Endocrine NCLEX Questions

Extract:

Question 1 of 5

As the nurse provides care for the client newly diagnosed with a large goiter, which interventions should be implemented? Select all that apply.

Correct Answer: A,B,D

Rationale: A large goiter can compress the trachea, necessitating respiratory monitoring, head elevation, and a soft diet to ease swallowing.

Question 2 of 5

The client is three (3) days postoperative unilateral adrenalectomy. Which discharge instructions should the nurse teach?

A. Discuss the need for lifelong steroid replacement. B. Instruct the client on administration of vasopressin. C. Teach the client to care for the suprapubic Foley catheter. D. Tell the client to notify the HCP if the incision is inflamed.

Correct Answer: D

Rationale: Notifying the HCP for incision inflammation prevents infection post-adrenalectomy. Lifelong steroids are for bilateral procedures, vasopressin is for DI, and Foley catheters are not standard.

Question 3 of 5

The nurse is providing teaching to multiple clients. Which client should the nurse determine would benefit if the following illustration were utilized when teaching?

A. The client with hyperthyroidism B. The client with diabetes mellitus C. The client with Addison's disease D. The client with Cushing's syndrome

Correct Answer: D

Rationale: Clinical manifestations of Cushing's syndrome, such as moon face and fat pads, match the illustration.

Question 4 of 5

The nurse is caring for clients on a medical floor. Which client should be assessed first?

A. The client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) who has a weight gain of 1.5 pounds since yesterday. B. The client diagnosed with a pituitary tumor who has developed diabetes insipidus (DI) and has an intake of 1,500 mL and an output of 1,600 mL in the last 8 hours. C. The client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) who is having muscle twitching. D. The client diagnosed with diabetes insipidus (DI) who is complaining of feeling tired after having to get up at night.

Correct Answer: C

Rationale: Muscle twitching in SIADH suggests hyponatremia-induced neurological symptoms, requiring immediate assessment. Weight gain, slight DI output imbalance, and tiredness are less urgent.

Question 5 of 5

Preoperatively, which information is most important to teach the client before the subtotal thyroidectomy?

A. Techniques for changing positions B. Reasons for performing leg exercises C. The necessity for daily dressing changes D. Postoperative use of the incentive spirometer

Correct Answer: D

Rationale: Using an incentive spirometer postoperatively helps prevent respiratory complications after thyroidectomy.

Endocrine NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN