NCLEX-PN
Endocrine Disorders NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The charge nurse of an intensive care unit is making assignments for the night shift. Which client should be assigned to the most experienced intensive care nurse?
Correct Answer: C
Rationale: Addison’s with hypotension (80/45), tachycardia (124), and lethargy suggests adrenal crisis, requiring an experienced nurse. Ventilator care, stable Cushing’s, and post-thyroidectomy are less acute.
Question 2 of 5
The client diagnosed with Cushing's syndrome is admitted with fluid volume overload. The client weighed 190 lb on admission and 179 lb after treatment. The nurse estimates that the amount of fluid the client lost was how many milliliters?
Correct Answer: C
Rationale: One liter of fluid (1000 mL) weighs approximately 2.2 lb. An 11-lb weight loss equals 5000 mL (11 lb / 2.2 lb = 5 L × 1000 mL per L = 5000 mL).
Question 3 of 5
An elderly woman has been recently diagnosed as having Type 2 diabetes. Which of the following complaints that she has is most likely to be related to the diagnosis of diabetes mellitus?
Correct Answer: A
Rationale: Pruritus vulvae is common in diabetes due to yeast infections from elevated glucose levels.
Question 4 of 5
Because the client is receiving levothyroxine (Synthroid) for the first time, the nurse recognizes the need to cheese the client to assess the effect of the effect of replacement therapy. For which signs and symptoms should the nurse assess? Select all that apply.
Correct Answer: B,E,F
Rationale: Levothyroxine can cause signs of hyperthyroidism if overdosed, including palpitations, hyperactivity, and insomnia.
Question 5 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.