NCLEX Review - Week 05_Endocrine

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NCLEX Review - Week 05_Endocrine


Froggy Jumps NCLEX Review - Week 05_EndocrineOnline version See how much you know by Mrs. Ramos 1 A client with type 1 diabetes reports shakiness, sweating, and confusion. What is the nurse’s priority action? a Check the client’s blood glucose level b Call the provider immediately c Administer 1 mg of glucagon IM 2 Which finding indicates a need for further teaching in a client with type 2 diabetes taking metformin? a I take my medication with meals. b I take metformin even if I skip meals. c I may experience some mild diarrhea. 3 Which lab value indicates poor long-term glucose control in a diabetic client? a Hemoglobin A1c of 9.0% b Fasting blood glucose 98 mg/dL c Random glucose 160 mg/dL 4 A nurse is preparing to administer insulin lispro. When should it be given? a After the meal b 30 minutes before meals c With the first bite of food. 5 Which symptom is most concerning in a client with diabetic ketoacidosis (DKA)? a Deep rapid breathing b Increased thirst c Confusion and lethargy 6 Which symptom is most consistent with hyperthyroidism? a Heat intolerance b Cold intolerance c Weight gain 7 Which assessment finding is most concerning for a client with newly diagnosed hypothyroidism? a Fatigue b Periorbital edema and hoarseness c Constipation 8 Which medication must be taken on an empty stomach and apart from other medications? a Propylthiouracil b Calcitonin c Levothyroxine 9 A client post-thyroidectomy reports tingling in the lips and hands. What should the nurse do first? a Check serum potassium level b Check for Chvostek’s sign c Administer oral calcium 10 Which diet is appropriate for a client with hyperthyroidism? a High-calorie, high-protein b High-fiber, low-residue c Low-calorie, high-protein 11 Which finding is consistent with Cushing syndrome? a Hypoglycemia and weight loss b Moon face and buffalo hump c Fatigue and bradycardia 12 What is the priority teaching for a client on long-term corticosteroid therapy? a Stop medication when symptoms resolve b Take medication every other day c Do not stop medication abruptly. 13 Which finding should the nurse expect in Addison’s disease? a Hypertension and weight gain b Edema and moon face c Hypotension and hyperpigmentation 14 A client with Addisonian crisis is hypotensive and unresponsive. What is the nurse’s immediate action? a Start IV fluids and corticosteroids b Administer oral hydrocortisone c Provide electrolyte-free fluids 15 Which lab value is expected in a client with Cushing syndrome? a Low blood glucose b Elevated serum cortisol c Elevated potassium 16 A client with SIADH is at risk for which electrolyte disturbance? a Hypernatremia b Hypokalemia c Hyponatremia 17 Which finding is associated with diabetes insipidus? a High urine output, low specific gravity b Low urine output, high specific gravity c Confusion and hypernatremia 18 A nurse is reviewing orders for a client with SIADH. Which order should be questioned? a Seizure precautions b Restrict fluid intake to 800 mL/day c Administer 0.9% normal saline IV 19 What is a priority nursing diagnosis for a client with diabetes insipidus? a Risk for fluid volume deficit b Ineffective airway clearance c Risk for excess fluid volume 20 Which symptom would the nurse expect in a client with acromegaly? a Enlarged hands and facial features b Thin extremities and sunken eyes c Protruding abdomen and short stature

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NCLEX Review - Week 05_Endocrine

Froggy Jumps

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NCLEX Review - Week 05_EndocrineOnline version

by Mrs. Ramos

A client with type 1 diabetes reports shakiness, sweating, and confusion. What is the nurse’s priority action?

Which finding indicates a need for further teaching in a client with type 2 diabetes taking metformin?

Which lab value indicates poor long-term glucose control in a diabetic client?

A nurse is preparing to administer insulin lispro. When should it be given?

Which symptom is most concerning in a client with diabetic ketoacidosis (DKA)?

Which symptom is most consistent with hyperthyroidism?

Which assessment finding is most concerning for a client with newly diagnosed hypothyroidism?

Which medication must be taken on an empty stomach and apart from other medications?

A client post-thyroidectomy reports tingling in the lips and hands. What should the nurse do first?

Which diet is appropriate for a client with hyperthyroidism?

Which finding is consistent with Cushing syndrome?

What is the priority teaching for a client on long-term corticosteroid therapy?

Which finding should the nurse expect in Addison’s disease?

A client with Addisonian crisis is hypotensive and unresponsive. What is the nurse’s immediate action?

Which lab value is expected in a client with Cushing syndrome?

A client with SIADH is at risk for which electrolyte disturbance?

Which finding is associated with diabetes insipidus?

A nurse is reviewing orders for a client with SIADH. Which order should be questioned?

What is a priority nursing diagnosis for a client with diabetes insipidus?

Which symptom would the nurse expect in a client with acromegaly?