Endocrine System Disorders NCLEX Quiz

Reviewed by Editorial Team
The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.
Learn about Our Editorial Process
| By Santepro
S
Santepro
Community Contributor
Quizzes Created: 468 | Total Attempts: 2,581,569
| Attempts: 7,009
Quiz Flashcard
SettingsSettings
Please wait...
  • 1/10 Questions

    When a client is first admitted with the hyperglycemic hyperosmolar nonketotic syndrome (HHNS). The nurse’s priority is to provide:

    • Oxygen
    • Carbohydrates
    • Fluid replacement
    • Dietary instruction
Please wait...
About This Quiz

Prepare yourself to take this "Endocrine System Disorders NCLEX Quiz" and test your knowledge now with these questions. All questions are shown, but the results will only be given after you've finished the quiz. You are given the challenge to complete this quiz and get at least a 70 percent score. Do you think you can manage to do that? If yes, then let's go and find out! Best of luck!

Endocrine System Disorders NCLEX Quiz - Quiz

Quiz Preview

  • 2. 

    When a client is in diabetic ketoacidosis. The insulin that would be administered is:

    • Human NPH insulin

    • Human regular insulin

    • Insulin lispro injection

    • Insulin glargine injection

    Correct Answer
    A. Human regular insulin
    Explanation
    When a client is in diabetic ketoacidosis, the insulin that would be administered is human regular insulin. This is because human regular insulin has a slower onset and longer duration of action compared to other types of insulin. It helps to lower blood sugar levels and prevent the production of ketones, which are responsible for the acidosis in diabetic ketoacidosis. Human regular insulin is typically administered through injections and is a commonly used treatment for managing high blood sugar levels in diabetic patients.

    Rate this question:

  • 3. 

    The nurse knows that glucagon may be given in the treatment of hypoglycemia because it:

    • Inhibits gluconeogenesis

    • Stimulates the release of insulin

    • Increases blood glucose levels

    • Provides more storage of glucose.

    Correct Answer
    A. Increases blood glucose levels
    Explanation
    Glucagon may be given in the treatment of hypoglycemia because it increases blood glucose levels. Glucagon is a hormone that is released by the pancreas and it works by stimulating the liver to break down glycogen into glucose, which is then released into the bloodstream. This helps to raise blood sugar levels and counteract the effects of low blood sugar. By increasing blood glucose levels, glucagon helps to restore normal blood sugar levels and prevent further hypoglycemia.

    Rate this question:

  • 4. 

    The insulin that has the most rapid onset of action would be:

    • Lente

    • Lispro

    • Ultralente

    • Humulin N

    Correct Answer
    A. Lispro
    Explanation
    Lispro is a rapid-acting insulin analog that has a quick onset of action. It is designed to mimic the natural insulin response in the body, allowing for faster absorption and utilization of glucose by the cells. This rapid onset of action makes Lispro an ideal choice for controlling postprandial blood sugar levels, as it can be injected immediately before or after meals to effectively manage blood sugar spikes. Unlike other insulins mentioned, such as Lente, Ultralente, and Humulin N, Lispro acts more quickly, making it a preferred option for individuals who require fast-acting insulin therapy.

    Rate this question:

  • 5. 

    A client’s blood gases reflect diabetic acidosis. The nurse should expect:

    • Increased pH

    • Decreased PO2

    • Increased PCO2

    • Decreased HCO3

    Correct Answer
    A. Decreased HCO3
    Explanation
    In diabetic acidosis, there is an excess of acid in the blood due to uncontrolled diabetes. This leads to a decrease in bicarbonate (HCO3-) levels, as the body tries to compensate for the excess acid. Therefore, it is expected that the client's HCO3- levels will be decreased.

    Rate this question:

  • 6. 

    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.

    • Inject air equal to the NPH dose into the NPH vial

    • Invert regular insulin bottle and withdraw regular insulin dose

    • Inject air equal to regular dose into regular dose

    • Invert the NPH vial and withdraw the NPH dose.

