NCLEX 10000 ENDOCRINE AND METABOLIC STUDY
TIME QUESTIONS WITH COMPLETE SOLUTIONS
A 34-year-old female is diagnosed with hypothyroidism. What
should the nurse assess the client for? Select all that apply.
Correct Answer decreased energy and fatigue
weight gain of 10 lb (4.5 kg)
constipation
menorrhagia
A 48-year-old female client is seen in the clinic for newly
diagnosed hypothyroidism. Which topics should the nurse
include in a client teaching plan? Select all that apply. Correct
Answer High-fiber, low-calorie diet
Use of stool softeners
Thyroid hormone replacements
A 75-year-old client who complains of a "sour stomach" has
been taking baking soda (sodium bicarbonate) regularly as a
self-treatment. This may place the client at risk for what acid-
base imbalance? Correct Answer Metabolic alkalosis
A child with type 1 diabetes is admitted to the emergency
department with hot and dry skin, rapid and deep respirations,
and a fruity odor to her breath. Which task, when performed by
a new-graduate registered nurse (RN), requires the RN preceptor
to intervene? Correct Answer Providing encouragement to the
child to drink some orange juice.
,A client asks the nurse how long it will be necessary to take the
medicine for hypothyroidism. The nurse's response is based on
the knowledge that: Correct Answer lifelong daily medicine is
necessary.
A client diagnosed with thyroid cancer signed a living will that
states he doesn't want ventilatory support if his condition
deteriorates. As his condition worsens, the client states, "I
changed my mind. I want everything done for me." Which
response by the nurse is best? Correct Answer "What exactly
do you mean by wanting 'everything' done for you?"
A client has a serum calcium level of 7.2 mg/dl (1.8 mmol/L).
During the physical examination, the nurse expects to assess:
Correct Answer Trousseau's sign.
A client has been admitted to the hospital for the treatment of
diabetic ketoacidosis, a problem that was accompanied by a
random blood glucose reading of 31.9 mmol/L (575 mg/dL),
vomiting, and shortness of breath. This client has experienced
which of the following phenomena? Correct Answer
Exacerbation
A client has been diagnosed with hypothyroidism. Which
statement by the client would demonstrate appropriate teaching
by the nurse? Correct Answer "I will increase fiber and fluids
in my diet."
,A client has been diagnosed with metabolic alkalosis. The nurse
should anticipate what finding from the client's arterial blood
gases? Correct Answer Serum bicarbonate of 28 mEq/L
A client has type 1 diabetes. Her husband finds her unconscious
at home and administers glucagon, 0.5 mg subcutaneously. She
awakens in 5 minutes. Why should her husband offer her a
complex carbohydrate snack as soon as possible? Correct
Answer To restore liver glycogen and prevent secondary
hypoglycemia
A client in the emergency department reports that he has been
vomiting excessively for the past 2 days. His arterial blood gas
analysis shows a pH of 7.50, partial pressure of arterial carbon
dioxide (PaCO2) of 43 mm Hg, partial pressure of arterial
oxygen (PaO2) of 75 mm Hg, and bicarbonate (HCO3-) of 42
mEq/L. Based on these findings, the nurse documents that the
client is experiencing which type of acid-base imbalance?
Correct Answer Metabolic alkalosis
A client is admitted for treatment of the syndrome of
inappropriate antidiuretic hormone (SIADH). Which nursing
intervention is appropriate? Correct Answer Restricting fluids
A client is admitted to the medical unit with complaints of
extreme fatigue and chest pain. An electrocardiogram has ruled
out any cardiac involvement and laboratory work indicates that
the client is experiencing severe hypothyroidism. As the nurse
interviews him, the client states that he has been feeling very sad
and depressed about the changes in his body and wonders if
, there's any reason to go on. The nurse should: Correct Answer
ask if the client has thought about wanting to harm himself.
A client is admitted with a diagnosis of diabetic ketoacidosis.
An insulin drip is initiated with 50 units of insulin in 100 ml of
normal saline solution administered via an infusion pump set at
10 ml/hour. The nurse determines that the client is receiving
how many units of insulin each hour? Record your answer using
a whole number. Correct Answer 5
A client is admitted with advanced hepatic failure, including
symptoms of fatigue and confusion. These symptoms are likely
due to which of the following? Correct Answer The liver is not
breaking down the ammonia, and it acts as a neurotoxin on the
brain.
A client is admitted with hyperosmolar hyperglycemic
nonketotic syndrome (HHNS). Which laboratory finding should
the nurse expect in this client? Correct Answer Blood glucose
level 1,100 mg/dl (61.05 mmol/L)
A client is admitted with severe abdominal pains and the
diagnosis of acute pancreatitis. The nurse should develop a plan
of care during the acute phase of pancreatitis that will involve
interventions to manage: Correct Answer severe pain
A client is being evaluated for hypothyroidism. During
assessment, the nurse should stay alert for Correct Answer
decreased body temperature and cold intolerance.
