaphoresis
c) hypertension
d) increased pulse rate
The nurse is preparing a plan of care for a client with DM B
who has hyperglycemia. The nurse places highest priority
on which client problem?
a) lack of knowledge
b) inadequate fluid volume
c) compromised family coping
d) inadequate consumption of nutrients
The home health nurse visits a client with a dX of type 1 A
DM. The client relates a history of vomiting and diarrhea
and tells the nurse that no food has been consumed for
the last 24 hours. Which additional statement by the client
indicates a NEED FOR FURTHER TEACHING?
a) i need to stop my insulin
b) i need to increase my fluid intake
c) i need to monitor my blood glucose every 3 to 4 hours
d) i need to call the HCP because of these symptoms
The nurse is caring for a client after hypophysectomy and B
notes clear nasal drainage from the client's nostril. The
nurse should take which initial action?
a) lower the head of the bed
b) test the drainage for glucose
c) obtain a culture of the drainage
d) continue to observe the drainage
After several diagnostic tests, a client is dX with diabetes C
insipidus. The nurse performs an assessment on the client,
knowing that which symptom is most indicative of this
disorder?
a) fatigue
b) diarrhea
c) polydipsia
d) weight gain