    Correct Answer(s)
    A. Inject air equal to the NPH dose into the NPH vial
    A. Invert regular insulin bottle and withdraw regular insulin dose
    A. Inject air equal to regular dose into regular dose
    A. Invert the NPH vial and withdraw the NPH dose.
    Explanation
    The correct order of steps in this procedure is as follows: Inject air equal to the NPH dose into the NPH vial, invert the regular insulin bottle and withdraw the regular insulin dose, inject air equal to the regular dose into the regular dose, and finally invert the NPH vial and withdraw the NPH dose. This sequence ensures that the correct amount of air is injected into each vial before withdrawing the respective doses, preventing any contamination or inaccurate dosing.

    Rate this question:

  • 7. 

    The nurse recognizes that additional teaching is necessary when the client who is learning alternative site testing (AST) for glucose monitoring says:

    • “I need to rub my forearm vigorously until warm before testing at this site.”

    • “The fingertip is preferred for glucose monitoring if hyperglycemia is suspected.”

    • “I have to make sure that my current glucose monitor can be used at an alternate site.”

    • “Alternate site testing is unsafe if I am experiencing a rapid change in glucose levels.”

    Correct Answer
    A. “The fingertip is preferred for glucose monitoring if hyperglycemia is suspected.”
    Explanation
    The nurse recognizes that additional teaching is necessary when the client says, "The fingertip is preferred for glucose monitoring if hyperglycemia is suspected." This statement is incorrect because the fingertip is not preferred for glucose monitoring if hyperglycemia is suspected. Hyperglycemia is characterized by high blood sugar levels, and in this case, alternative site testing (AST) would be more appropriate as it can provide more accurate results. Therefore, the client needs to be corrected and educated about the correct use of AST for glucose monitoring.

    Rate this question:

  • 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:

    • 1130 and 1330

    • 1330 and 1930

    • 1530 and 2130

    • 1730 and 2330

    Correct Answer
    A. 1530 and 2130
    Explanation
    NPH insulin is an intermediate-acting insulin that typically reaches its peak effect around 6-8 hours after administration. In this case, Albert is given NPH insulin at 0730, so it is expected to reach its peak effect between 1530 and 2130. This timing allows for the insulin to be most effective during meal times at 1230 and 1830, helping to control Albert's blood sugar levels.

    Rate this question:

  • 9. 

    The nurse is admitting a client with hypoglycemia. Identify the signs and symptoms the nurse should expect. Select all that apply.

    • Thirst

    • Palpitations

    • Diaphoresis

    • Slurred speech

    • Hyperventilation

    • Hyperventilation

    Correct Answer(s)
    A. Palpitations
    A. Diaphoresis
    A. Slurred speech
    Explanation
    The nurse should expect the client with hypoglycemia to exhibit palpitations, diaphoresis, and slurred speech. Palpitations refer to a rapid or irregular heartbeat, which can be a symptom of low blood sugar. Diaphoresis, or excessive sweating, is another common sign of hypoglycemia. Slurred speech can occur due to the brain's reduced ability to function properly when blood sugar levels are low. Thirst, hyperventilation, and the repeated mention of hyperventilation in the options are not typically associated with hypoglycemia.

    Rate this question:

  • 10. 

    Which adaptations should the nurse caring for a client with diabetic ketoacidosis expect the client to exhibit? Select all that apply:

    • Sweating

    • Low PCO2

    • Retinopathy

    • Acetone breath

    • Elevated serum bicarbonate

    Correct Answer(s)
    A. Low PCO2
    A. Retinopathy
    Explanation
    The nurse caring for a client with diabetic ketoacidosis should expect the client to exhibit low PCO2 and retinopathy. Low PCO2 is expected because diabetic ketoacidosis is characterized by an acid-base imbalance, resulting in decreased levels of carbon dioxide in the blood. Retinopathy, which is damage to the blood vessels in the retina, is a common complication of diabetes and can be seen in clients with diabetic ketoacidosis. Sweating, acetone breath, and elevated serum bicarbonate are not specific adaptations associated with diabetic ketoacidosis.

    Rate this question:

Quiz Review Timeline (Updated): Jul 31, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Jul 31, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 04, 2017
    Quiz Created by
    Santepro
Back to Top Back to top
Advertisement
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.