NCLEX-PN
Endocrine Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
If a regular diet is ordered, which between-meal snack should the nurse offer to help regulate the client's blood glucose level?
Correct Answer: A
Rationale: A small carton of milk provides a balance of carbohydrates and protein to stabilize blood glucose in hypoglycemia.
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.
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
The nurse is providing an in-service on thyroid disorders. One of the attendees asks the nurse, 'Why don't the people in the United States get goiters as often?' Which statement by the nurse is the best response?
Correct Answer: D
Rationale: Iodized salt provides dietary iodine, preventing iodine deficiency goiters common elsewhere. Screening, genetics, and medications are not primary reasons.
Question 4 of 5
An adult is admitted to the hospital with a diagnosis of hypothyroidism. Which findings would the nurse most likely elicit during the nursing assessment?
Correct Answer: C
Rationale: Hypothyroidism causes hypothermia and constipation due to slowed metabolism, unlike the other symptoms.
Question 5 of 5
The nurse is discussing the endocrine system with the client. Which endocrine gland secretes epinephrine and norepinephrine?
Correct Answer: C
Rationale: The adrenal medulla secretes catecholamines (epinephrine and norepinephrine), which regulate the fight-or-flight response. The pancreas secretes insulin/glucagon, the adrenal cortex produces corticosteroids, and the anterior pituitary releases hormones like ACTH.