NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
Preoperatively, which information is most important to teach the client before the subtotal thyroidectomy?
Correct Answer: D
Rationale: Using an incentive spirometer postoperatively helps prevent respiratory complications after thyroidectomy.
Question 2 of 5
Before the client is discharged, the physician orders lypressin (Diapid) to be administered p.r.n. When instructing the client about how to take this drug at home, the nurse tells the client to administer the drug when experiencing which sign or symptom?
Correct Answer: A
Rationale: Increased thirst is a symptom of diabetes insipidus indicating the need for lypressin to control fluid loss.
Question 3 of 5
Which assessment technique is most appropriate when checking for laryngeal nerve damage in a client who has had a thyroidectomy?
Correct Answer: D
Rationale: Asking the client to say 'Ah' assesses vocal cord function, which can be affected by laryngeal nerve damage.
Question 4 of 5
The nurse writes a problem of 'altered body image' for a 34-year-old client diagnosed with Cushing's disease. Which intervention should be implemented?
Correct Answer: C
Rationale: Therapeutic communication addresses body image concerns (e.g., moon face, weight gain) in Cushing’s, promoting coping. Glucose, assessments, and bowel sounds are unrelated.
Question 5 of 5
The client diagnosed with diabetes complains of a curtain being drawn across the eyes. Which should the nurse implement first?
Correct Answer: C
Rationale: A curtain-like vision loss suggests retinal detachment, a diabetic complication requiring urgent HCP notification. Ophthalmoscopy, closing eyes, or RRT are inappropriate first steps.