NCLEX-PN
Endocrine Disorders NCLEX Questions
Question 1 of 5
Which client statement about managing diabetes during illness indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping insulin during illness is dangerous as stress hormones can increase blood glucose, requiring continued or adjusted insulin dosing.
Question 2 of 5
The nurse is caring for a client diagnosed with diabetes insipidus (DI). Which intervention should be implemented?
Correct Answer: D
Rationale: Assessing tissue turgor monitors dehydration in DI due to excessive urine output. Insulin, ketones, and caffeine restriction are diabetes mellitus-related, not DI.
Question 3 of 5
The client with an acute exacerbation of chronic pancreatitis has a nasogastric (N/G) tube. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Monitoring bowel sounds, IV site, oral/nasal care, and glucose manage NG tube complications and pancreatitis-related risks (e.g., hyperglycemia). Food intake is irrelevant with NPO status.
Question 4 of 5
Which laboratory data make the nurse suspect the client with primary hyperparathyroidism is experiencing a complication?
Correct Answer: A
Rationale: Elevated creatinine (2.8 mg/dL) suggests kidney damage, a complication of hyperparathyroidism’s hypercalcemia. Normal calcium, triglycerides, and sodium are unremarkable.
Question 5 of 5
Twelve hours after a transsphenoidal hypophysectomy, the client keeps clearing his throat and complains of a drip in his mouth. To accurately assess this, the nurse should test the fluid for:
Correct Answer: A
Rationale: A post-nasal drip post-transsphenoidal hypophysectomy may indicate cerebrospinal fluid (CSF) leakage, which contains glucose (sugar), unlike saliva or mucus.