A person with type 1 diabetes has a stomach illness and cannot eat. True or false: They should stop their basal insulin until they can eat normally again.
6 Integrated Endocrine Nursing Practice Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Integrated Endocrine Nursing Practice, test your knowledge, and prepare for your next test or exam.
A patient taking prednisone long term feels better and plans to stop it today. True or false: Stopping abruptly is safe if symptoms have improved.
- A
True
- B
False
Complete the instruction: For reliable absorption, take levothyroxine consistently on an .
A patient’s rapid-acting mealtime insulin is due, but the meal tray is delayed and the patient feels nauseated. What should the nurse do?
- A
Give the full mealtime dose now to keep the usual schedule.
- B
Clarify the dose and meal plan before giving prandial insulin; assess glucose and follow orders or protocol.
- C
Give the dose now and ask the patient to eat when the meal arrives.
- D
Omit every insulin dose, including basal insulin, for the rest of the day.
A patient who received rapid-acting insulin is confused, cannot swallow safely, and has a blood glucose of 48 mg/dL. What is the nurse’s best action?
- A
Give juice through a straw.
- B
Give glucagon or IV dextrose according to the hypoglycemia protocol.
- C
Wait 15 minutes and recheck the glucose before treating.
- D
Give the scheduled insulin dose with a snack.
After thyroid surgery, a patient reports tingling around the mouth and in the fingers. These symptoms may indicate .
A patient with hyperthyroidism develops a high fever, marked tachycardia, agitation, and confusion during an infection. What emergency should the nurse suspect?
On the first day after thyroidectomy, a patient develops rapidly increasing neck swelling and difficulty breathing. What is the priority nursing response?
- A
Offer oral calcium and reassess in an hour.
- B
Treat this as an airway emergency and activate the appropriate emergency response immediately.
- C
Place the patient flat and apply pressure to the incision.
- D
Document the swelling and breathing difficulty as expected postoperative changes.
A person with type 1 diabetes is ill at home. Select all actions that support sick-day safety.
- A
Check glucose more often than usual.
- B
Check ketones as instructed in the sick-day plan.
- C
Contact the care team if unable to keep fluids down or if symptoms worsen.
- D
Wait to seek help unless glucose becomes extremely high.
A patient taking methimazole develops a fever and sore throat. True or false: The patient can wait for a routine appointment next month before contacting the prescriber.
- A
True
- B
False
An older adult with type 2 diabetes is markedly hyperglycemic, severely dehydrated, and increasingly confused. What is the priority nursing response?
- A
Arrange urgent emergency evaluation and anticipate close monitoring and IV fluid treatment.
- B
Encourage a large meal and recheck glucose tomorrow.
- C
Give an oral diabetes medicine from the patient’s home supply.
- D
Have the patient walk to improve glucose uptake.
A patient with Cushing syndrome is receiving glucocorticoid therapy. Select all nursing focuses supported by the care plan.
- A
Monitor glucose.
- B
Assess for infection.
- C
Reinforce that medication changes must be clinician-directed.
- D
Avoid reporting signs of infection because they are expected with glucocorticoid therapy.
In suspected DKA, insulin should be delayed when potassium is below what threshold? Enter the value in mmol/L.
A patient with known adrenal insufficiency develops vomiting, severe weakness, low blood pressure, and confusion after an illness. Describe the immediate nursing response and the treatment that should be anticipated.
A patient starting levothyroxine asks how to take it. Which instruction is appropriate?
- A
Take it only when fatigue occurs.
- B
Take it consistently on an empty stomach with water, and separate it from calcium or iron as directed.
- C
Take it at the same time as an iron supplement to prevent stomach upset.
- D
Stop taking it when energy levels improve.
A patient's rapid-acting mealtime insulin is due, but the meal tray has not arrived and the patient feels nauseated. What should the nurse do?
- A
Give the full dose to keep the usual schedule.
- B
Clarify the dose and meal plan before administering prandial insulin; assess glucose and follow orders or protocol.
- C
Give the insulin now and ask the patient to eat when the tray arrives.
- D
Omit all insulin, including basal insulin, for the rest of the day.
A patient who received rapid-acting insulin is diaphoretic and confused. Their blood glucose is 48 mg/dL, and they cannot swallow safely. What is the nurse's best action?
- A
Give juice through a straw.
- B
Give glucagon or IV dextrose according to the hypoglycemia protocol.
- C
Wait 15 minutes and recheck the glucose before treating.
- D
Give the scheduled insulin dose with a snack.
A person with type 1 diabetes is ill and asks how to follow a safe sick-day plan. Which instruction is most appropriate?
- A
Stop basal insulin whenever illness makes eating difficult.
- B
Check glucose more often, check ketones as instructed, and contact the care team if fluids cannot be kept down or symptoms worsen.
- C
Check ketones only if glucose is extremely high.
- D
Wait for vomiting to resolve on its own before seeking help.
In suspected DKA, at what potassium threshold should insulin be delayed while potassium is replaced under protocol? Enter the threshold in mmol/L.
A patient with known hyperthyroidism develops a high fever, marked tachycardia, agitation, and confusion during an infection. What emergency condition should the nurse suspect?
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