Endocrine Disorders NCLEX Questions with Rationale

Extract:

Question 1 of 5

The client is ready for discharge following an adrenalectomy. Which statement that the client makes indicates the best understanding of the client's condition?

Correct Answer: D

Rationale: Lifelong steroid replacement is required post-adrenalectomy, and taking prescribed pills daily shows understanding. A high-sodium, low-potassium diet is needed, and photosensitivity is not an issue.

Question 2 of 5

The nurse is developing a plan of care for the client diagnosed with acquired immunodeficiency syndrome (AIDS) who has developed an infection in the adrenal gland. Which client problem is highest priority?

A. Altered body image. B. Activity intolerance. C. Impaired coping. D. Fluid volume deficit.

Correct Answer: D

Rationale: Adrenal infection may impair aldosterone production, causing fluid volume deficit (hypovolemia), a priority. Body image, activity, and coping are psychosocial and secondary.

Question 3 of 5

The client is admitted to the medical department with a diagnosis of rule-out (R/O) acute pancreatitis. Which laboratory values should the nurse monitor to confirm this diagnosis?

A. Creatinine and (BUN). B. Troponin and (CK-MB). C. Serum amylase and lipase. D. Serum bilirubin and calcium.

Correct Answer: C

Rationale: Elevated amylase and lipase are specific for acute pancreatitis, confirming the diagnosis. Creatinine/BUN, troponin/CK-MB, and bilirubin/calcium are unrelated.

Question 4 of 5

The nurse is administering morning medications. Which medications should the nurse administer question?

A. The oral carafate to a client who has not eaten breakfast. B. The subcutaneous insulin to a client refusing blood glucose checks. C. The levothyroxine PO to a client diagnosed with hypothyroidism. D. The sliding scale insulin to a client whose blood glucose level is 320 mg/dL.

Correct Answer: B

Rationale: Insulin without glucose checks risks hypoglycemia, requiring clarification. Carafate timing, levothyroxine, and sliding-scale insulin are appropriate.

Question 5 of 5

The client received 10 units of Humulin R, a fast-acting insulin, at 0700. At 1030 the unlicensed assistive personnel (UAP) tells the nurse the client has a headache and is really acting 'funny.' Which intervention should the nurse implement first?

A. Instruct the UAP to obtain the blood glucose level. B. Have the client drink eight (8) ounces of orange juice. C. Go to the client's room and assess the client for hypoglycemia. D. Prepare to administer one (1) ampule 50% dextrose intravenously.

Correct Answer: C

Rationale: Assessing for hypoglycemia (e.g., confusion, headache) confirms the cause, as Humulin R peaks around 3 hours. UAPs cannot check glucose, and treatment follows confirmation.

Endocrine Disorders NCLEX Questions with Rationale | Nurselytic

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