TIME QUESTIONS WITH COMPLETE SOLUTIONS
A 34-year-old female is diagnosed with hypothyroidism. What
should the nurse assess the client for? Select all that apply.
Correct Answer decreased energy and fatigue
weight gain of 10 lb (4.5 kg)
constipation
menorrhagia
A 48-year-old female client is seen in the clinic for newly
diagnosed hypothyroidism. Which topics should the nurse
include in a client teaching plan? Select all that apply. Correct
Answer High-fiber, low-calorie diet
Use of stool softeners
Thyroid hormone replacements
A 75-year-old client who complains of a "sour stomach" has
been taking baking soda (sodium bicarbonate) regularly as a
self-treatment. This may place the client at risk for what acid-
base imbalance? Correct Answer Metabolic alkalosis
A child with type 1 diabetes is admitted to the emergency
department with hot and dry skin, rapid and deep respirations,
and a fruity odor to her breath. Which task, when performed by
a new-graduate registered nurse (RN), requires the RN preceptor
to intervene? Correct Answer Providing encouragement to the
child to drink some orange juice.
,A client asks the nurse how long it will be necessary to take the
medicine for hypothyroidism. The nurse's response is based on
the knowledge that: Correct Answer lifelong daily medicine is
necessary.
A client diagnosed with thyroid cancer signed a living will that
states he doesn't want ventilatory support if his condition
deteriorates. As his condition worsens, the client states, "I
changed my mind. I want everything done for me." Which
response by the nurse is best? Correct Answer "What exactly
do you mean by wanting 'everything' done for you?"
A client has a serum calcium level of 7.2 mg/dl (1.8 mmol/L).
During the physical examination, the nurse expects to assess:
Correct Answer Trousseau's sign.
A client has been admitted to the hospital for the treatment of
diabetic ketoacidosis, a problem that was accompanied by a
random blood glucose reading of 31.9 mmol/L (575 mg/dL),
vomiting, and shortness of breath. This client has experienced
which of the following phenomena? Correct Answer
Exacerbation
A client has been diagnosed with hypothyroidism. Which
statement by the client would demonstrate appropriate teaching
by the nurse? Correct Answer "I will increase fiber and fluids
in my diet."
,A client has been diagnosed with metabolic alkalosis. The nurse
should anticipate what finding from the client's arterial blood
gases? Correct Answer Serum bicarbonate of 28 mEq/L
A client has type 1 diabetes. Her husband finds her unconscious
at home and administers glucagon, 0.5 mg subcutaneously. She
awakens in 5 minutes. Why should her husband offer her a
complex carbohydrate snack as soon as possible? Correct
Answer To restore liver glycogen and prevent secondary
hypoglycemia
A client in the emergency department reports that he has been
vomiting excessively for the past 2 days. His arterial blood gas
analysis shows a pH of 7.50, partial pressure of arterial carbon
dioxide (PaCO2) of 43 mm Hg, partial pressure of arterial
oxygen (PaO2) of 75 mm Hg, and bicarbonate (HCO3-) of 42
mEq/L. Based on these findings, the nurse documents that the
client is experiencing which type of acid-base imbalance?
Correct Answer Metabolic alkalosis
A client is admitted for treatment of the syndrome of
inappropriate antidiuretic hormone (SIADH). Which nursing
intervention is appropriate? Correct Answer Restricting fluids
A client is admitted to the medical unit with complaints of
extreme fatigue and chest pain. An electrocardiogram has ruled
out any cardiac involvement and laboratory work indicates that
the client is experiencing severe hypothyroidism. As the nurse
interviews him, the client states that he has been feeling very sad
and depressed about the changes in his body and wonders if
, there's any reason to go on. The nurse should: Correct Answer
ask if the client has thought about wanting to harm himself.
A client is admitted with a diagnosis of diabetic ketoacidosis.
An insulin drip is initiated with 50 units of insulin in 100 ml of
normal saline solution administered via an infusion pump set at
10 ml/hour. The nurse determines that the client is receiving
how many units of insulin each hour? Record your answer using
a whole number. Correct Answer 5
A client is admitted with advanced hepatic failure, including
symptoms of fatigue and confusion. These symptoms are likely
due to which of the following? Correct Answer The liver is not
breaking down the ammonia, and it acts as a neurotoxin on the
brain.
A client is admitted with hyperosmolar hyperglycemic
nonketotic syndrome (HHNS). Which laboratory finding should
the nurse expect in this client? Correct Answer Blood glucose
level 1,100 mg/dl (61.05 mmol/L)
A client is admitted with severe abdominal pains and the
diagnosis of acute pancreatitis. The nurse should develop a plan
of care during the acute phase of pancreatitis that will involve
interventions to manage: Correct Answer severe pain
A client is being evaluated for hypothyroidism. During
assessment, the nurse should stay alert for Correct Answer
decreased body temperature and cold intolerance.
