Home › DOH › Endocrine & Diabetes
DOH Endocrine & Diabetes Nursing Practice Questions
What this topic covers
Diabetes care, hypo- and hyperglycaemia, DKA and HHS, insulin types, thyroid and adrenal disorders.
Free DOH endocrine & diabetes nursing questions
- Expect weight gain and ankle swelling in the first month
- Take it only when blood glucose is above 15 mmol/L (270 mg/dL)
- Keep the genital area clean and report itching or discharge
- Avoid eating any fruit while taking this medicine
Show answer and rationale
Answer: C. Keep the genital area clean and report itching or discharge
SGLT2 inhibitors make the kidneys excrete glucose in the urine, which increases the risk of genital fungal infections and urinary tract infections. They tend to cause modest weight loss, not weight gain.
Reference: Standard nursing pharmacology – SGLT2 inhibitors
- Hair loss
- Persistent dry cough
- Increased appetite and weight gain
- Nausea and other gastrointestinal upset
Show answer and rationale
Answer: D. Nausea and other gastrointestinal upset
Nausea, vomiting and diarrhoea are the most common effects and are reduced by gradual dose increases. These drugs reduce appetite and usually cause weight loss; severe persistent abdominal pain should be reported because of the risk of pancreatitis.
Reference: Standard nursing pharmacology – GLP-1 receptor agonists
- Polyuria with a low urine specific gravity
- Kussmaul respirations and fruity breath odour
- Warm, flushed, dry skin and intense thirst
- Sweating, tremor, palpitations and anxiety
Show answer and rationale
Answer: D. Sweating, tremor, palpitations and anxiety
Falling glucose triggers adrenaline release, producing sweating, shakiness, tachycardia/palpitations and anxiety. Kussmaul breathing, fruity breath and dry flushed skin point to hyperglycaemia or DKA.
Reference: Saunders NCLEX Review – hypoglycaemia
- Check the patient's capillary blood glucose
- Administer the patient's scheduled rapid-acting insulin
- Encourage the patient to rest until the lunch tray arrives
- Perform a full neurological assessment and notify the stroke team
Show answer and rationale
Answer: A. Check the patient's capillary blood glucose
Confusion, irritability and slurred speech before a meal in a patient on insulin strongly suggest neuroglycopenia from hypoglycaemia; a quick glucose check confirms it so treatment can start immediately. Giving insulin would worsen hypoglycaemia.
Reference: Lewis Medical-Surgical Nursing – hypoglycaemia
- Flat supine with the neck hyperextended over a pillow
- Trendelenburg position to improve cerebral perfusion
- Prone with the head turned to one side
- Semi-Fowler's position with the head and neck supported in a neutral position
Show answer and rationale
Answer: D. Semi-Fowler's position with the head and neck supported in a neutral position
Semi-Fowler's position reduces oedema and eases breathing, and supporting the head avoids tension on the suture line. Hyperextension or flexion of the neck strains the incision.
Reference: Lewis Medical-Surgical Nursing – thyroidectomy
Questions are written with AI assistance. About 10% (150+) have been reviewed by a licensed nurse so far, and more are reviewed every month. Practice questions are for study only and may contain mistakes; verify with official study guides from your destination country. Report a question
Study tip
Memorise insulin onset and peak times; most hypoglycaemia questions hinge on when the insulin peaks.
Practise the full DOH bank
1,500 questions with rationales, topic practice and timed 150-question mocks. $9.99 one-time for 3 months of DOH access, 3-day money-back guarantee.
DOH exam guide: format, booking and study plan →