SNLE Endocrine & Diabetes Nursing Practice Questions

1. A patient with type 1 diabetes becomes confused, irritable and has slurred speech an hour before lunch. What should the nurse do first?

1. A. Check the patient's capillary blood glucose
2. B. Administer the patient's scheduled rapid-acting insulin
3. C. Encourage the patient to rest until the lunch tray arrives
4. D. Perform a full neurological assessment and notify the stroke team

2. Which nursing intervention is a priority in the care of a patient with Cushing's syndrome?

1. A. Restricting protein intake
2. B. Protecting the patient from infection and injury
3. C. Keeping the patient on strict bed rest
4. D. Encouraging a high-sodium diet

3. A patient with diabetes who is fasting develops sweating and shakiness in the afternoon. Capillary glucose is 3.5 mmol/L (63 mg/dL). What should the nurse advise?

1. A. Continue fasting and rest until sunset
2. B. Drink water only and recheck at sunset
3. C. Break the fast immediately and treat the hypoglycaemia
4. D. Take an extra dose of diabetes medicine

4. The nurse is caring for a patient newly diagnosed with type 1 diabetes. Which task should the registered nurse perform rather than delegate to a healthcare assistant?

1. A. Assisting the patient to walk to the bathroom
2. B. Helping the patient with personal hygiene
3. C. Recording the patient's oral fluid intake
4. D. Teaching the patient how to self-inject insulin

5. Six hours after thyroidectomy, a patient develops noisy high-pitched breathing and increasing neck swelling. What is the nurse's priority action?

1. A. Call for urgent medical help while preparing to support the airway
2. B. Send a blood sample for serum calcium
3. C. Give the prescribed oral analgesia
4. D. Document the finding and reassess in 1 hour