NCLEX-PN
Endocrine Disorders NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The 68-year-old client diagnosed with hyperthyroidism is being treated with radioactive iodine therapy. Which interventions should the nurse discuss with the client?
Correct Answer: A
Rationale: Radioactive iodine takes weeks to reduce hyperthyroid symptoms, requiring client understanding. Tapering, hospitalization, and stopping medications are incorrect.
Question 2 of 5
The agitated client is hospitalized with tachycardia, dyspnea, and intermittent chest palpitations. The client's BP is 170/110 mm Hg, and HR is 130 bpm. The client's health history reveals thinning hair, recent 10-lb weight loss, increased appetite, fine hand and tongue tremors, hyperreflexic tendon reflexes, and smooth, moist skin. Which prescribed intervention should be the nurse's priority?
Correct Answer: C
Rationale: Propranolol provides rapid symptomatic relief of thyrotoxicosis by controlling cardiac and psychomotor manifestations.
Question 3 of 5
The nurse receives orders for the newly admitted client with Addison's disease. Which orders should the nurse question with the HCP? Select all that apply.
Correct Answer: A,B
Rationale: Potassium administration and a sodium-restricted diet are inappropriate as Addison's disease causes hyperkalemia and hyponatremia.
Question 4 of 5
The client is one (1) hour postoperative thyroidectomy. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Checking for bleeding on the posterior neck prevents hematoma, a critical post-thyroidectomy complication. Chvostek’s, calcium, and dressing changes are secondary.
Question 5 of 5
Which signs and symptoms are most appropriate for the nurse to investigate when screening adults who have come to be used to assess the patient's disease?
Correct Answer: D
Rationale: Polyuria, polydipsia, and polyphagia are classic symptoms of diabetes mellitus.