NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
Antibiotics are ordered for a client who has had a transsphenoidal hypophysectomy. He asks why he is receiving an antibiotic when he does not have an infection. The primary reason for administering antibiotics to this client is based on which information?
Correct Answer: B
Rationale: The transsphenoidal approach through the mouth increases the risk of meningitis due to oral bacteria, necessitating prophylactic antibiotics.
Question 2 of 5
Which nursing care measure is essential because a client has exophthalmos?
Correct Answer: A
Rationale: Exophthalmos (bulging eyes) in hyperthyroidism causes dry eyes, requiring artificial tears to prevent corneal damage.
Question 3 of 5
Which arterial blood gas results should the nurse expect in the client diagnosed with diabetic ketoacidosis?
Correct Answer: D
Rationale: DKA causes metabolic acidosis (low pH 7.30, low HCO3 18) with compensatory respiratory alkalosis (low PaCO2 30). Other options show normal or alkalotic states.
Question 4 of 5
The clinic nurse is assessing the client. The nurse evaluates that the client's levothyroxine dose is too low when which findings are noted on assessment? Select all that apply.
Correct Answer: B,C,D,F
Rationale: Decreased sweating, apathy, fatigue, paresthesias, and slowed mental processes indicate hypothyroidism, suggesting an inadequate levothyroxine dose.
Question 5 of 5
During change of shifts, a nurse discovers that a hospitalized client with diabetes received two doses of insulin. After notifying the physician, which nursing action is most appropriate?
Correct Answer: D
Rationale: Monitoring blood glucose is critical to detect and manage potential hypoglycemia from the double dose.