RN TARGETED ENDOCRINE NEWEST 2024 ACTUAL EXAM
100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A
A Nurse is planning teaching for a client who has type one diabetes Molite us.
Which of the following instruction should the nurse plan to include? -
answerIngest food with alcohol to reduce alcohol induced hypoglycemia.
Rationale: alcohol inhibits the livers production of glucose. Consuming
carbohydrates while drinking alcoholic beverages helps prevent hypoglycemia.
Extra- The nurse should instruct the client to reduce insulin dosage before planned
exercises to prevent hypoglycemia.
A nurse is reviewing laboratory values for a client who has diabetic ketoacidosis
DKA. Which of the following results should The nurse expect? - answer-pH 7.32,
PaCO2 36 mm Hg HCO3 14 mEq/L
With DKA, the pH is low, carbon dioxide is within the expected reference range,
bicarbonate is low Which indicates metabolic acidosis, a common manifestation of
DKA.
A nurse is monitoring the laboratory values of a client who has diabetes Molite us
and is taking insulin. Which of the following results indicate a therapeutic
outcome of insulin therapy? - answer-A fasting blood glucose of 96 mg/dL.
Rationale: the expected reference range is 72 110 mg/dL for a fasting blood
glucose levels
,A nurse is managing the care of a client who is post operative and has a cute
adrenal insufficiency. Which of the following actions should the nurse take -
answer-Administer IV HydroCortisone sodium.
Rationale: hydrocortisone sodium is necessary to replace the cortisol deficiency
that occurs with adrenal insufficiency
A nurse is caring for a client has type two diabetes and is experiencing a hyper
glycemic hyper as molar state HHS. Which of the following laboratory findings
should the nurse expect - answer-Serum PH 7.45.
Rationale: a client who is experiencing HHS produces enough insulin to bring
ketosis but not enough to prevent hypoglycemia. Therefore, this year and PH is
within the expected reference range. Glucose levels will be above 600 mg/dL.
A nurse is monitoring a client who is 24 hours post operative after a total
thyroidectomy. Which of the following findings should the nurse report to the
provider? - answer-Laryngeal stridor.
Rationale: Laryngeal stridor is a harsh, high pitch sound with inspiration that
indicates respiratory obstruction. The nurse should take immediate action to
preserve the client airway
A nurse is reviewing the laboratory results of a client undergoing screening for
Cushing's disease. The nurse should expect an elevation and wish her the
following laboratory findings? - answer-Glucose
Extra info- Lymphocyte count, potassium, calcium will all be below the expected
reference range
, A home health nurse is assessing a client who requires lifelong hormone
replacement therapy for treatment of hypothyroidism. The client has not been
taking the medication regularly. Which of the following findings should the nurse
expect? - answer-Hypotension
Rationale: hypertension is an expected finding of hypothyroidism, along with
Brady piña, dysrhythmias, cold intolerance, and cool, dry skin.
Extra- It also causes bradycardia. It is more likely to cause constipation. It is more
likely to cause a decrease in urine output.
A nurse is providing discharge teaching to a client who has diabetes insipidus in a
new prescription for desmopressin nasal spray. Which of the following instructions
should the nurse include in the teaching? - answer-Blow your nose gently prior to
using the nasal spray.
Rationale: this action prevents dilation of the medication with nasal secretions.
Extra- The nurse should instruct the client to prime the nasal spray pump by
pressing down four times before the initial use. The nurse should instruct the
client to set up right with her head tilted slightly forward when administering the
spray, which prevents the spray from going down the clients throat.
A nurse is teaching a client who has an auto immune disease about the adverse
effects of long-term corticosteroid therapy. Which of the following adverse effects
should the nurse include? - answer-Osteoporosis, moon-shaped face, increase risk
of infection.
100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A
A Nurse is planning teaching for a client who has type one diabetes Molite us.
Which of the following instruction should the nurse plan to include? -
answerIngest food with alcohol to reduce alcohol induced hypoglycemia.
Rationale: alcohol inhibits the livers production of glucose. Consuming
carbohydrates while drinking alcoholic beverages helps prevent hypoglycemia.
Extra- The nurse should instruct the client to reduce insulin dosage before planned
exercises to prevent hypoglycemia.
A nurse is reviewing laboratory values for a client who has diabetic ketoacidosis
DKA. Which of the following results should The nurse expect? - answer-pH 7.32,
PaCO2 36 mm Hg HCO3 14 mEq/L
With DKA, the pH is low, carbon dioxide is within the expected reference range,
bicarbonate is low Which indicates metabolic acidosis, a common manifestation of
DKA.
A nurse is monitoring the laboratory values of a client who has diabetes Molite us
and is taking insulin. Which of the following results indicate a therapeutic
outcome of insulin therapy? - answer-A fasting blood glucose of 96 mg/dL.
Rationale: the expected reference range is 72 110 mg/dL for a fasting blood
glucose levels
,A nurse is managing the care of a client who is post operative and has a cute
adrenal insufficiency. Which of the following actions should the nurse take -
answer-Administer IV HydroCortisone sodium.
Rationale: hydrocortisone sodium is necessary to replace the cortisol deficiency
that occurs with adrenal insufficiency
A nurse is caring for a client has type two diabetes and is experiencing a hyper
glycemic hyper as molar state HHS. Which of the following laboratory findings
should the nurse expect - answer-Serum PH 7.45.
Rationale: a client who is experiencing HHS produces enough insulin to bring
ketosis but not enough to prevent hypoglycemia. Therefore, this year and PH is
within the expected reference range. Glucose levels will be above 600 mg/dL.
A nurse is monitoring a client who is 24 hours post operative after a total
thyroidectomy. Which of the following findings should the nurse report to the
provider? - answer-Laryngeal stridor.
Rationale: Laryngeal stridor is a harsh, high pitch sound with inspiration that
indicates respiratory obstruction. The nurse should take immediate action to
preserve the client airway
A nurse is reviewing the laboratory results of a client undergoing screening for
Cushing's disease. The nurse should expect an elevation and wish her the
following laboratory findings? - answer-Glucose
Extra info- Lymphocyte count, potassium, calcium will all be below the expected
reference range
, A home health nurse is assessing a client who requires lifelong hormone
replacement therapy for treatment of hypothyroidism. The client has not been
taking the medication regularly. Which of the following findings should the nurse
expect? - answer-Hypotension
Rationale: hypertension is an expected finding of hypothyroidism, along with
Brady piña, dysrhythmias, cold intolerance, and cool, dry skin.
Extra- It also causes bradycardia. It is more likely to cause constipation. It is more
likely to cause a decrease in urine output.
A nurse is providing discharge teaching to a client who has diabetes insipidus in a
new prescription for desmopressin nasal spray. Which of the following instructions
should the nurse include in the teaching? - answer-Blow your nose gently prior to
using the nasal spray.
Rationale: this action prevents dilation of the medication with nasal secretions.
Extra- The nurse should instruct the client to prime the nasal spray pump by
pressing down four times before the initial use. The nurse should instruct the
client to set up right with her head tilted slightly forward when administering the
spray, which prevents the spray from going down the clients throat.
A nurse is teaching a client who has an auto immune disease about the adverse
effects of long-term corticosteroid therapy. Which of the following adverse effects
should the nurse include? - answer-Osteoporosis, moon-shaped face, increase risk
of infection.
