NCLEX Leadership (300 Questions with Answers)
1. An agitated, confused female client arrives in the emergency department. Her history
includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals
pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42
mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the
nurse teaches the client to treat hypoglycemia by ingesting:
A. 2 to 5 g of a simple carbohydrate.
B. 10 to 15 g of a simple carbohydrate.
C. 18 to 20 g of a simple carbohydrate.
D. 25 to 30 g of a simple carbohydrate.
2. A female adult client with a history of chronic hyperparathyroidism admits to being
noncompliant. Based on initial assessment findings, the nurse formulates the nursing
diagnosis of Risk for injury. To complete the nursing diagnosis statement for this client,
which “related-to” phrase should the nurse add?
A. Related to bone demineralization resulting in pathologic fractures
B. Related to exhaustion secondary to an accelerated metabolic rate
C. Related to edema and dry skin secondary to fluid infiltration into the interstitial spaces
D. Related to tetany secondary to a decreased serum calcium level
3. Nurse Joey is assigned to care for a postoperative male client who has diabetes mellitus.
During the assessment interview, the client reports that he’s impotent and says he’s
concerned about its effect on his marriage. In planning this client’s care, the most
appropriate intervention would be to:
A. Encourage the client to ask questions about personal sexuality.
B. Provide time for privacy.
C. Provide support for the spouse or significant other.
D. Suggest referral to a sex counselor or other appropriate professional.
4. During a class on exercise for diabetic clients, a female client asks the nurse educator
how often to exercise. The nurse educator advises the clients to exercise how often to meet
the goals of planned exercise?
A. At least once a week
B. At least three times a week
C. At least five times a week
D. Every day
,5. Nurse Oliver should expect a client with hypothyroidism to report which health
concerns?
A. Increased appetite and weight loss
B. Puffiness of the face and hands
C. Nervousness and tremors
D. Thyroid gland swelling
6. A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid),
25 mcg P.O. daily. Which finding should nurse Hans recognize as an adverse drug effect?
A. Dysuria
B. Leg cramps
C. Tachycardia
D. Blurred vision
7. A 67-year-old male client has been complaining of sleeping more, increased urination,
anorexia, weakness, irritability, depression, and bone pain that interferes with her going
outdoors. Based on these assessment findings, Nurse Richard would suspect which of the
following disorders?
A. Diabetes mellitus
B. Diabetes insipidus
C. Hypoparathyroidism
D. Hyperparathyroidism
8. When caring for a male client with diabetes insipidus, Nurse Juliet expects to administer:
A. vasopressin (Pitressin Synthetic).
B. furosemide (Lasix).
C. regular insulin.
D. 10% dextrose.
9. The nurse is aware that the following is the most common cause of hyperaldosteronism?
A. Excessive sodium intake
B. A pituitary adenoma
C. Deficient potassium intake
D. An adrenal adenoma
,10. A male client with type 1 diabetes mellitus has a highly elevated glycosylated
hemoglobin (Hb) test result. In discussing the result with the client, nurse Sharmaine would
be most accurate in stating:
A. “The test needs to be repeated following a 12-hour fast.”
B. “It looks like you aren’t following the prescribed diabetic diet.”
C. “It tells us about your sugar control for the last 3 months.”
D. “Your insulin regimen needs to be altered significantly.”
11. Following a unilateral adrenalectomy, Nurse Betty would assess for hyperkalemia
shown by which of the following?
A. Muscle weakness
B. Tremors
C. Diaphoresis
D. Constipation
12. Nurse Louie is developing a teaching plan for a male client diagnosed with diabetes
insipidus. The nurse should include information about which hormone lacking in clients
with diabetes insipidus?
A. antidiuretic hormone (ADH).
B. thyroid-stimulating hormone (TSH).
C. follicle-stimulating hormone (FSH).
D. luteinizing hormone (LH).
13. Early this morning, a female client had a subtotal thyroidectomy. During evening
rounds, Nurse Tina assesses the client, who now has nausea, a temperature of 105° F (40.5°
C), tachycardia, and extreme restlessness. What is the most likely cause of these signs?
