Endocrine Disorders NCLEX Questions | Nurselytic

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Endocrine Disorders NCLEX Questions Questions

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Question 1 of 5

The client diagnosed with Addison's disease is admitted to the emergency department after a day at the lake. The client is lethargic, forgetful, and weak. Which intervention should the nurse implement?

Correct Answer: A

Rationale: Lethargy, confusion, and weakness suggest Addisonian crisis; rapid NS infusion corrects hypotension and dehydration. Waiting, transfusions, and labs are inappropriate first steps.

Question 2 of 5

Which client problem is the nurse’s priority concern for the client diagnosed with acute pancreatitis?

Correct Answer: D

Rationale: Acute pancreatitis is characterized by severe abdominal pain due to pancreatic inflammation and autodigestion. Pain relief is the priority concern, as it addresses the client’s immediate discomfort, improves patient comfort, and reduces physiological stress, which can exacerbate the condition. Using the ABCs (Airway, Breathing, Circulation) and Maslow’s hierarchy, pain is a physiological need that takes precedence. Impaired nutrition (1) is relevant but secondary, as clients are often NPO initially. Skin integrity (2) and anxiety (3) are lower priorities, as they are less immediate concerns in acute pancreatitis.

Question 3 of 5

The charge nurse is making client assignments in the intensive care unit. Which client should be assigned to the most experienced nurse?

Correct Answer: C

Rationale: DKA with PVCs indicates cardiac instability, requiring an experienced nurse for complex monitoring and intervention. High glucose, hypoglycemia, and normal osmolarity are less critical.

Question 4 of 5

If a regular diet is ordered, which between-meal snack should the nurse offer to help regulate the client's blood glucose level?

Correct Answer: A

Rationale: A small carton of milk provides a balance of carbohydrates and protein to stabilize blood glucose in hypoglycemia.

Question 5 of 5

Which information is most important for the nurse to elicit from the client to effectively evaluate compliance with the prescribed therapy?

Correct Answer: B

Rationale: Glucose monitoring records provide direct evidence of blood glucose control and therapy compliance.

Similar Questions

The male client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) secondary to cancer of the lung tells the nurse he wants to discontinue the fluid restriction and does not care if he dies. Which action by the nurse is an example of the ethical principle of autonomy?
The client is hospitalized with a tentative diagnosis of Cushing's syndrome. Which laboratory findings should the nurse expect if the diagnosis of Cushing's syndrome is confirmed? Select all that apply.
The nurse is preparing to care for the stable client with Addison's disease. Which skin appearance should the nurse expect when performing an assessment?
Which sign/symptom should the nurse expect in the client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?
Based on the client's blood glucose measurement, the nurse immediately reevaluates the client. Which physician orders should the nurse anticipate? Select all that apply.

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