NCLEX-PN
Endocrine NCLEX Questions Questions
Question 1 of 5
Which laboratory finding is most indicative of Addison's disease in this client?
Correct Answer: B,D
Rationale: Addison's disease causes decreased aldosterone, leading to low serum sodium and high potassium levels due to impaired electrolyte regulation.
Question 2 of 5
After the test, the nurse provides the client with instructions. Which statement of the nurse is most accurate?
Correct Answer: C
Rationale: A radioactive iodine uptake test involves low levels of radiation, requiring short-term precautions such as avoiding close contact with others.
Question 3 of 5
Which signs/symptoms indicate the client with hypothyroidism is not taking enough thyroid hormone?
Correct Answer: C
Rationale: Constipation and cold intolerance indicate persistent hypothyroidism due to inadequate thyroid hormone. Weight loss/tremors, thirst, and healing/belching are unrelated.
Question 4 of 5
The client diagnosed with HHNS was admitted yesterday with a blood glucose level of 780 mg/dL. The client's blood glucose level is now 300 mg/dL. Which intervention should the nurse implement?
Correct Answer: D
Rationale: A glucose drop from 780 to 300 mg/dL requires HCP notification to adjust insulin, preventing hypoglycemia. Increasing insulin, checking ketones, or meals are inappropriate.
Question 5 of 5
An 18-year-old female client, 5'4 tall, weighing 113 kg, comes to the clinic for a nonhealing wound on her lower leg, which she has had for two (2) weeks. Which disease process should the nurse suspect the client has developed?
Correct Answer: B
Rationale: Obesity (BMI ~44) and a nonhealing wound suggest type 2 diabetes, associated with insulin resistance. Type 1 is less likely, gestational diabetes requires pregnancy, and acanthosis nigricans is a symptom, not a disease.