Endocrine Nursing – Practice Exam Questions with Complete Solutions
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Course
Applied nursing
Institution
Applied Nursing
A client is brought to the ED in an unresponsive state, and a dX of hyperglycemic hyperosmolar nonketotic syndrome is made. The nurse would IMMEDIATELY prepare to initiate which anticipated health care provider's prescription?
a) endotracheal intubation
b) 100 units of NPH insulin
c) IV infusi...
Endocrine Nursing – Practice Exam
Questions with Complete Solutions
A client is brought to the ED in an unresponsive state, and a dX of hyperglycemic
hyperosmolar nonketotic syndrome is made. The nurse would IMMEDIATELY prepare
to initiate which anticipated health care provider's prescription?
a) endotracheal intubation
b) 100 units of NPH insulin
c) IV infusion of normal saline
d) IV infusion of sodium bicarbonate - Answer-C
An external insulin pump is prescribed for a client with DM and the client asks the nurse
about the functioning of the pump. The nurse bases the response on which information
about the pump?
a) is timed to release programmed doses of short-duration or NPH insulin into the
bloodstream at specific intervals
b) continuously infuses small amounts of NPH insulin into the bloodstream while
regularly monitoring blood glucose levels
c) is surgically attached to the pancreas and infuses regular insulin into the pancreas,
which in turn releases the insulin into the bloodstream
d) gives a small continuous dose of short-duration insulin subQ-- and the client can self-
administer a bolus with an additional dose from the pump before each meal - Answer-D
A client with a diagnosis of DKA is being treated in the ED. Which findings would the
nurse expect to note as confirming this diagnosis? SATA:
a) increase in pH
b) comatose state
c) deep, rapid breathing
d) decreased urine output
e) elevated blood glucose level
f) low plasma bicarbonate level - Answer-C, E, F
The nurse teaches a client with DM about differentiating between hypoglycemia and
ketoacidosis. The client demonstrates an understanding of the teaching by stating that a
form of glucose should be taken if which symptoms develop? SATA:
A client with DM demonstrates acute anxiety when first admitted to the hospital for the
treatment of hyperglycemia. What is the MOST APPROPRIATE intervention to
decrease the client's anxiety?
a) administer a sedative
b) convey empathy, trust, and respect toward the client
c) ignore the signs and symptoms of anxiety so that they will soon disappear
d) make sure that the client knows all the correct medical terms to understand what is
happening - Answer-B
The nurse provides instructions to a client newly dX with type I DM. The nurse
recognizes accurate understanding of measures to prevent DKA when the client makes
which statement?
a) I will stop taking my insulin if I'm too sick to eat
b) i will decrease my insulin dose during times of illness
c) i will adjust my insulin dose according to the level of glucose in my urine
d) i will notify my HCP if my blood glucose level is higher than 250 mg/dL - Answer-D
A client is admitted to a hospital with a dX of DKA. The initial blood glucose level was
950 mg/dL. A continuous intravenous infusion of short-acting insulin is initiated, along
with IV rehydration with normal saline. The serum glucose level is now 240 mg/dL. The
nurse would next prepare to administer which item?
a) ampule of 50% dextrose
b) NPH insulin subcutaneously
c) IV fluids containing dextrose
d) Phenytoin (Dilantin) for the prevention of seizures - Answer-C
The nurse is monitoring a client newly dX with DM for signs of complications. Which
sign, if exhibited in the client, would indicate hyperglycemia?
a) polyuria
b) diaphoresis
c) hypertension
d) increased pulse rate - Answer-A
The nurse is preparing a plan of care for a client with DM who has hyperglycemia. The
nurse places highest priority on which client problem?
a) lack of knowledge
b) inadequate fluid volume
, c) compromised family coping
d) inadequate consumption of nutrients - Answer-B
The home health nurse visits a client with a dX of type 1 DM. The client relates a history
of vomiting and diarrhea and tells the nurse that no food has been consumed for the last
24 hours. Which additional statement by the client indicates a NEED FOR FURTHER
TEACHING?
a) i need to stop my insulin
b) i need to increase my fluid intake
c) i need to monitor my blood glucose every 3 to 4 hours
d) i need to call the HCP because of these symptoms - Answer-A
The nurse is caring for a client after hypophysectomy and notes clear nasal drainage
from the client's nostril. The nurse should take which initial action?
a) lower the head of the bed
b) test the drainage for glucose
c) obtain a culture of the drainage
d) continue to observe the drainage - Answer-B
After several diagnostic tests, a client is dX with diabetes insipidus. The nurse performs
an assessment on the client, knowing that which symptom is most indicative of this
disorder?
a) fatigue
b) diarrhea
c) polydipsia
d) weight gain - Answer-C
A client is admitted to an ED and a diagnosis of myxedema coma is made. Which action
would the nurse prepare to carry out initially?
a) warm the client
b) maintain a patent airway
c) administer thyroid hormone
d) administer fluid replacement - Answer-B
The nurse is caring for a client admitted to the ED with DKA. In the acute phase, the
nurse plans for which priority intervention?
a) correct the acidosis
b) admin 5% dextrose IV
c) apply a monitor for an EKG
d) administer short-duration insulin IV - Answer-D
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