NCLEX Endocrine Questions (21-25)

NCLEX Endocrine Questions

21. A diabetic client asks a nurse if bacon is allowed in the diet. Which nursing response is most appropriate?

a) bacon is much too high in fats
b) bacon is not allowed
c) one strip of bacon may be eaten if you eliminate 1 teaspoon of butter
d) bacon may be eaten if you eliminate one meat from the diet

22. The client with congestive heart disease is diagnosed to have diabetes mellitus (DM). Which of the following medications should not be administered by the nurse to this client?

a) capoten (captopril)
b) lanoxin (digoxin)
c) inderal (propranolol)
d) calan (verapamil)

23. The client has been diagnosed to have type 2 diabetes mellitus. Which of the following are correct statements about type 2 DM. Select all that apply

a) managed by diet and exercise
b) prone ot diabetic ketoacidosis
c) prone to HHNC (hyperglycemic hyperosmolar - nonketotic coma)
d) managed by OHA (oral hypoglycemic agents)
e) requires lifelong insulin therapy
f) onset is before age 30 years
g) with absolute deficiency of insulin

24. The diabetic client is having ketoacidosis. Which of the following is the appropriate initial nursing action?

a) start an intravenous glucose
b) administer insulin per IV
c) give a glass of orange juice
d) give a cup of skim milk

25. The client has been diagnosed to have NIDDM (non-insulin dependent diabetes mellitus). Which of the following signs and symptoms characterize the disease? Select all that apply.

a) occurs after 30 years of age
b) obesity
c) requires lifetime insulin injection
d) can be controlled by diet, exercise, and drug
e) prone to diabetic ketoacidosis
f) experience weight loss
g) may require insulin in case of stress, surgery, pregnancy




NCLEX Endocrine Questions:
ANSWERS AND RATIONALE

21) C - bacon is fat and may be exchanged with fat component in the diet, e.g. butter. Exchange food within the same food group.

22) C
- inderal is a beta adrenergic blocker. It may cause hypoglycemia and is contraindicated in a client with DM.

23) A, C, D
- these are characteristics of type II DM. The other choices describe type I DM.

24) B
- ketoacidosis is characterized by severe hyperglycemia. The emergency management of ketoacidosis is regular insulin/IV.

25) A, B, D, and G
- all of these describes NIDDM.


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