Endocrine NCLEX Exam Questions and answers
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. - ✅✅B.
A female adult client with a history of chronic hyperparathyroidism admits to being noncompliant.
Based on initial assessment findings, nurse Julia formulates the nursing diagnosis of Risk for injury. To
complete the nursing diagnosis statement for this client, which "related-to" phrase should the nurse
add?
a. Related to bone demineralization resulting in pathologic fractures
b. Related to exhaustion secondary to an accelerated metabolic rate
c. Related to edema and dry skin secondary to fluid infiltration into the interstitial spaces
d. Related to tetany secondary to a decreased serum calcium level - ✅✅A.
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. - ✅✅D.
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 - ✅✅B.
Nurse Oliver should expect a client with hypothyroidism to report which health concerns?
a. Increased appetite and weight loss
b. Puffiness of the face and hands
c. Nervousness and tremors
d. Thyroid gland swelling - ✅✅B.
A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg P.O.
daily. Which finding should nurse Hans recognize as an adverse drug effect?
a. Dysuria
b. Leg cramps
c. Tachycardia
d. Blurred vision - ✅✅C.
A 67-year-old male client has been complaining of sleeping more, increased urination, anorexia,
weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these
assessment findings, nurse Richard would suspect which of the following disorders?
a. Diabetes mellitus
b. Diabetes insipidus
c. Hypoparathyroidism
d. Hyperparathyroidism - ✅✅D.
When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:
a. vasopressin (Pitressin Synthetic).
b. furosemide (Lasix).
c. regular insulin.
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. - ✅✅B.
A female adult client with a history of chronic hyperparathyroidism admits to being noncompliant.
Based on initial assessment findings, nurse Julia formulates the nursing diagnosis of Risk for injury. To
complete the nursing diagnosis statement for this client, which "related-to" phrase should the nurse
add?
a. Related to bone demineralization resulting in pathologic fractures
b. Related to exhaustion secondary to an accelerated metabolic rate
c. Related to edema and dry skin secondary to fluid infiltration into the interstitial spaces
d. Related to tetany secondary to a decreased serum calcium level - ✅✅A.
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. - ✅✅D.
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 - ✅✅B.
Nurse Oliver should expect a client with hypothyroidism to report which health concerns?
a. Increased appetite and weight loss
b. Puffiness of the face and hands
c. Nervousness and tremors
d. Thyroid gland swelling - ✅✅B.
A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg P.O.
daily. Which finding should nurse Hans recognize as an adverse drug effect?
a. Dysuria
b. Leg cramps
c. Tachycardia
d. Blurred vision - ✅✅C.
A 67-year-old male client has been complaining of sleeping more, increased urination, anorexia,
weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these
assessment findings, nurse Richard would suspect which of the following disorders?
a. Diabetes mellitus
b. Diabetes insipidus
c. Hypoparathyroidism
d. Hyperparathyroidism - ✅✅D.
When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:
a. vasopressin (Pitressin Synthetic).
b. furosemide (Lasix).
c. regular insulin.
