Endocrine NCLEX questions with answers 2024

Endocrine NCLEXWhen the nurse is reinforcing instructions to a client who has been newly diagnosed with type 1 diabetes mellitus, which statement by the client would indicate that teaching has been effective? - correct answer "I will notify my health care provider if my blood glucose level is consistently greater than 250 mg/dL." The nurse is providing instructions to a client newly diagnosed with diabetes mellitus. The nurse gives the client a list of the signs of hyperglycemia. Which specific signs of this complication should be included on the list? - correct answer Increased thirst Which nursing action would be appropriate to implement when a client has a diagnosis of pheochromocytoma? - correct answer Monitor the client's blood pressure. A comatose client with an admitting diagnosis of diabetic ketoacidosis (DKA) has a blood glucose value of 368 mg/dL, arterial pH of 7.2, arterial bicarbonate of 14 mEq/L, and is positive for serum ketones. The diagnosis is supported by which noted data? - correct answer Fruity breath odor A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. Which intervention would be appropriate to decrease the client's anxiety? - correct answer Convey empathy, trust, and respect toward the client. A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. Which finding should the nurse expect to note as confirming this diagnosis? - correct answer Elevated blood glucose and low plasma bicarbonate When caring for a client diagnosed with pheochromocytoma, which information should the nurse know when assisting with planning care? - correct answer Excessive catecholamines are released. A client who is managing diabetes mellitus with insulin injections asks the nurse for information about any necessary changes in her diet to avoid hyperinsulinism. Which diet would be appropriate for the client? - correct answer Small frequent meals with protein, fat, and carbohydrates at each meal The nurse is reviewing a plan of care for a client with Addison's disease. The nurse notes that the client is at risk for dehydration and suggests nursing interventions that will prevent this occurrence. Which nursing intervention is an appropriate component of the plan of care? Select all that apply. - correct answer Monitoring intake and output Monitoring for changes in mental status Encouraging fluid intake of at least 3000 mL/day The nurse is assigned to assist in caring for a client admitted to the emergency department with diabetic ketoacidosis (DKA). Which is the priority nursing action for this client who is in the acute phase? - correct answer Administer intravenous (IV) regular insulin. A client with diabetes mellitus visits the health care clinic. The client previously had been well controlled with glyburide (DiaBeta), but recently, the fasting blood glucose has been running 180 to 200 mg/dL. Which medication, if added to the client's regimen, may be contributing to the hyperglycemia? - correct answer Prednisone The nurse is reinforcing instructions with a client with diabetes mellitus who is recovering from diabetic ketoacidosis (DKA) regarding measures to prevent a recurrence. Which instruction is important for the nurse to emphasize? - correct answer Monitor blood glucose levels frequently. The nursing instructor asks a student to describe the pathophysiology that occurs in Cushing's disease. Which statement by the student indicates an accurate understanding of this disorder? - correct answer "Cushing's disease is characterized by an oversecretion of glucocorticoid hormones." The nurse working on an endocrine nursing unit understands that which correct concept is used in planning care? - correct answer Clients who have hyperparathyroidism should be protected against falls. A client with diabetes mellitus is scheduled to have a fasting blood glucose level determined in the morning. The nurse tells the client not to eat or drink after midnight. When the client asks for further information, the nurse clarifies by stating that which should be acceptable to take before the test? - correct answer Water