A. Diabetic ketoacidosis
B. Thyroid crisis
C. Hypoglycemia
D. Tetany
14. For a male client with hyperglycemia, which assessment finding best supports a nursing
diagnosis of Deficient fluid volume?
A. Cool, clammy skin
B. Distended neck veins
, C. Increased urine osmolarity
D. Decreased serum sodium level
15. When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla
that secretes excessive catecholamine, Nurse April is most likely to detect:
A. a blood pressure of 130/70 mm Hg.
B. a blood glucose level of 130 mg/dl.
C. bradycardia.
D. a blood pressure of 176/88 mm Hg.
16. A male client is admitted for treatment of the syndrome of inappropriate antidiuretic
hormone (SIADH). Which nursing intervention is appropriate?
A. Infusing I.V. fluids rapidly as ordered
B. Encouraging increased oral intake
C. Restricting fluids
D. Administering glucose-containing I.V. fluids as ordered
17. A female client has a serum calcium level of 7.2 mg/dl. During the physical examination,
Nurse Noah expects to assess:
A. Trousseau’s sign.
B. Homans’ sign.
C. Hegar’s sign.
D. Goodell’s sign.
18. Which outcome indicates that treatment of a male client with diabetes insipidus has
been effective?
A. Fluid intake is less than 2,500 ml/day.
B. Urine output measures more than 200 ml/hour.
C. Blood pressure is 90/50 mm Hg.
D. The heart rate is 126 beats/minute.
19. Jemma, who weighs 210 lb (95 kg) and has been diagnosed with hyperglycemia tells the
nurse that her husband sleeps in another room because her snoring keeps him awake. The
nurse notices that she has large hands and a hoarse voice. Which of the following would the
nurse suspect as a possible cause of the client’s hyperglycemia?
1. An agitated, confused female client arrives in the emergency department. Her history
includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals
pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42
mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the
nurse teaches the client to treat hypoglycemia by ingesting:
A. 2 to 5 g of a simple carbohydrate.
B. 10 to 15 g of a simple carbohydrate.
C. 18 to 20 g of a simple carbohydrate.
D. 25 to 30 g of a simple carbohydrate.
2. A female adult client with a history of chronic hyperparathyroidism admits to being
noncompliant. Based on initial assessment findings, the nurse formulates the nursing
diagnosis of Risk for injury. To complete the nursing diagnosis statement for this client,
which “related-to” phrase should the nurse add?
A. Related to bone demineralization resulting in pathologic fractures
B. Related to exhaustion secondary to an accelerated metabolic rate
C. Related to edema and dry skin secondary to fluid infiltration into the interstitial spaces
D. Related to tetany secondary to a decreased serum calcium level
3. Nurse Joey is assigned to care for a postoperative male client who has diabetes mellitus.
During the assessment interview, the client reports that he’s impotent and says he’s
concerned about its effect on his marriage. In planning this client’s care, the most
appropriate intervention would be to:
A. Encourage the client to ask questions about personal sexuality.
B. Provide time for privacy.
C. Provide support for the spouse or significant other.
D. Suggest referral to a sex counselor or other appropriate professional.
4. During a class on exercise for diabetic clients, a female client asks the nurse educator
how often to exercise. The nurse educator advises the clients to exercise how often to meet
the goals of planned exercise?
A. At least once a week
B. At least three times a week
C. At least five times a week
D. Every day
,5. Nurse Oliver should expect a client with hypothyroidism to report which health
concerns?
A. Increased appetite and weight loss
B. Puffiness of the face and hands
C. Nervousness and tremors
D. Thyroid gland swelling
6. A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid),
25 mcg P.O. daily. Which finding should nurse Hans recognize as an adverse drug effect?
