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NCLEX PN· Endocrine · Endocrine Disorders NCLEX

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse administers a usual morning dose of 4 units of regular insulin and 8 units of NPH insulin at 7:30 am to the client with a blood glucose level of 110 mg/dL. Which statements regarding the client's insulin are correct?

A. The onset of the regular insulin will be at 7:45 am and the peak at 1:00 pm.

B. The onset of the regular insulin will be at 8:00 am and the peak at 10:00 am.

C. The onset of the NPH insulin will be at 8:00 am and the peak at 10:00 am.

D. The onset of the NPH insulin will be at 12:30 pm and the peak at 11:30 pm.

Expert Explanatory Rationale

Correct Answer: The onset of the regular insulin will be at 8:00 am and the peak at 10:00 am.

Question 2 of 5

Which statement indicates that a client with an elevated 2-hour postprandial blood glucose level understands the significance of the screening test?

A. I need to eat less frequently.

B. I need to consult my physician.

C. I need to begin taking insulin.

Expert Explanatory Rationale

Correct Answer: I need to consult my physician.

Question 3 of 5

The nurse is admitting a client diagnosed with primary adrenal cortex insufficiency (Addison's disease). Which clinical manifestations should the nurse expect to assess?

A. Moon face, buffalo hump, and hyperglycemia.

B. Hirsutism, fever, and irritability.

C. Bronze pigmentation, hypotension, and anorexia.

D. Tachycardia, bulging eyes, and goiter.

Expert Explanatory Rationale

Correct Answer: Bronze pigmentation, hypotension, and anorexia.

Question 4 of 5

At 10 A.M., a client with Type 1 diabetes becomes very irritable and starts to yell at the nurse. Which initial nursing assessment should take priority?

A. Blood pressure and pulse

B. Color and temperature of skin

C. Reflexes and muscle tone

D. Serum electrolytes and glucose

Expert Explanatory Rationale

Correct Answer: Serum electrolytes and glucose

Question 5 of 5

Which signs/symptoms should make the nurse suspect the client is experiencing a thyroid storm?

A. Obstipation and hypoactive bowel sounds.

B. Hyperpyrexia and extreme tachycardia.

C. Hypotension and bradycardia.

D. Decreased respirations and hypoxia.

Expert Explanatory Rationale

Correct Answer: Hyperpyrexia and extreme tachycardia.

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