NCLEX-PN
Endocrine Disorders NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
A woman with hypothyroidism asks the nurse why the doctor told her she cannot have a sedative. The nurse's response is based on which of the following facts?
Correct Answer: B
Rationale: Hypothyroidism increases sensitivity to sedatives, risking excessive sedation or respiratory depression.
Question 2 of 5
The client diagnosed with Cushing's syndrome is admitted with fluid volume overload. The client weighed 190 lb on admission and 179 lb after treatment. The nurse estimates that the amount of fluid the client lost was how many milliliters?
Correct Answer: C
Rationale: One liter of fluid (1000 mL) weighs approximately 2.2 lb. An 11-lb weight loss equals 5000 mL (11 lb / 2.2 lb = 5 L × 1000 mL per L = 5000 mL).
Question 3 of 5
The nurse is caring for multiple clients with DM. It is most important for the nurse to initiate a referral to a diabetes educator for which client?
Correct Answer: A
Rationale: It is most important for the nurse to initiate a referral for clients who falsely think their diabetes is well controlled. The client's Hgb A1c, which measures average blood glucose over the previous 3 months, is 11%, indicating that the diabetes is not well controlled.
Question 4 of 5
The client received 10 units of Humulin R, a fast-acting insulin, at 0700. At 1030 the unlicensed assistive personnel (UAP) tells the nurse the client has a headache and is really acting 'funny.' Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Assessing for hypoglycemia (e.g., confusion, headache) confirms the cause, as Humulin R peaks around 3 hours. UAPs cannot check glucose, and treatment follows confirmation.
Question 5 of 5
Which nursing assessment is most helpful in evaluating the status of a client with Addison's disease?
Correct Answer: A
Rationale: Hypotension is a key sign of Addison's disease due to decreased aldosterone and cortisol.