AACN CCRN Endocrine Questions With
Correct Answers
Acute Hypoglycemia - Answer - <50
DKA mostly precipitated by - Answer - INFECTION
Azotemia - Answer - Elevation of BUN
DKA - Answer - blood glucose >500, increased anion gap, azotemia, ketones in urine
Ketones - Answer - produced when insulin cannot turn glucose into energy and instead turns fat into
ketones, Ph <7.32
DKA Tx - Answer - 1-2L within first 2 hours, d5/.5ns when BG <250, may receive 8-10L in first 24hr,
Bicarb to <potassium
HHNK S/S - Answer - >800 mg/dL, r/t DM II, osmolality >350, negative ketones, PH >7.3
Severe dehydration, some insulin
HHNK - Answer - 2L NS in first hour, IV insulin 10 units/hr, give prn K
DI labs - Answer - plasma Osm >295
Serum Na >
Urine Osm <250
Correct Answers
Acute Hypoglycemia - Answer - <50
DKA mostly precipitated by - Answer - INFECTION
Azotemia - Answer - Elevation of BUN
DKA - Answer - blood glucose >500, increased anion gap, azotemia, ketones in urine
Ketones - Answer - produced when insulin cannot turn glucose into energy and instead turns fat into
ketones, Ph <7.32
DKA Tx - Answer - 1-2L within first 2 hours, d5/.5ns when BG <250, may receive 8-10L in first 24hr,
Bicarb to <potassium
HHNK S/S - Answer - >800 mg/dL, r/t DM II, osmolality >350, negative ketones, PH >7.3
Severe dehydration, some insulin
HHNK - Answer - 2L NS in first hour, IV insulin 10 units/hr, give prn K
DI labs - Answer - plasma Osm >295
Serum Na >
Urine Osm <250
