NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
The concepts of nutrition and metabolism have been identified for the client. Which referral should the nurse include in the plan of care?
Correct Answer: D
Rationale: A dietary referral addresses nutrition and metabolism, optimizing dietary management for conditions like diabetes. Other referrals are unrelated.
Question 2 of 5
In which position should the client be maintained after the subtotal thyroidectomy?
Correct Answer: C
Rationale: Semi-Fowler's position reduces swelling and promotes airway patency after thyroidectomy.
Question 3 of 5
During change of shifts, a nurse discovers that a hospitalized client with diabetes received two doses of insulin. After notifying the physician, which nursing action is most appropriate?
Correct Answer: D
Rationale: Monitoring blood glucose is critical to detect and manage potential hypoglycemia from the double dose.
Question 4 of 5
Which laboratory data indicate to the nurse the client’s pancreatitis is improving?
Correct Answer: A
Rationale: Acute pancreatitis is characterized by elevated serum amylase and lipase levels due to pancreatic inflammation. A decrease in these levels indicates reduced pancreatic injury and improvement in the condition. While a decreased WBC count may suggest resolving infection, it is less specific. Bilirubin levels are relevant for biliary obstruction, not pancreatitis improvement, and BUN reflects renal function, not pancreatic status.
Question 5 of 5
The client is diagnosed with cancer of the head of the pancreas. Which signs and symptoms should the nurse expect to assess?
Correct Answer: A
Rationale: Cancer in the head of the pancreas obstructs the bile duct, causing clay-colored stools and dark urine from jaundice. Night sweats, cramps, and coffee-ground emesis are less specific.