NCLEX-PN
Endocrine Disorders NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The client with chronic alcoholism has chronic pancreatitis and hypomagnesemia. Which data should the nurse assess when administering magnesium sulfate to the client?
Correct Answer: A
Rationale: Magnesium sulfate administration risks toxicity, especially in hypomagnesemia. Depressed deep tendon reflexes are an early sign of magnesium toxicity, requiring close monitoring. Arterial blood gases, skin turgor, and capillary refill are unrelated to magnesium therapy.
Question 2 of 5
When developing the client's care plan, which intervention is most appropriate to add?
Correct Answer: B
Rationale: Filing toenails prevents injury and infection in diabetic clients with poor healing.
Question 3 of 5
The client is diagnosed with hypothyroidism. Which assessment data support this diagnosis?
Correct Answer: B
Rationale: Constipation and cold intolerance are classic hypothyroidism symptoms due to slowed metabolism. Tachycardia/hypertension, fluid imbalance, and vomiting are unrelated.
Question 4 of 5
The 68-year-old client diagnosed with hyperthyroidism is being treated with radioactive iodine therapy. Which interventions should the nurse discuss with the client?
Correct Answer: A
Rationale: Radioactive iodine takes weeks to reduce hyperthyroid symptoms, requiring client understanding. Tapering, hospitalization, and stopping medications are incorrect.
Question 5 of 5
Which finding indicates a potential complication of thyroid crisis that the nurse should prioritize?
Correct Answer: A
Rationale: A heart rate of 140 beats per minute indicates severe tachycardia, a life-threatening complication of thyroid crisis requiring immediate intervention.