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WorksheetsNCLEX - ENDOCRINE Day1 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
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?
a)
830
b)
1100
c)
1330
d)
1500
2.
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?
a)
Administer IV levothyroxine.
b)
Place a warming blanket on the client.
c)
Prepare the client for endotracheal intubation.
d)
Obtain a blood specimen to check TSH, T3, and T4 levels.
3.
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?
a)
Atenolol is an iodine-based medication that blocks the release of thyroid hormones.
b)
It is used to treat some of the symptoms of hyperthyroidism, such as increased heart rate.
c)
This medication is radioactive and damages or destroys the thyroid tissue.
d)
This first-line antithyroid drug inhibits the synthesis of thyroid hormones.
4.
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?
a)
Bradycardia
b)
Cold intolerance
c)
Constipation
d)
Hair loss
e)
Warm, moist skin
5.
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?
a)
Phalen maneuver
b)
Heel-to-shin test
c)
Romberg test
d)
Trousseau sign
6.
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?
a)
Administer glucagon 1 mg IM.
b)
Give the client 120 mL of fruit juice.
c)
Administer the scheduled dose of insulin.
d)
Give the client crackers and peanut butter.
7.
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?
a)
Administer insulin lispro per protocol and insulin NPH
b)
Contact the client's health care provider
c)
Obtain a urine specimen to check for ketones
d)
Recheck the client's capillary blood glucose level
8.
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?
a)
Demonstrating adequate coping skills
b)
Knowing how to keep blood sugars stable
c)
Understanding how to perform meal planning
d)
Understanding the need for periodic follow-up visits
9.
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?
a)
I should encourage my child to drink more fluids.
b)
I will check my child's capillary blood glucose level more frequently.
c)
I should regularly check my child's urine for ketones.
d)
I will decrease my child's prescribed dose of insulin if my child is unable to eat.
10.
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?
a)
Prepare the client for surgery.
b)
Administer radioactive iodine.
c)
Administer IV antihypertensive medication.
d)
Initiate a 24-hour urine specimen collection.
e)
Palpate the abdomen to assess for tenderness.
11.
A client with thyrotoxicosis receives atenolol. Which statement by the nurse reinforces proper understanding of its purpose?
a)
Atenolol is iodine-based.
b)
It treats symptoms like increased heart rate.
c)
It’s radioactive.
d)
It inhibits thyroid hormone synthesis.
12.
The nurse is reviewing lab results for a client reporting fatigue. Which additional signs are expected?
a)
Bradycardia
b)
Cold intolerance
c)
Constipation
d)
Hair loss
e)
Warm, moist skin
13.
The nurse cares for a client with hyperparathyroidism post-parathyroidectomy. Which technique detects complications?
a)
Phalen maneuver
b)
Heel-to-shin test
c)
Romberg test
d)
Trousseau sign
14.
What is the priority action for a 9-year-old diabetic child with shakiness and diaphoresis?
a)
Administer IM glucagon
b)
Give 120 mL fruit juice
c)
Administer scheduled insulin
d)
Give crackers with peanut butter
15.
Which lab finding is the highest priority for follow-up in a diabetic client with a wound?
a)
WBC count
b)
Serum creatinine
c)
Hemoglobin A1c
d)
Serum sodium
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