NCLEX - ENDOCRINE Day1

The nurse administers subcutaneous insulin lispro at 0730 to a client as prescribed and the client consumes breakfast 30 minutes later. At what time is the client at highest risk for experiencing insulin-related hypoglycemia?

• 830
• 1100
• 1330
• 1500
• -

The nurse in the emergency department is caring for a client with hypothyroidism who has a decreased level of consciousness. Which of the following actions should the nurse take first?

• Administer IV levothyroxine.
• Place a warming blanket on the client.
• Prepare the client for endotracheal intubation.
• Obtain a blood specimen to check TSH, T3, and T4 levels.
• -

A hospitalized client with thyrotoxicosis receives atenolol 50 mg PO daily. Which statement by the nurse accurately reinforces the client's understanding of this medication's purpose?

• Atenolol is an iodine-based medication that blocks the release of thyroid hormones.
• It is used to treat some of the symptoms of hyperthyroidism, such as increased heart rate.
• This medication is radioactive and damages or destroys the thyroid tissue.
• This first-line antithyroid drug inhibits the synthesis of thyroid hormones.
• -

The nurse is reviewing the laboratory results of a client who reports fatigue for the last month. Based on the laboratory results, which additional clinical manifestations would the nurse expect?

• Bradycardia
• Cold intolerance
• Constipation
• Hair loss
• Warm, moist skin

The nurse is caring for a client with hyperparathyroidism who had a parathyroidectomy 4 hours ago. Which technique should the nurse use to check for complications in this client?

• Phalen maneuver
• Heel-to-shin test
• Romberg test
• Trousseau sign
• -

The school nurse is caring for a 9-year-old client with type 1 diabetes mellitus who is shaking and diaphoretic. Which of the following actions would be a priority for the nurse to take?

• Administer glucagon 1 mg IM.
• Give the client 120 mL of fruit juice.
• Administer the scheduled dose of insulin.
• Give the client crackers and peanut butter.
• -

The nurse is preparing to administer medications scheduled for 0800 to a client with type 1 diabetes mellitus. After reviewing the client's morning laboratory test results, which of the following actions would be a priority for the nurse to take?

• Administer insulin lispro per protocol and insulin NPH
• Contact the client's health care provider
• Obtain a urine specimen to check for ketones
• Recheck the client's capillary blood glucose level
• -

The nurse is planning a client care conference with the parents of a 3-year-old with newly diagnosed type 1 diabetes mellitus. What is the priority outcome for the caregivers?

• Demonstrating adequate coping skills
• Knowing how to keep blood sugars stable
• Understanding how to perform meal planning
• Understanding the need for periodic follow-up visits
• -

The nurse is talking with the parent of a pediatric client with type 1 diabetes mellitus who has influenza. Which of the following statements by the parent would require follow-up?

• I should encourage my child to drink more fluids.
• I will check my child's capillary blood glucose level more frequently.
• I should regularly check my child's urine for ketones.
• I will decrease my child's prescribed dose of insulin if my child is unable to eat.
• -

The nurse is caring for a client with suspected pheochromocytoma. The client has diaphoresis, a severe headache, and a blood pressure of 200/110 mm Hg. Which of the following actions should the nurse take?

• Prepare the client for surgery.
• Administer radioactive iodine.
• Administer IV antihypertensive medication.
• Initiate a 24-hour urine specimen collection.
• Palpate the abdomen to assess for tenderness.