NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
In response to a question about timing of symptoms during the nursing history, when is the client most likely to describe that symptoms typically occur?
Correct Answer: A
Rationale: Hyperinsulinism causes hypoglycemia, which is more likely after fasting due to excess insulin lowering blood glucose.
Question 2 of 5
The UAP on the medical floor tells the nurse the client diagnosed with DKA wants something else to eat for lunch. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Notifying the dietitian ensures the client’s nutritional needs are met within DKA dietary restrictions. Additional food, caloric increases, or denial are inappropriate without consultation.
Question 3 of 5
Postoperatively, the nurse should consult the physician before encouraging the client who has undergone a subtotal thyroidectomy to perform which activity?
Correct Answer: A
Rationale: Forced coughing can increase pressure in the neck, risking bleeding or wound disruption post-thyroidectomy.
Question 4 of 5
The nurse is reviewing information for the client with type 1 DM. The nurse concludes that the client may be experiencing the Somogyi phenomenon, as evidenced by which finding?
Correct Answer: D
Rationale: The nurse should conclude that the low blood glucose in the middle of the night (45-62 mg/dL) and a rebound morning hyperglycemia (200-305 mg/dL) are signs of Somogyi phenomenon, also known as Somogyi effect.
Question 5 of 5
Which statement made by the client makes the nurse suspect the client is experiencing hyperthyroidism?
Correct Answer: D
Rationale: Tight collars suggest goiter, a hyperthyroidism symptom. Anorexia, constipation, and dry skin are hypothyroid-related.