NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
The client diagnosed with acute pancreatitis is in pain. Which position should the nurse assist the client to assume to help decrease the pain?
Correct Answer: C
Rationale: Side-lying with knees flexed reduces abdominal tension, easing pancreatitis pain. Prone, tripod, and supine positions are less effective.
Question 2 of 5
The nurse caring for a client diagnosed with cancer of the pancreas writes the problem of 'altered nutrition: less than body requirements.' Which collaborative intervention should the nurse include in the plan of care?
Correct Answer: D
Rationale: Referring to a dietitian ensures specialized nutritional planning for pancreatic cancer, addressing malabsorption and weight loss. PEG feedings, family foods, and preferences are secondary.
Question 3 of 5
The client is diagnosed with cancer of the head of the pancreas. Which signs and symptoms should the nurse expect to assess?
Correct Answer: A
Rationale: Cancer in the head of the pancreas obstructs the bile duct, causing clay-colored stools and dark urine from jaundice. Night sweats, cramps, and coffee-ground emesis are less specific.
Question 4 of 5
The nurse caring for a client diagnosed with cancer of the pancreas writes the nursing diagnosis of 'risk for altered skin integrity related to pruritus.' Which intervention should the nurse implement?
Correct Answer: D
Rationale: Short fingernails prevent scratching from pruritus (due to jaundice), reducing skin breakdown risk. Turgor, antifungal creams, and bony prominences are unrelated.
Question 5 of 5
The client has developed iatrogenic Cushing's disease. Which statement is the scientific rationale for the development of this diagnosis?
Correct Answer: B
Rationale: Iatrogenic Cushing’s results from prolonged exogenous steroid use, mimicking endogenous hypercortisolism. Autoimmune issues, pituitary tumors, and idiopathic causes are incorrect.