NCLEX-RN
Endocrine RN NCLEX Questions Questions
Question 1 of 5
The nurse is conducting health screenings for hypothyroidism at the community health fair. Which client is at the highest risk for this condition? A client who is
Correct Answer: D
Rationale: Hypothyroidism causes weight gain, edema, and fatigue or decreased motivation. Underweight, rapid pulse, and diarrhea suggest hyperthyroidism; thirst and hypertension are less specific.
Question 2 of 5
The nurse has received an order to prepare a client for a water deprivation test. The nurse understands that this test is used to diagnose
Correct Answer: C
Rationale: The water deprivation test diagnoses diabetes insipidus by assessing the body's ability to concentrate urine without fluid intake, distinguishing it from SIADH or other conditions.
Question 3 of 5
The nurse is caring for a client diagnosed with a myxedema coma. The nurse should anticipate a prescription for which of the following medications?
Correct Answer: A,E
Rationale: Myxedema coma, a severe hypothyroidism emergency, requires levothyroxine to restore thyroid hormone levels and hydrocortisone to address potential adrenal insufficiency. Methimazole treats hyperthyroidism, and tolvaptan and hydrochlorothiazide manage fluid balance, not hypothyroidism.
Question 4 of 5
The nurse is providing discharge instructions to a client who has chronic diabetes insipidus (DI). Which of the following client statements would indicate a correct understanding of the discharge instructions?
Correct Answer: B, D
Rationale: DI causes excessive urination; daily weighing and logging fluid intake monitor fluid balance. Fluid restriction and salty snacks are inappropriate and worsen dehydration.
Extract:
The following scenario applies to the next 1 items
The nurse cares for a client who arrived at the emergency department (ED) complaining of generalized weakness
Item 1 of 1
History and Physical
23-year-male arrives at the emergency department (ED) reporting a headache, feeling unwell, fatigue, and thirst. The symptoms started one day ago and have worsened. He could not check his blood glucose because he reports being out of testing supplies for two weeks.
On exam, the client reports feeling fatigued and thirsty. He is lethargic and completely oriented. His physical exam revealed sunken eyes, skin that was hot to the touch, very dry mucous membranes, with white patches on his tongue.
The client has a medical history of type I diabetes mellitus.
Vital Signs
Oral Temperature 100o F (37.8o C)
Pulse 123/minute
Respirations 24/minute
Blood pressure 94/50 mm Hg
O2 saturation 96% on room air
Question 5 of 5
Complete the sentence below from the list of options. The client is at highest risk of developing....... based on the client's.............
Correct Answer: C, D
Rationale: In type 1 diabetes, fatigue, thirst, and dry mucous membranes with elevated glucose suggest DKA. Positive serum ketones confirm ketosis, a hallmark of DKA due to insulin deficiency.