NCLEX Exam: Endocrine Disorders GUARANTEED PASS !!
Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed with diabetic
ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2 p.m., the
client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin. Nurse Vince
should expect the dose's:
a. onset to be at 2 pm and its peak to be at 3 pm
b. onset to be 2:15 pm and its peak to be at 3 pm
c. onset to be at 2:30 pm and its peak to be at 4 pm
d. onset to be at 4 pm and its peak to be at 6 pm - (ANSWER)C
Nurse Joey 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. - (ANSWER)D
Nurse Noemi administers glucagon to her diabetic client, then monitors the client for adverse drug reactions and
interactions. Which type of drug interacts adversely with glucagon?
a. Oral anticoagulants
b. Anabolic steroids
c. Beta-adrenergic blockers
d. Thiazide diuretics - (ANSWER)A
When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive
catecholamine, nurse April is most likely to detect:
a. a blood pressure of 130/70 mm Hg.
b. a blood glucose level of 130 mg/dl.
c. bradycardia.
d. a blood pressure of 176/88 mm Hg. - (ANSWER)D
Page 1 of 12
, Nurse Perry is caring for a female client with type 1 diabetes mellitus who exhibits confusion, light-headedness,
and aberrant behavior. The client is still conscious. The nurse should first administer:
a. I.M. or subcutaneous glucagon.
b. I.V. bolus of dextrose 50%.
c. 15 to 20 g of a fast-acting carbohydrate such as orange juice.
d. 10 U fast-acting insulin - (ANSWER)C
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 - (ANSWER)B
For a diabetic male client with a foot ulcer, the physician orders bed rest, a wet-to-dry dressing change every
shift, and blood glucose monitoring before meals and bedtime. Why are wet-to-dry dressings used for this
client?
a. They contain exudate and provide a moist wound environment.
b. They protect the wound from mechanical trauma and promote healing.
c. They debride the wound and promote healing by secondary intention.
d. They prevent the entrance of microorganisms and minimize wound discomfort. - (ANSWER)C
A male client with primary diabetes insipidus is ready for discharge on desmopressin (DDAVP). Which
instruction should nurse Lina provide?
a. "Administer desmopressin while the suspension is cold."
b. "Your condition isn't chronic, so you won't need to wear a medical identification bracelet."
c. "You may not be able to use desmopressin nasally if you have nasal discharge or blockage."
d. "You won't need to monitor your fluid intake and output after you start taking desmopressin." - (ANSWER)C
After undergoing a subtotal thyroidectomy, a female client develops hypothyroidism. Dr. Smith prescribes
levothyroxine (Levothroid), 25 mcg P.O. daily. For which condition is levothyroxine the preferred agent?
Page 2 of 12
Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed with diabetic
ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2 p.m., the
client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin. Nurse Vince
should expect the dose's:
a. onset to be at 2 pm and its peak to be at 3 pm
b. onset to be 2:15 pm and its peak to be at 3 pm
c. onset to be at 2:30 pm and its peak to be at 4 pm
d. onset to be at 4 pm and its peak to be at 6 pm - (ANSWER)C
Nurse Joey 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. - (ANSWER)D
Nurse Noemi administers glucagon to her diabetic client, then monitors the client for adverse drug reactions and
interactions. Which type of drug interacts adversely with glucagon?
a. Oral anticoagulants
b. Anabolic steroids
c. Beta-adrenergic blockers
d. Thiazide diuretics - (ANSWER)A
When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive
catecholamine, nurse April is most likely to detect:
a. a blood pressure of 130/70 mm Hg.
b. a blood glucose level of 130 mg/dl.
c. bradycardia.
d. a blood pressure of 176/88 mm Hg. - (ANSWER)D
Page 1 of 12
, Nurse Perry is caring for a female client with type 1 diabetes mellitus who exhibits confusion, light-headedness,
and aberrant behavior. The client is still conscious. The nurse should first administer:
a. I.M. or subcutaneous glucagon.
b. I.V. bolus of dextrose 50%.
c. 15 to 20 g of a fast-acting carbohydrate such as orange juice.
d. 10 U fast-acting insulin - (ANSWER)C
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 - (ANSWER)B
For a diabetic male client with a foot ulcer, the physician orders bed rest, a wet-to-dry dressing change every
shift, and blood glucose monitoring before meals and bedtime. Why are wet-to-dry dressings used for this
client?
a. They contain exudate and provide a moist wound environment.
b. They protect the wound from mechanical trauma and promote healing.
c. They debride the wound and promote healing by secondary intention.
d. They prevent the entrance of microorganisms and minimize wound discomfort. - (ANSWER)C
A male client with primary diabetes insipidus is ready for discharge on desmopressin (DDAVP). Which
instruction should nurse Lina provide?
a. "Administer desmopressin while the suspension is cold."
b. "Your condition isn't chronic, so you won't need to wear a medical identification bracelet."
c. "You may not be able to use desmopressin nasally if you have nasal discharge or blockage."
d. "You won't need to monitor your fluid intake and output after you start taking desmopressin." - (ANSWER)C
After undergoing a subtotal thyroidectomy, a female client develops hypothyroidism. Dr. Smith prescribes
levothyroxine (Levothroid), 25 mcg P.O. daily. For which condition is levothyroxine the preferred agent?
Page 2 of 12
