NCLEX-PN
Endocrine Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
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.
Correct Answer: A,D,F
Rationale: Cushing's syndrome causes hyperglycemia, hypokalemia, and elevated serum cortisol due to excessive adrenocortical activity.
Question 2 of 5
The nurse is discussing discharge plans with a client who had a transsphenoidal hypophysectomy. Which statement made by the client indicates a need for more teaching?
Correct Answer: D
Rationale: Stopping medications when feeling better indicates a lack of understanding, as lifelong hormone replacement is often required post-hypophysectomy.
Question 3 of 5
The client is being admitted to the outpatient department prior to an endoscopic retrograde cholangiopancreatogram (ERCP) to rule out cancer of the pancreas. Which preprocedure instruction should the nurse teach?
Correct Answer: C
Rationale: NPO after midnight prevents aspiration during ERCP sedation. Hospital admission, emergency surgery, and blockage correction are incorrect.
Question 4 of 5
The nurse is discussing the endocrine system with the client. Which endocrine gland secretes epinephrine and norepinephrine?
Correct Answer: C
Rationale: The adrenal medulla secretes catecholamines (epinephrine and norepinephrine), which regulate the fight-or-flight response. The pancreas secretes insulin/glucagon, the adrenal cortex produces corticosteroids, and the anterior pituitary releases hormones like ACTH.
Question 5 of 5
The client diagnosed with hyperthyroidism is complaining of being hot and cannot sit still. Which should the nurse do based on the assessment?
Correct Answer: B
Rationale: Heat intolerance and restlessness are hyperthyroidism symptoms; vital signs assess for exacerbation (e.g., thyroid storm). Monitoring, sedatives, or rest are less appropriate.