Endocrine System Disorders | NCLEX Quiz 98
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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.
- 1.When a client is first admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS). the nurse’s priority is to provide:
- A.
Oxygen
- B.
Carbohydrates
- C.
Fluid replacement
- D.
Dietary instruction
- 2.The nurse is admitting a client with hypoglycemia. Identify the signs and symptoms the nurse should expect. Select all that apply.
- A.
Thirst
- B.
Palpitations
- C.
Diaphoresis
- D.
Slurred speech
- E.
Hyperventilation
- F.
Hyperventilation
- 3.When a client is in diabetic ketoacidosis. the insulin that would be administered is:
- A.
Human NPH insulin
- B.
Human regular insulin
- C.
Insulin lispro injection
- D.
Insulin glargine injection
- 4.The nurse recognizes that additional teaching is necessary when the client who is learning alternative site testing (AST) for glucose monitoring says:
- A.
“I need to rub my forearm vigorously until warm before testing at this site.”
- B.
“The fingertip is preferred for glucose monitoring if hyperglycemia is suspected.”
- C.
“I have to make sure that my current glucose monitor can be used at an alternate site.”
- D.
“Alternate site testing is unsafe if I am experiencing a rapid change in glucose levels.”
- 5.Which adaptations should the nurse caring for a client with diabetic ketoacidosis expect the client to exhibit? Select all that apply:
- A.
Sweating
- B.
Low PCO2
- C.
Retinopathy
- D.
Acetone breath
- E.
Elevated serum bicarbonate
- 6.A client’s blood gases reflect diabetic acidosis. The nurse should expect:
- A.
Increased pH
- B.
Decreased PO2
- C.
Increased PCO2
- D.
Decreased HCO3
- 7.The nurse knows that glucagon may be given in the treatment of hypoglycemia because it:
- A.
Inhibits gluconeogenesis
- B.
Stimulates the release of insulin
- C.
Increases blood glucose levels
- D.
Provides more storage of glucose.
- 8.Albert. a 35-year-old insulin dependent diabetic. is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission. His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830. 1230. and 1830. The nurse expects that the NPH insulin will reach its maximum effect (peak) between the hours of:
- A.
1130 and 1330
- B.
1330 and 1930
- C.
1530 and 2130
- D.
1730 and 2330
- 9.The physician orders 36 units of NPH and 12 units of regular insulin. The nurse plans to administer these drugs in 1 syringe. Identify the steps in this procedure by listing them in priority order.
- A.
Inject air equal to NPH dose into NPH vial
- B.
Invert regular insulin bottle and withdraw regular insulin dose
- C.
Inject air equal to regular dose into regular dose
- D.
Invert NPH vial and withdraw NPH dose.
- 10.The insulin that has the most rapid onset of action would be:
- A.
Lente
- B.
Lispro
- C.
Ultralente
- D.
Humulin N
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