NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
Because propylthiouracil (Propyl-Thyracil) can cause agranulocytosis, the nurse advises the client to notify the physician's health problem occurs?
Correct Answer: A
Rationale: Agranulocytosis, a side effect of propylthiouracil, can manifest as a persistent sore throat due to decreased white blood cells.
Question 2 of 5
The client is diagnosed with acute pancreatitis. Which health-care provider's admitting order should the nurse question?
Correct Answer: D
Rationale: A low-fat, low-carb diet is inappropriate during acute pancreatitis; clients are typically NPO to rest the pancreas. Bedrest, IV D5W, and weighing are appropriate.
Question 3 of 5
The client diagnosed with type 2 diabetes is admitted to the intensive care unit (ICU) with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) coma. Which assessment data should the nurse expect the client to exhibit?
Correct Answer: C
Rationale: HHNS causes severe dehydration, leading to dry mucous membranes. Kussmaul’s respirations and ketone odor are DKA-specific, and diarrhea/pain are less common.
Question 4 of 5
The client diagnosed with type 1 diabetes mellitus received regular insulin two (2) hours ago. The client is complaining of being jittery and nervous. Which interventions should the nurse implement? List in order of priority.
Order the Items
Source Container
Correct Answer: D,B,E,C,A
Rationale: 1. Check blood glucose at bedside: Jitteriness and nervousness suggest hypoglycemia, common 2 hours post-regular insulin (peak effect). Bedside glucose testing confirms hypoglycemia quickly, guiding treatment. 2. Administer quick-acting carbohydrate: If glucose is low (<70 mg/dL), a quick-acting carbohydrate (e.g., juice) rapidly corrects hypoglycemia. 3. Determine if the client has had anything to eat: Assessing recent food intake identifies if inadequate nutrition contributed to hypoglycemia, informing prevention. 4. Have the client eat a bologna sandwich: After stabilizing glucose, a complex meal sustains normoglycemia, but it’s slower-acting. 5. Call the laboratory: Lab confirmation is unnecessary and delays treatment, as bedside glucometry is standard.
Question 5 of 5
Which statement provides the best evidence that the client who has undergone a bilateral adrenalectomy understands the postoperative course?
Correct Answer: A
Rationale: Avoiding infections is critical post-adrenalectomy due to lifelong steroid replacement and immunosuppression.