NCLEX-PN
Endocrine Disorders NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
An elderly woman has been recently diagnosed as having Type 2 diabetes. Which of the following complaints that she has is most likely to be related to the diagnosis of diabetes mellitus?
Correct Answer: A
Rationale: Pruritus vulvae is common in diabetes due to yeast infections from elevated glucose levels.
Question 2 of 5
The 68-year-old client diagnosed with hyperthyroidism is being treated with radioactive iodine therapy. Which interventions should the nurse discuss with the client?
Correct Answer: A
Rationale: Radioactive iodine takes weeks to reduce hyperthyroid symptoms, requiring client understanding. Tapering, hospitalization, and stopping medications are incorrect.
Question 3 of 5
The nurse is administering a pancreatic enzyme to the client diagnosed with chronic pancreatitis. Which statement best explains the rationale for administering this medication?
Correct Answer: A
Rationale: Pancreatic enzymes provide protease, amylase, and lipase to compensate for pancreatic insufficiency, aiding digestion. They don’t increase bowel movements or break down in the stomach.
Question 4 of 5
The male client diagnosed with chronic pancreatitis calls and reports to the clinic nurse he has been having a lot of 'gas,' along with frothy and very foul-smelling stools. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Frothy, foul-smelling stools suggest malabsorption (e.g., pancreatic insufficiency), requiring urgent HCP evaluation. Explaining, stool samples, or diet changes are secondary.
Question 5 of 5
When the nurse reviews the client's history, which assessment finding is closely associated with the client's diagnosis?
Correct Answer: B
Rationale: Hyperparathyroidism causes hypercalcemia, which can lead to recurrent kidney stones.