Endocrine Disorders NCLEX Questions

Extract:

Question 1 of 5

Based on the knowledge that clients with Cushing's syndrome heal slowly, which nursing measure is most appropriate during the client's postoperative period?

Correct Answer: C

Rationale: Increased dietary protein supports tissue repair and healing in Cushing's syndrome.

Question 2 of 5

The nurse is assessing the client who has type 2 DM. Which findings indicate to the nurse that the client is experiencing HHNS? Select all that apply.

A. Serum osmolality 364 mOsm/kg B. Blood glucose level 160 mg/dL C. Very dry mucous membranes D. Blood pressure of 90/42 mm Hg E. Urine output 500 mL past 8 hours

Correct Answer: A,C,D

Rationale: A serum osmolality of 364 mOsm/kg, very dry mucous membranes, and a BP of 90/42 indicate HHNS due to elevated osmolality, dehydration, and hypotension from osmotic diuresis.

Question 3 of 5

An adolescent with newly diagnosed Type I diabetes mellitus asks the nurse if he can continue to play football. What is the best answer for the nurse to give?

A. Now that you have diabetes, you should not play football because you may get a cut that will not heal.' B. If you work with your physician to regulate the insulin dosage and your diet, you should be able to play football.' C. It would be better for you to work as equipment manager so you will not be under as much stress.' D. You can probably continue to play football if you can regulate it so that you have the same amount of exercise each day.'

Correct Answer: B

Rationale: With proper insulin and diet management, the adolescent can safely play football, supporting physical activity and normalcy.

Question 4 of 5

Which of the following provides the best evidence that the dietary measures to control functional hypoglycemia are therapeutic?

A. The client experiences fewer incidences of weakness and tremors. B. The client experiences fewer incidences of thirst and dry mouth. C. The client experiences fewer incidences of muscle spasms and fatigue. D. The client experiences fewer incidences of hunger and abdominal cramps.

Correct Answer: A

Rationale: Reduced weakness and tremors indicate stabilized blood glucose levels in functional hypoglycemia.

Question 5 of 5

In addition to amenorrhea, which other signs of myxedema is the nurse likely to observe in this client? Select all that apply.

A. Hoarse, raspy voice B. Oily skin with large pores C. Thin trunk and extremities D. Exireme restlessness E. Low body temperature F. Decreased blood pressure

Correct Answer: A,E,F

Rationale: Myxedema (hypothyroidism) causes a hoarse voice, low body temperature, and decreased blood pressure due to slowed metabolism.

Endocrine Disorders NCLEX Questions | Nurselytic

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