RN TARGETED ENDOCRINE NEWEST 2024 ACTUAL EXAM
120 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A
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.
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.
A nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone SIADH. Which of
the following findings should the nurse report to the provider? - ANSWER-Sodium 110 mEq/L.
Rationale: a client who has SIADH retains fluid, which causes dilutional hyponatremia.
Extra- Client to have SIADH experience hyper active deep tendon reflex is a 3+ or 4+.
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? - ANSWER-Ingest 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.
120 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A
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.
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.
A nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone SIADH. Which of
the following findings should the nurse report to the provider? - ANSWER-Sodium 110 mEq/L.
Rationale: a client who has SIADH retains fluid, which causes dilutional hyponatremia.
Extra- Client to have SIADH experience hyper active deep tendon reflex is a 3+ or 4+.
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? - ANSWER-Ingest 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.
