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NCLEX 10000 ENDOCRINE &METABOLIC
DISORDERS TEST QUESTIONS WITH
VALIDATED ANSWERS.
A nurse is teaching a client with adrenal insufficiency about corticosteroids.
Which statement by the client indicates a need for additional teaching?
a) "I may stop taking this medication when I feel better."
b) "I will avoid friends and family members who are sick."
c) "I will eat lots of chicken and dairy products."
d) "I will see my ophthalmologist regularly for a check-up." - CORRECT
ANSWERS -"I may stop taking this medication when I feel better."
Explanation:
The client requires additional teaching because he states that he may stop
taking corticosteroids when he feels better. Corticosteroids should be
gradually tapered by the physician. Tapering the corticosteroid allows the
adrenal gland to gradually resume functioning.
The nurse is assessing the client's understanding of the use of medications.
Which medication may cause a complication with the treatment plan of a
client with diabetes?
a) sulfonylureas
b) aspirin
c) angiotensin-converting enzyme (ACE) inhibitors
d) steroids - CORRECT ANSWERS -steroids
Explanation:
Steroids can cause hyperglycemia because of their effects on carbohydrate
metabolism, making diabetic control more difficult.
,Medstudy.com
A woman with a progressively enlarging neck comes into the clinic. She
mentions that she has been in a foreign country for the previous 3 months
and that she didn't eat much while she was there because she didn't like the
food. She also mentions that she becomes dizzy when lifting her arms to do
normal household chores or when dressing. What endocrine disorder
should the nurse expect the physician to diagnose?
a) Diabetes insipidus
b) Cushing's syndrome
c) Goiter
d) Diabetes mellitus - CORRECT ANSWERS -Goiter
Explanation:
A goiter can result from inadequate dietary intake of iodine associated with
changes in foods or malnutrition. It's caused by insufficient thyroid gland
production and depletion of glandular iodine. Signs and symptoms of this
malfunction include an enlarged thyroid gland, dizziness when raising the
arms above the head, dysphagia, and respiratory distress.
A client with hypothyroidism is afraid of needles and doesn't want to have
his blood drawn. What should the nurse say to help alleviate his concerns?
a) "When your thyroid levels are stable, we won't have to draw your blood
as often."
b) "I'll stay here with you while the technician draws your blood."
c) "It's only a little stick. It'll be over before you know it."
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d) "The physician has ordered this test so you can get better sooner." -
CORRECT ANSWERS -"I'll stay here with you while the technician draws your
blood."
Explanation:
The nurse should tell the client that she will stay with him as the blood is
drawn. This response provides the client with the reassuring presence of
the nurse and enhances the therapeutic alliance, possibly providing a
greater opportunity to educate the client.
A nurse has just been trained in how to use and care for a new blood
glucose monitor. Which nursing intervention demonstrates proper use of a
blood glucose monitor?
a) Smearing the drop of blood onto the reagent pad
b) Starting the timer on the machine while gathering supplies
c) Calibrating the machine after installing a new battery
d) Ungloving the hands when removing the test strip - CORRECT ANSWERS -
Calibrating the machine after installing a new battery
Explanation:
To obtain accurate readings, the nurse should calibrate the machine
whenever a new battery is installed. To adhere to standard precautions and
prevent contact with blood, the nurse's hands should remain gloved
throughout blood glucose testing.
A client is admitted with hyperosmolar hyperglycemic nonketotic syndrome
(HHNS). Which laboratory finding should the nurse expect in this client?
a) Plasma bicarbonate 12 mEq/L (12 mmol/L)
, Medstudy.com
b) Blood urea nitrogen (BUN) 15 mg/dl (0.82 mmol/L)
c) Blood glucose level 1,100 mg/dl (61.05 mmol/L)
d) Arterial pH 7.25 - CORRECT ANSWERS -Blood glucose level 1,100 mg/dl
(61.05 mmol/L)
Explanation:
HHNS occurs most frequently in older clients. It can occur in clients with
either type 1 or type 2 diabetes mellitus but occurs most commonly in those
with type 2. The blood glucose level rises to above 600 mg/dl (33.33
mmol/L) in response to illness or infection.
A nurse is assessing a client with possible Cushing's syndrome. In a client
with Cushing's syndrome, the nurse expects to find:
a) weight gain in arms and legs.
b) deposits of adipose tissue in the trunk and dorsocervical area.
c) hypotension.
d) thick, coarse skin. - CORRECT ANSWERS -deposits of adipose tissue in the
trunk and dorsocervical area.
Explanation:
Because of changes in fat distribution, adipose tissue accumulates in the
trunk, face (moon face), and dorsocervical areas (buffalo hump).
A nurse is discussing nutrition and weight control with clients during a
class about diabetes. Which statement best reflects the purpose of
nutritional management of diabetes?
