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WorksheetsNCLEX - ENDOCRINE Day3 (Part 1)
Total questions: 15
Worksheet time: 8mins
Name
Class
Date
1.
Before administering 0800 insulin, a diabetic client has abnormal morning labs. What action is priority?
a)
Administer insulin lispro and NPH
b)
Call the healthcare provider
c)
Obtain urine ketones
d)
Recheck capillary BG
2.
Which prescription requires follow-up by the nurse?
a)
Regular insulin IV push for blood glucose >250 mg/dL
b)
Glargine insulin subcutaneous at 8 PM
c)
Aspart insulin subcutaneous 15 minutes before breakfast
d)
NPH insulin IV push every morning
3.
A client with Graves disease presents after a car accident with altered mentation, tachycardia, and fever. What condition is likely?
a)
Thyroid storm
b)
Hypertensive crisis
c)
Serotonin syndrome
d)
Malignant hyperthermia
4.
Which finding indicates desmopressin is effective for diabetes insipidus?
a)
Appetite has improved
b)
Blood glucose is 110 mg/dL
c)
Urine output has decreased
d)
Urine specific gravity is lower
5.
A diabetic client is unresponsive with BG 38 mg/dL. What is the nurse’s first action?
a)
Administer 1 mg glucagon IM
b)
Give 120 mL of orange juice
c)
Measure BP and heart rate
d)
Observe for pallor and sweating
6.
Which client is at highest risk for SIADH?
a)
Client with carpal tunnel
b)
Client with small cell lung cancer
c)
Client with osteomyelitis
d)
Client with sciatica
7.
A client with exophthalmos needs which interventions?
a)
Administer artificial tears
b)
Tape eyelids shut at night
c)
Elevate head of bed
d)
Use dark glasses
e)
Avoid eye movement
8.
Which findings are consistent with Addison disease?
a)
Acanthosis nigricans
b)
Hirsutism
c)
Hyperpigmented skin
d)
Truncal obesity
e)
Weight loss
9.
Which statements are correct for teaching about hydrocortisone in Addison disease?
a)
Stop med if mood changes
b)
Report even a low-grade fever
c)
Watch for hyperglycemia symptoms
d)
Increase dose during stress
e)
Take on empty stomach
10.
Which clients meet metabolic syndrome criteria?
a)
Female, waist 38 in
b)
Female, BP 148/90
c)
Male, triglycerides 201 mg/dL
d)
Female, LDL 96 mg/dL
e)
Male, fasting BG 99 mg/dL
11.
Which insulin pump statement shows client understanding?
a)
I don’t need fingersticks anymore
b)
I no longer need mealtime insulin
c)
My BG will be more stable
d)
Infusion set must be changed daily
12.
Which findings are consistent with SIADH?
a)
Decreased serum sodium
b)
Decreased urine output
c)
Dry mucous membranes
d)
Low urine specific gravity
e)
Sudden weight gain
13.
Which clinical manifestations are consistent with hypothyroidism?
a)
Cold intolerance
b)
Constipation
c)
Fever
d)
Menstrual irregularities
e)
Night sweats
14.
Which are signs of congenital hypothyroidism in an infant?
a)
Difficult to awaken
b)
Dry skin
c)
Frequent, loose stools
d)
Hoarse cry
e)
Tachycardia
15.
Which is the priority for a client in DKA with elevated BG?
a)
Administer 0.9% NaCl bolus
b)
Administer long-acting insulin
c)
Start regular insulin drip
d)
Get serum potassium level
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