NCLEX Style Practice Questions - MedSurg DIABETES, Endocrine NCLEX
Questions, Endocrine Nclex, Medical-Surgical Nursing Chapter 50 Endocrine
Problems, NCLEX Med-Surg Endocrine Chapter Qs/Ans/Rationales, NCLEX Study
- Med-Surg: Endocrine, MedSurg 2 Ex...
The nurse is educating a pregnant client who has gestational diabetes. Which of the following
statements should the nurse make to the client? Select all that apply.
a. Cakes, candies, cookies, and regular soft drinks should be avoided.
b. Gestational diabetes increases the risk that the mother will develop diabetes later in life.
c. Gestational diabetes usually resolves after the baby is born.
d. Insulin injections may be necessary.
e. The baby will likely be born with diabetes
f. The mother should strive to gain no more weight during the pregnancy. - correct answer ANS:
A, B, C, D
Gestational diabetes can occur between the 16th and 28th week of pregnancy.
If not responsive to diet and exercise, insulin injections may be necessary.
Concentrated sugars should be avoided.
Weight gain should continue, but not in excessive amounts.
,Usually, gestational diabetes disappears after the infant is born. However, diabetes can develop
5 to 10 years after the pregnancy.
The goal for pre-prandial blood glucose for those with Type 1 diabetes mellitus is:
a. <80 mg/dl
b. < 130 mg/dl
c. <180 mg/dl
d. <6% - correct answer b. < 130 mg/dl
The guidelines for Carbohydrate Counting as medical nutrition therapy for diabetes mellitus
includes all of the following EXCEPT:
a. Flexibility in types and amounts of foods consumed
b. Unlimited intake of total fat, saturated fat and cholesterol
c. Including adequate servings of fruits, vegetables and the dairy group
d. Applicable to with either Type 1 or Type 2 diabetes mellitus - correct answer b. Unlimited
intake of total fat, saturated fat and cholesterol
The nurse working in the physician's office is reviewing lab results on the clients seen that day.
One of the clients who has classic diabetic symptoms had an eight-hour fasting plasma glucose
test done. The nurse realizes that diagnostic criteria developed by the American Diabetes
Association for diabetes include classic diabetic symptoms plus which of the following fasting
plasma glucose levels?
a. Greater than 106 mg/dl
b. Greater than 126 mg/dl
c. Higher than 140 mg/dl
d. Higher than 160 mg/dl - correct answer d. Higher than 160 mg/dl
When taking a health history, the nurse screens for manifestations suggestive of diabetes type
I. Which of the following manifestations are considered the primary manifestations of diabetes
type I and would be most suggestive of diabetes type I and require follow-up investigation?
,a. Excessive intake of calories, rapid weight gain, and difficulty losing weight
b. Poor circulation, wound healing, and leg ulcers,
c. Lack of energy, weight gain, and depression
d. An increase in three areas: thirst, intake of fluids, and hunger - correct answer D. An increase
in three areas: thirst, intake of fluids, and hunger
The primary manifestations of diabetes type I are polyuria (increased urine output), polydipsia
(increased thirst), polyphagia (increased hunger).
The nurse is working with an overweight client who has a high-stress job and smokes. This
client has just received a diagnosis of Type II Diabetes and has just been started on an oral
hypoglycemic agent. Which of the following goals for the client which if met, would be most
likely to lead to an improvement in insulin efficiency to the point the client would no longer
require oral hypoglycemic agents?
a. Comply with medication regimen 100% for 6 months
b. Quit the use of any tobacco products by the end of three months
c. Lose a pound a week until weight is in normal range for height and exercise 30 minutes daily
d. Practice relaxation techniques for at least five minutes five times a day for at least five
months - correct answer C. Lose a pound a week until weight is in normal range for height and
exercise 30 minutes daily
, When type II diabetics lose weight through diet and exercise they sometimes have an
improvement in insulin efficiency sufficient to the degree they no longer require oral
hypoglycemic agents.
When working in the community, the nurse will recommend routine screening for diabetes
when the person has one or more of seven risk criteria. Which of the following persons that the
nurse comes in contact with most needs to be screened for diabetes based on the seven risk
criteria?
a. A woman who is at 90% of standard body weight after delivering an eight-pound baby
b. A middle-aged Caucasian male
c. An older client who is hypotensive
d. A client with an HDL cholesterol level of 40 mg/dl and a triglyceride level of 300 mg/dl -
correct answer d. A client with an HDL cholesterol level of 40 mg/dl and a triglyceride level of
300 mg/dl
The seven risk criteria include: greater than 120% of standard body weight, Certain races but
not including Caucasian, delivery of a baby weighing more than 9 pounds or a diagnosis of
gestational diabetes, hypertensive, HDL greater than 35 mg/dl or triglyceride level greater than
250 or a triglyceride level of greater than 250 mg/dl, and, lastly, impaired glucose tolerance or
impaired fasting glucose on prior testing.
