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NCLEX RN· RN Endocrine · Endocrine RN NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following would indicate the client is achieving the treatment goals?

A. Mean arterial pressure (MAP) 71 mmHg
B. Potassium 3.3 mEq/L (mmol) [3.5-5 mEq/L]
C. Blood glucose 255 mg/dL (14.15 mmol/L) [70-110 mg/dL, 4.0-11.0 mmol/L]
D. Serum pH 7.33 [7.35 and 7.45]

Expert Explanatory Rationale

Correct Answer: Serum pH 7.33 [7.35 and 7.45]

Question 2 of 5

The nurse is caring for a client who has diabetes mellitus. Which of the following would indicate the client is achieving the treatment goals?

A. Fasting blood glucose 145 mg/dl (8.05 mmol/L) [70-110 mg/dL, 4.0-6.0 mmol/L]
B. Creatinine 2.3 mg/dl (203.32 μmol/L) [Male: 0.6-1.2 mg/dL Female: 0.5-1.1 mg/dL, Male 49-93 ¼mol/L Female 22-75 ¼mol/L]
C. Urine Specific Gravity 1.043 [1.005-1.030]
D. Hemoglobin A1C 6.7% [ < 7%]

Expert Explanatory Rationale

Correct Answer: Hemoglobin A1C 6.7% [ < 7%]

Question 3 of 5

The nurse is caring for a client scheduled for a thyroidectomy. The primary healthcare provider (PHCP) prescribes potassium iodide. The nurse understands that this medication is intended to do which of the following?

A. Decrease the risk of agranulocytosis postoperatively.
B. Prevent postoperative hypocalcemia.
C. Reduce the size and vascularity of the thyroid.
D. Decrease postoperative blood glucose levels.

Expert Explanatory Rationale

Correct Answer: Reduce the size and vascularity of the thyroid.

Question 4 of 5

The nurse is preparing to administer metformin to a client with diabetes mellitus (type two). Which of the following laboratory test results should the nurse monitor during the therapy?

A. white blood cell (WBC) count
B. vitamin B12 level
C. serum uric acid level
D. thyroid-stimulating hormone (TSH) level

Expert Explanatory Rationale

Correct Answer: vitamin B12 level

Question 5 of 5

The nurse is conducting health screenings for hypothyroidism at the community health fair. Which client is at the highest risk for this condition? A client who is

A. underweight, anxious, has a rapid pulse, and reports persistent diarrhea.
B. overweight, reports perspiration while playing sports, and reports feeling cold all the time.
C. obese, has high blood pressure, and has frequent reports of thirst.
D. obese, has periorbital edema, and reports a decrease in motivation.

Expert Explanatory Rationale

Correct Answer: obese, has periorbital edema, and reports a decrease in motivation.