NCLEX-PN
Endocrine Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client is admitted to the intensive care department diagnosed with myxedema coma. Which assessment data warrant immediate intervention by the nurse?
Correct Answer: B
Rationale: A pulse oximetry of 90% indicates hypoxia, requiring immediate intervention in myxedema coma. Normal glucose, bradycardia, and lethargy are expected.
Question 2 of 5
Which psychosocial problem should be included in the plan of care for a female client diagnosed with Cushing's syndrome?
Correct Answer: B
Rationale: Body image disturbance addresses Cushing’s physical changes (e.g., moon face, hirsutism), a key psychosocial issue. Glucose, suicide, and healing are physiological.
Question 3 of 5
The client taking thyroid replacement hormone is hospitalized, and a thyroid replacement hormone is not prescribed. A week after being hospitalized, the nurse assesses that the client is becoming increasingly lethargic and has a decreased blood pressure, respiratory rate, temperature, and pulse. Which actions should be taken by the nurse? Place each nursing action in the order of priority.
Correct Answer: C,B,A,D
Rationale: Ventilatory support addresses decreased respiratory rate, IV fluids treat hypotension, warming prevents metabolic demand increase, and thyroxine corrects hypothyroidism.
Question 4 of 5
Which problem is most likely to develop if hyperthyroidism remains untreated?
Correct Answer: D
Rationale: Untreated hyperthyroidism causes severe tachycardia, which can lead to heart failure due to increased cardiac workload.
Question 5 of 5
Which instruction should the nurse give the client about insulin administration during periods of illness?
Correct Answer: A
Rationale: Frequent blood glucose monitoring during illness helps adjust insulin doses to prevent complications.