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WorksheetsNCLEX - ENDOCRINE Day1 (Part 2)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
Which prescription should the nurse question for a client scheduled for a CT scan with IV contrast?
a)
Gabapentin
b)
Amlodipine
c)
Metformin
d)
Phenytoin
e)
-
2.
What action should the nurse take before administering bedtime glargine and correctional insulin?
a)
Administer glargine, give snack, then regular insulin
b)
Mix both in one syringe, draw glargine first
c)
Mix both in one syringe, draw regular first
d)
Administer glargine and regular insulin in separate injections
e)
-
3.
Which is the best first action when a type 1 diabetic is obtunded and BG = 38 mg/dL?
a)
Administer glucagon IM
b)
Give orange juice
c)
Measure BP/HR
d)
Observe for sweating
e)
-
4.
What client data are consistent with SIADH?
a)
High serum osmolality
b)
Low serum sodium
c)
High urine specific gravity
d)
Increased urine output
e)
-
5.
What finding indicates potential thyroid storm post-op thyroidectomy?
a)
Sore throat
b)
Pain at incision site
c)
99.9°F temperature, anxiety
d)
Temperature rise from 98.9°F to 101°F in 45 minutes
e)
-
6.
Which findings are expected in diabetes insipidus after pituitary surgery?
a)
Dark, concentrated urine
b)
High serum osmolality
c)
Low urine specific gravity
d)
Recent weight gain
e)
Reports of excessive thirst
7.
Why is insulin needed for a septic client without diabetes?
a)
To fight infection
b)
Tight glucose control prevents complications
c)
Stress elevates BG, insulin keeps it in range
d)
Client has new diabetes diagnosis
e)
-
8.
Which assessment findings are typical in Cushing syndrome?
a)
Hyperglycemia
b)
Hypertension
c)
Hyponatremia
d)
Truncal obesity
e)
Weight loss
9.
Which client best meets metabolic syndrome criteria?
a)
27F: TG 210, BP 128/82, BG 98
b)
45M: waist 38”, HDL 49, BG 118
c)
55F: waist 37”, TG 190, BG 120
d)
82M: HDL 45, BP 148/88, BG 114
e)
-
10.
Which intervention helps prevent hypoglycemia for a client on NPH insulin at bedtime?
a)
Check urine ketones
b)
Eat bedtime snack
c)
Increase carbs at meals
d)
Hold evening NPH dose
e)
-
11.
Which client statement about foot care requires correction?
a)
I apply lanolin to prevent dryness
b)
I avoid heating pads on my feet
c)
I test water with a thermometer
d)
I wear sandals to prevent moisture
e)
-
12.
Which report is most concerning for a client on long-term hydrocortisone?
a)
BP 140/90
b)
Fasting glucose 120°F
c)
Low-grade fever (100.4°F)
d)
6 lb weight gain in 3 months
e)
-
13.
Which glyburide statement by the client needs follow-up?
a)
Avoid alcohol with glyburide
b)
I’ll call if my BG is <60 mg/dL
c)
I read food labels, even “sugarless”
d)
This will help me lose weight
e)
-
14.
Which finding needs immediate follow-up in Graves disease?
a)
Agitation and confusion
b)
Heat intolerance
c)
HR 110 bpm
d)
Exophthalmos
e)
-
15.
A diabetic client is newly admitted. Which issue requires provider notification?
a)
Increase glargine dose
b)
Question spironolactone
c)
Report serum creatinine
d)
Request rapid-acting insulin
e)
-
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