A. Dysuria
B. Leg cramps
C. Tachycardia
D. Blurred vision
7. A 67-year-old male client has been complaining of sleeping more, increased urination,
anorexia, weakness, irritability, depression, and bone pain that interferes with her going
outdoors. Based on these assessment findings, Nurse Richard would suspect which of the
following disorders?
A. Diabetes mellitus
B. Diabetes insipidus
C. Hypoparathyroidism
D. Hyperparathyroidism
8. When caring for a male client with diabetes insipidus, Nurse Juliet expects to administer:
A. vasopressin (Pitressin Synthetic).
B. furosemide (Lasix).
C. regular insulin.
D. 10% dextrose.
9. The nurse is aware that the following is the most common cause of hyperaldosteronism?
A. Excessive sodium intake
B. A pituitary adenoma
C. Deficient potassium intake
D. An adrenal adenoma
,10. A male client with type 1 diabetes mellitus has a highly elevated glycosylated
hemoglobin (Hb) test result. In discussing the result with the client, nurse Sharmaine would
be most accurate in stating:
A. “The test needs to be repeated following a 12-hour fast.”
B. “It looks like you aren’t following the prescribed diabetic diet.”
C. “It tells us about your sugar control for the last 3 months.”
D. “Your insulin regimen needs to be altered significantly.”
11. Following a unilateral adrenalectomy, Nurse Betty would assess for hyperkalemia
shown by which of the following?
A. Muscle weakness
B. Tremors
C. Diaphoresis
D. Constipation
12. Nurse Louie is developing a teaching plan for a male client diagnosed with diabetes
insipidus. The nurse should include information about which hormone lacking in clients
with diabetes insipidus?
A. antidiuretic hormone (ADH).
B. thyroid-stimulating hormone (TSH).
C. follicle-stimulating hormone (FSH).
D. luteinizing hormone (LH).
13. Early this morning, a female client had a subtotal thyroidectomy. During evening
rounds, Nurse Tina assesses the client, who now has nausea, a temperature of 105° F (40.5°
C), tachycardia, and extreme restlessness. What is the most likely cause of these signs?
A. Diabetic ketoacidosis
B. Thyroid crisis
C. Hypoglycemia
D. Tetany
14. For a male client with hyperglycemia, which assessment finding best supports a nursing
diagnosis of Deficient fluid volume?
A. Cool, clammy skin
B. Distended neck veins
, C. Increased urine osmolarity
D. Decreased serum sodium level
15. When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla
that secretes excessive catecholamine, Nurse April is most likely to detect:
A. a blood pressure of 130/70 mm Hg.
B. a blood glucose level of 130 mg/dl.
C. bradycardia.
D. a blood pressure of 176/88 mm Hg.
16. A male client is admitted for treatment of the syndrome of inappropriate antidiuretic
hormone (SIADH). Which nursing intervention is appropriate?
A. Infusing I.V. fluids rapidly as ordered
B. Encouraging increased oral intake
C. Restricting fluids
D. Administering glucose-containing I.V. fluids as ordered
17. A female client has a serum calcium level of 7.2 mg/dl. During the physical examination,
Nurse Noah expects to assess:
A. Trousseau’s sign.
B. Homans’ sign.
C. Hegar’s sign.
D. Goodell’s sign.
18. Which outcome indicates that treatment of a male client with diabetes insipidus has
been effective?
A. Fluid intake is less than 2,500 ml/day.
B. Urine output measures more than 200 ml/hour.
C. Blood pressure is 90/50 mm Hg.
D. The heart rate is 126 beats/minute.
19. Jemma, who weighs 210 lb (95 kg) and has been diagnosed with hyperglycemia tells the
nurse that her husband sleeps in another room because her snoring keeps him awake. The
nurse notices that she has large hands and a hoarse voice. Which of the following would the
nurse suspect as a possible cause of the client’s hyperglycemia?
