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NCLEX RN· RN Endocrine · NCLEX RN Endocrine Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse has instructed a client scheduled for an injection of dulaglutide for diabetes mellitus (type two). Which of the following statements by the client would require follow-up?

A. I should tell my doctor if I experience abdominal pain and vomiting.
B. I should take this medication within one hour of eating a meal.
C. If this medication works, I should notice a reduction in my hemoglobin A1C (HbA1c).
D. I will receive this medication once a week.

Expert Explanatory Rationale

Correct Answer: I should take this medication within one hour of eating a meal.

Question 2 of 5

The nurse is attending to a client with recent, significant weight gain. Which of the following diseases decreases the basal metabolic rate?

A. Cancer
B. Hypothyroidism
C. Chronic obstructive pulmonary disease (COPD)
D. Cardiac failure

Expert Explanatory Rationale

Correct Answer: Hypothyroidism

Question 3 of 5

The nurse is teaching a client about storing their prescribed insulin. Which statement, if made by the client, would indicate a correct understanding of the teaching?

A. Opened vials of insulin may be kept in the freezer.
B. My opened vial of insulin is good for 45 days.
C. If I travel, I can keep a vial of insulin in my car.
D. Unopened vials of insulin should be stored in the refrigerator.

Expert Explanatory Rationale

Correct Answer: Unopened vials of insulin should be stored in the refrigerator.

Question 4 of 5

The nurse is caring for a client with diabetic ketoacidosis (DKA) who is receiving an infusion of regular insulin. Which of the following clinical data should be reported to the primary healthcare provider (PHCP) immediately?

A. Glucose 297 mg/dL, 16.52 mmol/L (70-110 mg/dL, 4.0-11.0 mmol/L)
B. Potassium 3.2 mEq/L, 3.2 mmol/L (3.5-5 mEq/L, 3.5-5.1 mmol/L)
C. BUN 24 mg/dL, 8.568 mmol/L (10-20 mg/dL, 2.5 to 6.4 mmol/L)
D. Hemoglobin A1C 8.9% ( < 7%, 4.8%-6.0%)

Expert Explanatory Rationale

Correct Answer: Potassium 3.2 mEq/L, 3.2 mmol/L (3.5-5 mEq/L, 3.5-5.1 mmol/L)

Question 5 of 5

The nurse is caring for a client who has adrenal insufficiency (Addison's disease). Which of the following interventions would be a priority?

A. Administer prescribed hydrocortisone
B. Offer salty snacks and water
C. Assess skin integrity
D. Encourage frequent rest periods

Expert Explanatory Rationale

Correct Answer: Administer prescribed hydrocortisone