NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
The client admitted to rule out pancreatic islet tumors complains of feeling weak, shaky, and sweaty. Which priority intervention should be implemented by the nurse?
Correct Answer: C
Rationale: Weakness, shakiness, and sweating suggest hypoglycemia from an insulinoma; a glucose check confirms this, guiding treatment. IV D5W, HCP notification, and juice follow confirmation.
Question 2 of 5
Two hours after taking a regular morning dose of regular insulin, the client presents to a clinic with diaphoresis, tremors, palpitations, and tachycardia. Which nursing action is most appropriate?
Correct Answer: C
Rationale: Regular insulin peaks in 2 to 4 hours after administration. The client's symptoms suggest hypoglycemia, so a blood glucose level should be checked and carbohydrates given if low.
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
Which risk factor should the nurse expect to find in the client diagnosed with pancreatic cancer?
Correct Answer: C
Rationale: Chronic alcoholism is a well-established risk factor for pancreatic cancer, often linked to chronic pancreatitis, which predisposes to malignancy. Chewing tobacco is more associated with oral cancers, a low-fat diet is not a risk factor, and while industrial chemical exposure is a possible risk, it is less specific than alcoholism.
Question 5 of 5
What should be included in the nursing care plan for a client with diabetes insipidus?
Correct Answer: B
Rationale: Diabetes insipidus causes excessive urine output due to low antidiuretic hormone, requiring strict intake and output monitoring to assess fluid balance.