Endocrine System Disorders | NCLEX Quiz 97

10 Questions | Total Attempts: 757

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Endocrine System Quizzes & Trivia

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
    A client is taking NPH insulin daily every morning. The nurse instructs the client that the most likely time for a hypoglycemic reaction to occur is:
    • A. 

      2-4 hours after administration

    • B. 

      6-14 hours after administration

    • C. 

      16-18 hours after administration

    • D. 

      18-24 hours after administration

  • 2. 
    An external insulin pump is prescribed for a client with DM. The client asks the nurse about the functioning of the pump. The nurse bases the response on the information that the pump:
    • A. 

      Gives small continuous dose of regular insulin subcutaneously. and the client can self-administer a bolus with an additional dosage from the pump before each meal.

    • B. 

      Is timed to release programmed doses of regular or NPH insulin into the bloodstream at specific intervals.

    • C. 

      Is surgically attached to the pancreas and infuses regular insulin into the pancreas. which in turn releases the insulin into the bloodstream.

    • D. 

      Continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring blood glucose levels.

  • 3. 
    A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the ER. Which finding would a nurse expect to note as confirming this diagnosis?
    • A. 

      Elevated blood glucose level and a low plasma bicarbonate

    • B. 

      Decreased urine output

    • C. 

      Increased respirations and an increase in pH

    • D. 

      Comatose state

  • 4. 
    A client with DM demonstrates acute anxiety when first admitted for the treatment of hyperglycemia. The most appropriate intervention to decrease the client’s anxiety would be to:
    • A. 

      Administer a sedative

    • B. 

      Make sure the client knows all the correct medical terms to understand what is happening.

    • C. 

      Ignore the signs and symptoms of anxiety so that they will soon disappear

    • D. 

      Convey empathy. trust. and respect toward the client.

  • 5. 
    A nurse is preparing a plan of care for a client with DM who has hyperglycemia. The priority nursing diagnosis would be:
    • A. 

      High risk for deficient fluid volume

    • B. 

      Deficient knowledge: disease process and treatment

    • C. 

      Imbalanced nutrition: less than body requirements

    • D. 

      Disabled family coping: compromised.

  • 6. 
    A nurse is caring for a client admitted to the ER with DKA. In the acute phase the priority nursing action is to prepare to:
    • A. 

      Administer regular insulin intravenously

    • B. 

      Administer 5% dextrose intravenously

    • C. 

      Correct the acidosis

    • D. 

      Apply an electrocardiogram monitor.

  • 7. 
    A nurse performs a physical assessment on a client with type 2 DM. Findings include a fasting blood glucose of 120mg/dl. temperature of 101. pulse of 88. respirations of 22. and a bp of 140/84. Which finding would be of most concern of the nurse?
    • A. 

      Pulse

    • B. 

      BP

    • C. 

      Respiration

    • D. 

      Temperature

  • 8. 
    A client with type 1 DM calls the nurse to report recurrent episodes of hypoglycemia with exercise. Which statement by the client indicated an inadequate understanding of the peak action of NPH insulin and exercise?
    • A. 

      “The best time for me to exercise is every afternoon.”

    • B. 

      “The best time for me to exercise is right after I eat.”

    • C. 

      “The best time for me to exercise is after breakfast.”

    • D. 

      “The best time for me to exercise is after my morning snack.”

  • 9. 
      A client with diabetes mellitus visits a health care clinic. The client’s diabetes previously had been well controlled with glyburide (Diabeta). 5 mg PO daily. but recently the fasting blood glucose has been running 180-200mg/dl. Which medication. if added to the clients regimen. may have contributed to the hyperglycemia?
    • A. 

      Prednisone (Deltasone)

    • B. 

      Atenolol (Tenormin)

    • C. 

      Phenelzine (Nardil)

    • D. 

      Allopurinol (Zyloprim)

  • 10. 
      Glucose is an important molecule in a cell because this molecule is primarily used for:
    • A. 

      Extraction of energy

    • B. 

      Synthesis of protein

    • C. 

      Building of genetic material

    • D. 

      Formation of cell membranes.

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