NCLEX-PN
NCLEX Endocrine Questions Questions
Question 1 of 5
The client is diagnosed with cancer of the head of the pancreas. Which signs and symptoms should the nurse expect to assess?
Correct Answer: A
Rationale: Cancer in the head of the pancreas obstructs the bile duct, causing clay-colored stools and dark urine from jaundice. Night sweats, cramps, and coffee-ground emesis are less specific.
Question 2 of 5
Which sign/symptom indicates to the nurse the client is experiencing hypoparathyroidism?
Correct Answer: B
Rationale: A positive Chvostek’s sign (facial twitching) indicates hypocalcemia from hypoparathyroidism. Negative Trousseau’s, cramps, and turgor are less specific.
Question 3 of 5
The nurse administered 28 units of Humulin N, an intermediate-acting insulin, to a client diagnosed with type 1 diabetes at 1600. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Humulin N peaks in 4–12 hours, risking nocturnal hypoglycemia. A bedtime snack prevents this. Lunch intake is irrelevant, morning glucose checks are too late, and protein alone is insufficient.
Question 4 of 5
Which action by the nurse provides the best data for monitoring the client's therapeutic response to sodium restriction?
Correct Answer: B
Rationale: Measuring pedal edema assesses fluid retention, a key indicator of sodium restriction response in Cushing's syndrome.
Question 5 of 5
Which nursing diagnosis should the nursing team consider when developing this client's care plan?
Correct Answer: B
Rationale: Acromegaly can cause joint pain and muscle weakness, contributing to self-care deficits.