Evolve NCLEX-PN 2 test – Endocrine with
Questions & 100% Correct Answers
The wife of a client with diabetes mellitus who takes insulin calls the nurse in a health care
provider's office about her husband. She states that her husband is sleepy and that his skin is
warm and flushed. She adds that his breathing is faster than normal and his pulse rate seems
fast. Which action should the nurse tell the wife to do first - ANSWER Check his blood glucose
level.
A client with type 2 diabetes mellitus has a blood glucose of more than 600 mg/dL and is
complaining of polydipsia, polyuria, weight loss, and weakness. The nurse reviews the
health care provider's documentation and would expect to note which diagnosis? - ANSWER
Hyperglycemic hyperosmolar state (HHS)
Which signs/symptoms should the nurse expect to note when collecting data on a client with
Addison's disease? - ANSWER Hypotension and vomiting
The nurse participating in a free health screening at the local mall obtains a random blood
glucose level of 200 mg/dL on an otherwise healthy client. The nurse tells the client to do
which as a next step? - ANSWER Call the health care provider to have the value rechecked as
soon as possible.
, The nurse notes that a client with type 1 diabetes mellitus has lipodystrophy on both upper
thighs. Which further information should the nurse obtain from the client during data
collection? - ANSWER Plan for injection rotation
Which measure should the nurse anticipate being included in the plan of care for a client
who has been diagnosed with Graves' disease? - ANSWER A restful environment
The nurse is collecting data on a client admitted to the hospital with a diagnosis of myxedema.
Which data collection technique would provide data necessary to support the admitting
diagnosis? - ANSWER Inspection of facial features
A client recently diagnosed with diabetes mellitus requiring insulin tells the clinic nurse that he
is traveling by air throughout the next week. The client asks the nurse for any suggestions
about managing the disorder while traveling. Which action should the nurse tell the client to
do? - ANSWER Keep snacks in carry-on luggage to prevent hypoglycemia during the flight.
A client who is managing diabetes mellitus with insulin injections asks the nurse for information
about any necessary changes in her diet to avoid hyperinsulinism. Which diet would be
appropriate for the client? - ANSWER Small frequent meals with protein, fat, and
carbohydrates at each meal
The nurse is caring for a postoperative parathyroidectomy client. Which would require
the nurse's immediate attention? - ANSWER Laryngeal stridor
A client with myxedema has changes in intellectual function such as impaired memory,
decreased attention span, and lethargy. The client's husband is upset and shares his concerns
with the nurse. Which statement by the nurse is helpful to the client's husband? - ANSWER "It's
seems that you are concerned about your wife's conditions, but the symptoms may improve
with continued therapy."
A client scheduled for a thyroidectomy says to the nurse, "I am so scared to get cut in my
neck." Based on the client's statement, the nurse determines that the client is experiencing
which problem? - ANSWER Fear about impending surgery
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