RN TARGETED ENDOCRINE NEWEST 2024 ACTUAL EXAM 120 QUESTIONS AND CORRECT DETAILED
ANSWERS
A nurse is teaching a client who has type one diabetes Molite us about how to prevent complications
during illness. Which of the following statements by the client indicates an understanding of the
teaching:
- "I should stop taking my insulin if I feel nauseous."
- " I will test my urine for protein when I start to feel ill."
- "I should check my blood sugar level every eight hours."
- " I will call my doctor if my blood sugar is more than 250." - (answer) I will call my doctor if my blood
sugar is more than 250.
Rationale: The client should call the provider if their blood glucose levels exceed 250 mg/dL during
illness.
The client should check their urine for ketones when the blood glucose levels are greater than 240
mg/dL. The client should continue taking the usual dose of insulin even when not feeling well. The client
should check their blood glucose level every four hours during illness.
A nurse is teaching a client about glycosylated hemoglobin parentheses (HbA1c) testing. Which of the
following client statement indicates an understanding of the teaching? - (answer) This test's result is a
good indicator of my average blood glucose levels.
Rationale: HB A1 C reflects the clients glucose levels over 120 day., Which is the lifespan of RBCs.
A nurse in an outpatient clinic is teaching a client who has a diabetic foot ulcer about foot care. Which
of the following statements by the client indicates an understanding of the teaching? - (answer) I will
apply lotion to the dry areas of my feet but not in between my toes.
Rationale: lotion can be used for the dry areas of the feet, but the client should avoid applying lotion
between the toes, as this area is prone to bacterial growth.
A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires intranasal
desmopressin. Which of the following information should the nurse include? - (answer) Report
nocturia because it requires a dosage adjustment.
, RN TARGETED ENDOCRINE NEWEST 2024 ACTUAL EXAM 120 QUESTIONS AND CORRECT DETAILED
ANSWERS
Rationale: the client should make the initial dose of desmopressin in the evening. The provider will
increase the dosage until the client no longer has nocturia.
A nurse is teaching a client who is scheduled for a Vanillylmandelic acid test to screen for
pheochromocytoma. Which of the following statements should the nurse include in the teaching? -
(answer) Restrict coffee and take 2 to 3 days prior to the test.
Rationale: the client should avoid coffee and tea, even if they are decaffeinated, bananas, chocolate, and
vanilla for 2 to 3 days prior to the test.
A nurse is caring for a client who has diabetes mellitus and has developed peripheral neuropathy. Which
of the following measures should the nurse recommend to prevent injuries to the clients feet? -
(answer) Monitor the temperature of bathwater with a thermometer.
Rationale: peripheral neuropathy makes it difficult to determine if the bathwater is too hot. Therefore, to
prevent injury, the client should use a bath thermometer to ensure a Water temperature below 110°F.
A nurse has administered propranolol By IV bolus to a client who has having a thyroid storm. Which of
the following findings indicates that the client is having a therapeutic response? - (answer) Reduction
of the effects of thyroid hormone on the heart.
Rationale: propranolol is a beta2-androgenic blocking agent that this creases the rapid heart rate caused
by excessive thyroid stimulation.
A nurse is assessing a client who has adrenal insufficiency. Which of the following findings should the
nurse expect? - (answer) Calcium 12.8 mg/dL.
Rationale: a client who has adrenal insufficiency will have a calcium level above the expected reference
range of 4.5 to 5.6 mg/dL.
Extra- Sodium level is expected to be below the reference range of 135 to 145MEQ per liter. Weight loss
is a finding of adrenal insufficiency.
ANSWERS
A nurse is teaching a client who has type one diabetes Molite us about how to prevent complications
during illness. Which of the following statements by the client indicates an understanding of the
teaching:
- "I should stop taking my insulin if I feel nauseous."
- " I will test my urine for protein when I start to feel ill."
- "I should check my blood sugar level every eight hours."
- " I will call my doctor if my blood sugar is more than 250." - (answer) I will call my doctor if my blood
sugar is more than 250.
Rationale: The client should call the provider if their blood glucose levels exceed 250 mg/dL during
illness.
The client should check their urine for ketones when the blood glucose levels are greater than 240
mg/dL. The client should continue taking the usual dose of insulin even when not feeling well. The client
should check their blood glucose level every four hours during illness.
A nurse is teaching a client about glycosylated hemoglobin parentheses (HbA1c) testing. Which of the
following client statement indicates an understanding of the teaching? - (answer) This test's result is a
good indicator of my average blood glucose levels.
Rationale: HB A1 C reflects the clients glucose levels over 120 day., Which is the lifespan of RBCs.
A nurse in an outpatient clinic is teaching a client who has a diabetic foot ulcer about foot care. Which
of the following statements by the client indicates an understanding of the teaching? - (answer) I will
apply lotion to the dry areas of my feet but not in between my toes.
Rationale: lotion can be used for the dry areas of the feet, but the client should avoid applying lotion
between the toes, as this area is prone to bacterial growth.
A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires intranasal
desmopressin. Which of the following information should the nurse include? - (answer) Report
nocturia because it requires a dosage adjustment.
, RN TARGETED ENDOCRINE NEWEST 2024 ACTUAL EXAM 120 QUESTIONS AND CORRECT DETAILED
ANSWERS
Rationale: the client should make the initial dose of desmopressin in the evening. The provider will
increase the dosage until the client no longer has nocturia.
A nurse is teaching a client who is scheduled for a Vanillylmandelic acid test to screen for
pheochromocytoma. Which of the following statements should the nurse include in the teaching? -
(answer) Restrict coffee and take 2 to 3 days prior to the test.
Rationale: the client should avoid coffee and tea, even if they are decaffeinated, bananas, chocolate, and
vanilla for 2 to 3 days prior to the test.
A nurse is caring for a client who has diabetes mellitus and has developed peripheral neuropathy. Which
of the following measures should the nurse recommend to prevent injuries to the clients feet? -
(answer) Monitor the temperature of bathwater with a thermometer.
Rationale: peripheral neuropathy makes it difficult to determine if the bathwater is too hot. Therefore, to
prevent injury, the client should use a bath thermometer to ensure a Water temperature below 110°F.
A nurse has administered propranolol By IV bolus to a client who has having a thyroid storm. Which of
the following findings indicates that the client is having a therapeutic response? - (answer) Reduction
of the effects of thyroid hormone on the heart.
Rationale: propranolol is a beta2-androgenic blocking agent that this creases the rapid heart rate caused
by excessive thyroid stimulation.
A nurse is assessing a client who has adrenal insufficiency. Which of the following findings should the
nurse expect? - (answer) Calcium 12.8 mg/dL.
Rationale: a client who has adrenal insufficiency will have a calcium level above the expected reference
range of 4.5 to 5.6 mg/dL.
Extra- Sodium level is expected to be below the reference range of 135 to 145MEQ per liter. Weight loss
is a finding of adrenal insufficiency.
