NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
The client newly diagnosed with hyperthyroidism has a fever of 101.3°F (38.5°C). Which additional assessment findings should the nurse identify as those associated with thyroid storm? Select all that apply.
Correct Answer: B,C,E
Rationale: Tachycardia, diarrhea, and recent stress (e.g., tooth extraction) are associated with thyroid storm due to excessive thyroid hormone.
Question 2 of 5
The client diagnosed with acute pancreatitis has a ruptured pseudocyst. Which procedure should the nurse anticipate the HCP prescribing?
Correct Answer: A
Rationale: A ruptured pancreatic pseudocyst can cause peritoneal irritation or fluid accumulation, potentially requiring drainage. Paracentesis removes abdominal fluid, which may be performed in severe cases, though surgical drainage or endoscopic intervention is more specific. Chest tube insertion is for pleural issues, lumbar puncture is for cerebrospinal fluid, and pancreatic biopsy is diagnostic, not therapeutic for a ruptured pseudocyst.
Question 3 of 5
The nurse knows the diabetic client understands what 'free' foods on the exchange list means if the client excludes which one of the following from a meal plan?
Correct Answer: C
Rationale: Light beer contains carbohydrates and calories, unlike free foods such as iced tea, flavored water, and club soda.
Question 4 of 5
The client diagnosed with cancer of the head of the pancreas is two (2) days postpancreatoduodenectomy (Whipple's procedure). Which nursing problem has the highest priority?
Correct Answer: B
Rationale: Fluid volume imbalance is the priority post-Whipple’s due to risks of bleeding or dehydration, impacting stability. Grieving, pain, and nutrition are secondary.
Question 5 of 5
The nurse is performing discharge teaching for a client diagnosed with Cushing's disease. Which statement by the client demonstrates an understanding of the instructions?
Correct Answer: B
Rationale: Tapering prednisone prevents adrenal crisis, indicating understanding. Fever notification is general, hypoglycemia is unrelated, and tackle football is unsafe.