Endocrine Disorders NCLEX Questions with Rationale

Question 1 of 5

What is the best way to assess for hemorrhage in a client who has had a thyroidectomy?

A. Check the pulse and blood pressure hourly.B. Roll the client to the side and check for evidence of bleeding.C. Ask the client if he/she feels blood trickling down the back of the throat.D. Place a hand under the client's neck and shoulders to feel bed linens.

Correct Answer: D

Rationale: Placing a hand under the neck and shoulders detects blood pooling under the incision, a common site for post-thyroidectomy hemorrhage.

Question 2 of 5

The nurse is discussing the importance of exercising with a client diagnosed with type 2 diabetes whose diabetes is well controlled with diet and exercise. Which information should the nurse include in the teaching about diabetes?

A. Eat a simple carbohydrate snack before exercising.B. Carry peanut butter crackers when exercising.C. Encourage the client to walk 20 minutes three (3) times a week.D. Perform warm-up and cool-down exercises.

Correct Answer: D

Rationale: Warm-up and cool-down exercises prevent injury during exercise, crucial for type 2 diabetics. Pre-exercise snacks are for insulin users, peanut butter is high-fat, and walking is good but not the focus.

Question 3 of 5

The nurse observes a colleague caring for the client who had a hypophysectomy via the transsphenoidal approach 12 hours ago. Which action would require the observing nurse to intervene?

A. Elevates the head of the client's bed to 30 degreesB. Gathers supplies to replace the bloody nasal packingC. Moisturizes the client's oral mucous membranesD. Places a cold washcloth over the client's swollen eyes

Correct Answer: B

Rationale: Nasal packing is left in place for 3-4 days post-hypophysectomy and should not be changed without an HCP order.

Question 4 of 5

The 68-year-old client diagnosed with hyperthyroidism is being treated with radioactive iodine therapy. Which interventions should the nurse discuss with the client?

A. Explain it will take up to a month for symptoms of hyperthyroidism to subside.B. Teach the iodine therapy will have to be tapered slowly over one (1) week.C. Discuss the client will have to be hospitalized during the radioactive therapy.D. Inform the client after therapy the client will not have to take any medication.

Correct Answer: A

Rationale: Radioactive iodine takes weeks to reduce hyperthyroid symptoms, requiring client understanding. Tapering, hospitalization, and stopping medications are incorrect.

Question 5 of 5

Which signs and symptoms are most appropriate for the nurse to investigate when screening adults who have come to be used to assess the patient's disease?

A. Diarrhea, anorexia, and weight gainB. Constipation, weight loss, and thirstC. Polycholia, polyemia, and polyplegiaD. Polyuria, polydipsia, and polyphagia

Correct Answer: D

Rationale: Polyuria, polydipsia, and polyphagia are classic symptoms of diabetes mellitus.

Endocrine Disorders NCLEX Questions with Rationale | Nurselytic

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