NCLEX 10000 ENDOCRINE &METABOLIC
DISORDERS TEST QUESTIONS WITH
VALIDATED ANSWERS.
A nurse is teaching a client with adrenal insufficiency about corticosteroids.
Which statement by the client indicates a need for additional teaching?
a) "I may stop taking this medication when I feel better."
b) "I will avoid friends and family members who are sick."
c) "I will eat lots of chicken and dairy products."
d) "I will see my ophthalmologist regularly for a check-up." - CORRECT
ANSWERS -"I may stop taking this medication when I feel better."
Explanation:
The client requires additional teaching because he states that he may stop
taking corticosteroids when he feels better. Corticosteroids should be
gradually tapered by the physician. Tapering the corticosteroid allows the
adrenal gland to gradually resume functioning.
The nurse is assessing the client's understanding of the use of medications.
Which medication may cause a complication with the treatment plan of a
client with diabetes?
a) sulfonylureas
b) aspirin
c) angiotensin-converting enzyme (ACE) inhibitors
d) steroids - CORRECT ANSWERS -steroids
Explanation:
Steroids can cause hyperglycemia because of their effects on carbohydrate
metabolism, making diabetic control more difficult.
,Medstudy.com
A woman with a progressively enlarging neck comes into the clinic. She
mentions that she has been in a foreign country for the previous 3 months
and that she didn't eat much while she was there because she didn't like the
food. She also mentions that she becomes dizzy when lifting her arms to do
normal household chores or when dressing. What endocrine disorder
should the nurse expect the physician to diagnose?
a) Diabetes insipidus
b) Cushing's syndrome
c) Goiter
d) Diabetes mellitus - CORRECT ANSWERS -Goiter
Explanation:
A goiter can result from inadequate dietary intake of iodine associated with
changes in foods or malnutrition. It's caused by insufficient thyroid gland
production and depletion of glandular iodine. Signs and symptoms of this
malfunction include an enlarged thyroid gland, dizziness when raising the
arms above the head, dysphagia, and respiratory distress.
A client with hypothyroidism is afraid of needles and doesn't want to have
his blood drawn. What should the nurse say to help alleviate his concerns?
a) "When your thyroid levels are stable, we won't have to draw your blood
as often."
b) "I'll stay here with you while the technician draws your blood."
c) "It's only a little stick. It'll be over before you know it."
,Medstudy.com
d) "The physician has ordered this test so you can get better sooner." -
CORRECT ANSWERS -"I'll stay here with you while the technician draws your
blood."
Explanation:
The nurse should tell the client that she will stay with him as the blood is
drawn. This response provides the client with the reassuring presence of
the nurse and enhances the therapeutic alliance, possibly providing a
greater opportunity to educate the client.
A nurse has just been trained in how to use and care for a new blood
glucose monitor. Which nursing intervention demonstrates proper use of a
blood glucose monitor?
a) Smearing the drop of blood onto the reagent pad
b) Starting the timer on the machine while gathering supplies
c) Calibrating the machine after installing a new battery
d) Ungloving the hands when removing the test strip - CORRECT ANSWERS -
Calibrating the machine after installing a new battery
Explanation:
To obtain accurate readings, the nurse should calibrate the machine
whenever a new battery is installed. To adhere to standard precautions and
prevent contact with blood, the nurse's hands should remain gloved
throughout blood glucose testing.
A client is admitted with hyperosmolar hyperglycemic nonketotic syndrome
(HHNS). Which laboratory finding should the nurse expect in this client?
a) Plasma bicarbonate 12 mEq/L (12 mmol/L)
, Medstudy.com
b) Blood urea nitrogen (BUN) 15 mg/dl (0.82 mmol/L)
c) Blood glucose level 1,100 mg/dl (61.05 mmol/L)
d) Arterial pH 7.25 - CORRECT ANSWERS -Blood glucose level 1,100 mg/dl
(61.05 mmol/L)
Explanation:
HHNS occurs most frequently in older clients. It can occur in clients with
either type 1 or type 2 diabetes mellitus but occurs most commonly in those
with type 2. The blood glucose level rises to above 600 mg/dl (33.33
mmol/L) in response to illness or infection.
A nurse is assessing a client with possible Cushing's syndrome. In a client
with Cushing's syndrome, the nurse expects to find:
a) weight gain in arms and legs.
b) deposits of adipose tissue in the trunk and dorsocervical area.
c) hypotension.
d) thick, coarse skin. - CORRECT ANSWERS -deposits of adipose tissue in the
trunk and dorsocervical area.
Explanation:
Because of changes in fat distribution, adipose tissue accumulates in the
trunk, face (moon face), and dorsocervical areas (buffalo hump).
A nurse is discussing nutrition and weight control with clients during a
class about diabetes. Which statement best reflects the purpose of
nutritional management of diabetes?
