N316B Endocrine Exam Questions With 100%
Verified Answers!!
The nurse is teaching a 12-year-old child about the action of insulin injections. Which
statement indicates the child understands how insulin works in the body?
A. 'Glucose is released as fats break down.'
B. 'It keeps glucose from being stored in the liver.'
C. 'Glucose is carried into cells where it is used for energy.'
D. 'It stops the wasting of blood glucose by converting it to glycogen.'
C. 'Glucose is carried into cells where it is used for energy.'
A client states, 'I keep my insulin in the refrigerator because that is where my parents kept
it.' Which reason will the nurse include when explaining why insulin should be stored at
room temperature?
A. Its potency and effectiveness are maximized.
B. Absorption is enhanced and local irritation is decreased.
C. It is more convenient and drawing insulin into the syringe is facilitated.
D. Adherence of insulin to the syringe and resistance upon injection are decreased.
B. Absorption is enhanced and local irritation is decreased.
Several hours after administering insulin, the nurse assesses the client's response to the
insulin. Which client responses are indicative of a hypoglycemic reaction? Select all that
apply. One, some, or all responses may be correct.
A. Tremors
B. Anorexia
C. Confusion
D. Glycosuria
E. Diaphoresis
A. Tremors
C. Confusion
E. Diaphoresis
,Which finding would lead the nurse to recheck the blood glucose level of a diabetic client
before administering a mealtime insulin dose? Select all that apply. One, some, or all
responses may be correct.
A. Confusion
B. Drowsiness
C. Diaphoresis
D. Nervousness
E. Heart rate 110 beats/min
A. Confusion
B. Drowsiness
C. Diaphoresis
D. Nervousness
E. Heart rate 110 beats/min
The nurse is caring for a client with type 1 diabetes. Which signs or symptoms may indicate
that the client has insulin-induced hypoglycemia? Select all that apply. One, some, or all
responses may be correct.
A. Excessive hunger
B. Weakness
C. Diaphoresis
D. Excessive thirst
E. Deep respirations
A. Excessive hunger
B. Weakness
C. Diaphoresis
The nurse concludes that a client has a hypoglycemic reaction to insulin. Which clinical
findings support this conclusion? Select all that apply. One, some, or all responses may be
correct.
A. Irritability
B. Glycosuria
C. Dry, hot skin
,D. Heart palpitations
E. Fruity odor of breath
A. Irritability
D. Heart palpitations
A client with type 1 diabetes experiences tremors, pallor, and diaphoresis. These signs and
symptoms are manifestations of which cause?
A. Overeating
B. Viral infection
C. Aerobic exercise
D. Missed insulin dose
C. Aerobic exercise
Which response would a nurse give to a client taking an oral hypoglycemic tablet daily who
asks if an extra tablet should be taken before exercise?
A. "You will need to decrease your exercise."
B. "An extra tablet will help your body use glucose correctly."
C. "When taking medicine, your diet will not be affected by exercise."
D. "No, but you should observe for signs of hypoglycemia while exercising."
D. "No, but you should observe for signs of hypoglycemia while exercising."
A client with diabetes asks how exercise will affect insulin and dietary needs. Which effects
of exercise would the nurse share?
A. Increases the amount of insulin needed and increases the need for carbohydrates
B. Increases the amount of insulin needed and decreases the need for carbohydrates
C. Decreases the amount of insulin needed and increases the need for carbohydrates
D. Decreases the amount of insulin needed and decreases the need for carbohydrates
C. Decreases the amount of insulin needed and increases the need for carbohydrates
The nurse is teaching a 10-year-old child with type 1 diabetes about insulin requirements.
Which statement by the nurse correctly identifies when insulin needs decrease?
A. 'Insulin needs often decrease when puberty is reached.'
, B. 'When there is an infection is present, the body requires less insulin.'
C. 'Emotional stress can cause insulin needs to decrease.'
D. 'Increased muscle activity such as exercise, cause insulin needs to decrease.'
D. 'Increased muscle activity such as exercise, cause insulin needs to decrease.'
Which complication of diabetes would the nurse suspect when a health care provider
prescribes one tube of glucose gel for a client with type 1 diabetes?
A. Diabetic acidosis
B. Hyperinsulin secretion
C. Insulin-induced hypoglycemia
D. Idiosyncratic reactions to insulin
C. Insulin-induced hypoglycemia
The nurse is caring for a client who reports sweating, tachycardia, and tremors. The
laboratory report of the client reveals serum cortisol less than normal and a blood glucose
level of 60 mg/dL. Which medication would be administered to this client?
A. Glucagon
B. Kayexalate
C. Hydrocortisone
D. Insulin with dextrose in normal saline
A. Glucagon
The nurse administers a tube of glucose gel to a client who is hypoglycemic. Which
explanation would the nurse share regarding the reversal of hypoglycemia?
A. It liberates glucose from hepatic stores of glycogen.
B. It provides a glucose source that is rapidly absorbed.
C. Insulin action is blocked as it competes for tissue sites.
D. Glycogen is supplied to the brain as well as other vital organs.
B. It provides a glucose source that is rapidly absorbed.
In addition to clients who are receiving insulin for type 1 diabetes, the nurse will assess for
signs and symptoms of hypoglycemia in clients who have which diagnosis?
