NCLEX-RN
NCLEX RN Questions on Endocrine System Questions
Question 1 of 5
The nurse is caring for a client eight hours postoperative following a total thyroidectomy. Which of the following assessment findings indicate that the client is developing a complication?
Correct Answer: A
Rationale: Excessive drainage post-thyroidectomy may indicate hemorrhage, a serious complication. A slightly elevated temperature, mild bradycardia, and sore throat are expected or less concerning in the immediate postoperative period.
Question 2 of 5
The nurse is teaching a client about newly prescribed insulin glargine. The nurse recognizes the need for further instruction when the client makes the following statement?
Correct Answer: A,B,D,E
Rationale: Insulin glargine is a long-acting insulin taken once daily, not before meals, provides 24-hour coverage, and should not be mixed with other insulins. It is clear and does not require rolling, and can be injected in multiple sites, not just the abdomen. Only the statement about 24-hour control is correct.
Question 3 of 5
The nurse is assessing a client with pheochromocytoma. Which of the following would be an expected finding?
Correct Answer: A, B, E
Rationale: Pheochromocytoma releases catecholamines, causing hyperglycemia, hypertension, and headaches. Ataxia and oliguria are not typical findings.
Question 4 of 5
The nurse is preparing to administer tolvaptan to a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following laboratory test results should the nurse review before administering the medication?
Correct Answer: B
Rationale:
Tolvaptan can cause liver injury, so ALT and AST (liver function tests) should be reviewed before administration. Hemoglobin/WBC, troponin/myoglobin, and glucose/HbA1c are not primary concerns.
Question 5 of 5
The nurse cares for a 38-year-old female client recently diagnosed with Graves' disease. The client presents with a visibly enlarged thyroid gland, heat intolerance, excessive sweating, and unintentional weight loss. What additional signs or symptoms may be present in this client?
Correct Answer: A, B, C, D
Rationale: Graves' disease, a hyperthyroid condition, causes tachycardia, palpitations, diarrhea, tremors, and exophthalmos due to increased metabolism and autoimmunity. Cold intolerance is a hypothyroid symptom.