The nurse assisting in the admission of a client with diabetic ketoacidosis will anticipate the
physician ordering which of the following types of intravenous solution if the client cannot take
fluids orally?
a. 0.45% normal saline solution
b. Lactated Ringer's solution
Questions, Endocrine Nclex, Medical-Surgical Nursing Chapter 50 Endocrine
Problems, NCLEX Med-Surg Endocrine Chapter Qs/Ans/Rationales, NCLEX Study
- Med-Surg: Endocrine, MedSurg 2 Ex...
The nurse is educating a pregnant client who has gestational diabetes. Which of the following
statements should the nurse make to the client? Select all that apply.
a. Cakes, candies, cookies, and regular soft drinks should be avoided.
b. Gestational diabetes increases the risk that the mother will develop diabetes later in life.
c. Gestational diabetes usually resolves after the baby is born.
d. Insulin injections may be necessary.
e. The baby will likely be born with diabetes
f. The mother should strive to gain no more weight during the pregnancy. - correct answer ANS:
A, B, C, D
Gestational diabetes can occur between the 16th and 28th week of pregnancy.
If not responsive to diet and exercise, insulin injections may be necessary.
Concentrated sugars should be avoided.
Weight gain should continue, but not in excessive amounts.
,Usually, gestational diabetes disappears after the infant is born. However, diabetes can develop
5 to 10 years after the pregnancy.
The goal for pre-prandial blood glucose for those with Type 1 diabetes mellitus is:
a. <80 mg/dl
b. < 130 mg/dl
c. <180 mg/dl
d. <6% - correct answer b. < 130 mg/dl
The guidelines for Carbohydrate Counting as medical nutrition therapy for diabetes mellitus
includes all of the following EXCEPT:
a. Flexibility in types and amounts of foods consumed
b. Unlimited intake of total fat, saturated fat and cholesterol
c. Including adequate servings of fruits, vegetables and the dairy group
d. Applicable to with either Type 1 or Type 2 diabetes mellitus - correct answer b. Unlimited
intake of total fat, saturated fat and cholesterol
The nurse working in the physician's office is reviewing lab results on the clients seen that day.
One of the clients who has classic diabetic symptoms had an eight-hour fasting plasma glucose
test done. The nurse realizes that diagnostic criteria developed by the American Diabetes
Association for diabetes include classic diabetic symptoms plus which of the following fasting
plasma glucose levels?
a. Greater than 106 mg/dl
b. Greater than 126 mg/dl
c. Higher than 140 mg/dl
d. Higher than 160 mg/dl - correct answer d. Higher than 160 mg/dl
When taking a health history, the nurse screens for manifestations suggestive of diabetes type
I. Which of the following manifestations are considered the primary manifestations of diabetes
type I and would be most suggestive of diabetes type I and require follow-up investigation?
,a. Excessive intake of calories, rapid weight gain, and difficulty losing weight
b. Poor circulation, wound healing, and leg ulcers,
c. Lack of energy, weight gain, and depression
d. An increase in three areas: thirst, intake of fluids, and hunger - correct answer D. An increase
in three areas: thirst, intake of fluids, and hunger
The primary manifestations of diabetes type I are polyuria (increased urine output), polydipsia
(increased thirst), polyphagia (increased hunger).
The nurse is working with an overweight client who has a high-stress job and smokes. This
client has just received a diagnosis of Type II Diabetes and has just been started on an oral
hypoglycemic agent. Which of the following goals for the client which if met, would be most
likely to lead to an improvement in insulin efficiency to the point the client would no longer
require oral hypoglycemic agents?
a. Comply with medication regimen 100% for 6 months
b. Quit the use of any tobacco products by the end of three months
c. Lose a pound a week until weight is in normal range for height and exercise 30 minutes daily
d. Practice relaxation techniques for at least five minutes five times a day for at least five
months - correct answer C. Lose a pound a week until weight is in normal range for height and
exercise 30 minutes daily
, When type II diabetics lose weight through diet and exercise they sometimes have an
improvement in insulin efficiency sufficient to the degree they no longer require oral
hypoglycemic agents.
When working in the community, the nurse will recommend routine screening for diabetes
when the person has one or more of seven risk criteria. Which of the following persons that the
nurse comes in contact with most needs to be screened for diabetes based on the seven risk
criteria?
a. A woman who is at 90% of standard body weight after delivering an eight-pound baby
b. A middle-aged Caucasian male
c. An older client who is hypotensive
d. A client with an HDL cholesterol level of 40 mg/dl and a triglyceride level of 300 mg/dl -
correct answer d. A client with an HDL cholesterol level of 40 mg/dl and a triglyceride level of
300 mg/dl
The seven risk criteria include: greater than 120% of standard body weight, Certain races but
not including Caucasian, delivery of a baby weighing more than 9 pounds or a diagnosis of
gestational diabetes, hypertensive, HDL greater than 35 mg/dl or triglyceride level greater than
250 or a triglyceride level of greater than 250 mg/dl, and, lastly, impaired glucose tolerance or
impaired fasting glucose on prior testing.
The nurse assisting in the admission of a client with diabetic ketoacidosis will anticipate the
physician ordering which of the following types of intravenous solution if the client cannot take
fluids orally?
a. 0.45% normal saline solution
b. Lactated Ringer's solution