Verified Answers!!
The nurse is teaching a 12-year-old child about the action of insulin injections. Which
statement indicates the child understands how insulin works in the body?
A. 'Glucose is released as fats break down.'
B. 'It keeps glucose from being stored in the liver.'
C. 'Glucose is carried into cells where it is used for energy.'
D. 'It stops the wasting of blood glucose by converting it to glycogen.'
C. 'Glucose is carried into cells where it is used for energy.'
A client states, 'I keep my insulin in the refrigerator because that is where my parents kept
it.' Which reason will the nurse include when explaining why insulin should be stored at
room temperature?
A. Its potency and effectiveness are maximized.
B. Absorption is enhanced and local irritation is decreased.
C. It is more convenient and drawing insulin into the syringe is facilitated.
D. Adherence of insulin to the syringe and resistance upon injection are decreased.
B. Absorption is enhanced and local irritation is decreased.
Several hours after administering insulin, the nurse assesses the client's response to the
insulin. Which client responses are indicative of a hypoglycemic reaction? Select all that
apply. One, some, or all responses may be correct.
A. Tremors
B. Anorexia
C. Confusion
D. Glycosuria
E. Diaphoresis
A. Tremors
C. Confusion
E. Diaphoresis
,Which finding would lead the nurse to recheck the blood glucose level of a diabetic client
before administering a mealtime insulin dose? Select all that apply. One, some, or all
responses may be correct.
A. Confusion
B. Drowsiness
C. Diaphoresis
D. Nervousness
E. Heart rate 110 beats/min
A. Confusion
B. Drowsiness
C. Diaphoresis
D. Nervousness
E. Heart rate 110 beats/min
The nurse is caring for a client with type 1 diabetes. Which signs or symptoms may indicate
that the client has insulin-induced hypoglycemia? Select all that apply. One, some, or all
responses may be correct.
A. Excessive hunger
B. Weakness
C. Diaphoresis
D. Excessive thirst
E. Deep respirations
A. Excessive hunger
B. Weakness
C. Diaphoresis
The nurse concludes that a client has a hypoglycemic reaction to insulin. Which clinical
findings support this conclusion? Select all that apply. One, some, or all responses may be
correct.
A. Irritability
B. Glycosuria
C. Dry, hot skin
,D. Heart palpitations
E. Fruity odor of breath
A. Irritability
D. Heart palpitations
A client with type 1 diabetes experiences tremors, pallor, and diaphoresis. These signs and
symptoms are manifestations of which cause?
A. Overeating
B. Viral infection
C. Aerobic exercise
D. Missed insulin dose
C. Aerobic exercise
Which response would a nurse give to a client taking an oral hypoglycemic tablet daily who
asks if an extra tablet should be taken before exercise?
A. "You will need to decrease your exercise."
B. "An extra tablet will help your body use glucose correctly."
C. "When taking medicine, your diet will not be affected by exercise."
D. "No, but you should observe for signs of hypoglycemia while exercising."
D. "No, but you should observe for signs of hypoglycemia while exercising."
A client with diabetes asks how exercise will affect insulin and dietary needs. Which effects
of exercise would the nurse share?
A. Increases the amount of insulin needed and increases the need for carbohydrates
B. Increases the amount of insulin needed and decreases the need for carbohydrates
C. Decreases the amount of insulin needed and increases the need for carbohydrates
D. Decreases the amount of insulin needed and decreases the need for carbohydrates
C. Decreases the amount of insulin needed and increases the need for carbohydrates
The nurse is teaching a 10-year-old child with type 1 diabetes about insulin requirements.
Which statement by the nurse correctly identifies when insulin needs decrease?
A. 'Insulin needs often decrease when puberty is reached.'
, B. 'When there is an infection is present, the body requires less insulin.'
C. 'Emotional stress can cause insulin needs to decrease.'
D. 'Increased muscle activity such as exercise, cause insulin needs to decrease.'
D. 'Increased muscle activity such as exercise, cause insulin needs to decrease.'
Which complication of diabetes would the nurse suspect when a health care provider
prescribes one tube of glucose gel for a client with type 1 diabetes?
A. Diabetic acidosis
B. Hyperinsulin secretion
C. Insulin-induced hypoglycemia
D. Idiosyncratic reactions to insulin
C. Insulin-induced hypoglycemia
The nurse is caring for a client who reports sweating, tachycardia, and tremors. The
laboratory report of the client reveals serum cortisol less than normal and a blood glucose
level of 60 mg/dL. Which medication would be administered to this client?
A. Glucagon
B. Kayexalate
C. Hydrocortisone
D. Insulin with dextrose in normal saline
A. Glucagon
The nurse administers a tube of glucose gel to a client who is hypoglycemic. Which
explanation would the nurse share regarding the reversal of hypoglycemia?
A. It liberates glucose from hepatic stores of glycogen.
B. It provides a glucose source that is rapidly absorbed.
C. Insulin action is blocked as it competes for tissue sites.
D. Glycogen is supplied to the brain as well as other vital organs.
B. It provides a glucose source that is rapidly absorbed.
In addition to clients who are receiving insulin for type 1 diabetes, the nurse will assess for
signs and symptoms of hypoglycemia in clients who have which diagnosis?
