Endocrine NCLEX Case Questions with Revised
Correct Answers Guaranteed Pass
1. An agitated, confused female client arrives in the emergency department. Her history includes
type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor,
diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and
the client is treated for an acute hypoglycemic reaction. After recovery, nurse Lily teaches the
client to treat hypoglycemia by ingesting:
a. 2 to 5 g of a simple carbohydrate.
b. 10 to 15 g of a simple carbohydrate.
c. 18 to 20 g of a simple carbohydrate.
d. 25 to 30 g of a simple carbohydrate. - CORRECT ANSWER ✔️✔️ -B.
To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g
of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar
(4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes.
Ingesting only 2 to 5 g of a simple carbohydrate may not raise the blood glucose level
sufficiently. Ingesting more than 15 g may raise it above normal, causing hyperglycemia.
3. Nurse John is assigned to care for a postoperative male client who has diabetes mellitus.
During the assessment interview, the client reports that he's impotent and says he's concerned
about its effect on his marriage. In planning this client's care, the most appropriate intervention
would be to:
,a. Encourage the client to ask questions about personal sexuality.
b. Provide time for privacy.
c. Provide support for the spouse or significant other.
d. Suggest referral to a sex counselor or other appropriate professional. - CORRECT ANSWER
✔️✔️ -D.
The nurse should refer this client to a sex counselor or other professional. Making appropriate
referrals is a valid part of planning the client's care. The nurse doesn't normally provide sex
counseling.
4. During a class on exercise for diabetic clients, a female client asks the nurse educator how
often to exercise. The nurse educator advises the clients to exercise how often to meet the goals
of planned exercise?
a. At least once a week
b. At least three times a week
c. At least five times a week
d. Every day - CORRECT ANSWER ✔️✔️ -B.
Diabetic clients must exercise at least three times a week to meet the goals of planned exercise
— lowering the blood glucose level, reducing or maintaining the proper weight, increasing the
serum high-density lipoprotein level, decreasing serum triglyceride levels, reducing blood
pressure, and minimizing stress. Exercising once a week wouldn't achieve these goals.
, Exercising more than three times a week, although beneficial, would exceed the minimum
requirement.
8. When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:
a. vasopressin (Pitressin Synthetic).
b. furosemide (Lasix).
c. regular insulin.
d. 10% dextrose. - CORRECT ANSWER ✔️✔️ -A.
Because diabetes insipidus results from decreased antidiuretic hormone (vasopressin) production,
the nurse should expect to administer synthetic vasopressin for hormone replacement therapy.
Furosemide, a diuretic, is contraindicated because a client with diabetes insipidus experiences
polyuria. Insulin and dextrose are used to treat diabetes mellitus and its complications, not
diabetes insipidus.
10. A male client with type 1 diabetes mellitus has a highly elevated glycosylated hemoglobin
(Hb) test result. In discussing the result with the client, nurse Sharmaine would be most accurate
in stating:
a. "The test needs to be repeated following a 12-hour fast."
b. "It looks like you aren't following the prescribed diabetic diet."
c. "It tells us about your sugar control for the last 3 months."
d. "Your insulin regimen needs to be altered significantly." - CORRECT ANSWER ✔️✔️ -C.
Correct Answers Guaranteed Pass
1. An agitated, confused female client arrives in the emergency department. Her history includes
type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor,
diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and
the client is treated for an acute hypoglycemic reaction. After recovery, nurse Lily teaches the
client to treat hypoglycemia by ingesting:
a. 2 to 5 g of a simple carbohydrate.
b. 10 to 15 g of a simple carbohydrate.
c. 18 to 20 g of a simple carbohydrate.
d. 25 to 30 g of a simple carbohydrate. - CORRECT ANSWER ✔️✔️ -B.
To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g
of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar
(4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes.
Ingesting only 2 to 5 g of a simple carbohydrate may not raise the blood glucose level
sufficiently. Ingesting more than 15 g may raise it above normal, causing hyperglycemia.
3. Nurse John is assigned to care for a postoperative male client who has diabetes mellitus.
During the assessment interview, the client reports that he's impotent and says he's concerned
about its effect on his marriage. In planning this client's care, the most appropriate intervention
would be to:
,a. Encourage the client to ask questions about personal sexuality.
b. Provide time for privacy.
c. Provide support for the spouse or significant other.
d. Suggest referral to a sex counselor or other appropriate professional. - CORRECT ANSWER
✔️✔️ -D.
The nurse should refer this client to a sex counselor or other professional. Making appropriate
referrals is a valid part of planning the client's care. The nurse doesn't normally provide sex
counseling.
4. During a class on exercise for diabetic clients, a female client asks the nurse educator how
often to exercise. The nurse educator advises the clients to exercise how often to meet the goals
of planned exercise?
a. At least once a week
b. At least three times a week
c. At least five times a week
d. Every day - CORRECT ANSWER ✔️✔️ -B.
Diabetic clients must exercise at least three times a week to meet the goals of planned exercise
— lowering the blood glucose level, reducing or maintaining the proper weight, increasing the
serum high-density lipoprotein level, decreasing serum triglyceride levels, reducing blood
pressure, and minimizing stress. Exercising once a week wouldn't achieve these goals.
, Exercising more than three times a week, although beneficial, would exceed the minimum
requirement.
8. When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:
a. vasopressin (Pitressin Synthetic).
b. furosemide (Lasix).
c. regular insulin.
d. 10% dextrose. - CORRECT ANSWER ✔️✔️ -A.
Because diabetes insipidus results from decreased antidiuretic hormone (vasopressin) production,
the nurse should expect to administer synthetic vasopressin for hormone replacement therapy.
Furosemide, a diuretic, is contraindicated because a client with diabetes insipidus experiences
polyuria. Insulin and dextrose are used to treat diabetes mellitus and its complications, not
diabetes insipidus.
10. A male client with type 1 diabetes mellitus has a highly elevated glycosylated hemoglobin
(Hb) test result. In discussing the result with the client, nurse Sharmaine would be most accurate
in stating:
a. "The test needs to be repeated following a 12-hour fast."
b. "It looks like you aren't following the prescribed diabetic diet."
c. "It tells us about your sugar control for the last 3 months."
d. "Your insulin regimen needs to be altered significantly." - CORRECT ANSWER ✔️✔️ -C.
