NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
The elderly client is admitted to the intensive care department diagnosed with severe HHNS. Which collaborative intervention should the nurse include in the plan of care?
Correct Answer: A
Rationale: IV normal saline corrects severe dehydration in HHNS, a priority collaborative intervention. Insulin is secondary, daily glucose checks are insufficient, and ABGs are less critical in HHNS.
Question 2 of 5
The nurse teaches the client how the infusion pump operates and correctly points out that the infusion is typically administered in which location?
Correct Answer: C
Rationale: Insulin pumps deliver insulin into the subcutaneous tissue of the abdomen for consistent absorption.
Question 3 of 5
The nurse is caring for a client diagnosed with diabetes insipidus (DI). Which intervention should be implemented?
Correct Answer: D
Rationale: Assessing tissue turgor monitors dehydration in DI due to excessive urine output. Insulin, ketones, and caffeine restriction are diabetes mellitus-related, not DI.
Question 4 of 5
Which laboratory data make the nurse suspect the client with primary hyperparathyroidism is experiencing a complication?
Correct Answer: A
Rationale: Elevated creatinine (2.8 mg/dL) suggests kidney damage, a complication of hyperparathyroidism’s hypercalcemia. Normal calcium, triglycerides, and sodium are unremarkable.
Question 5 of 5
The nurse is collecting information about the client who underwent a transsphenoidal removal of a pituitary tumor. Which findings should indicate to the nurse that the client is experiencing DI? Select all that apply.
Correct Answer: A,C,D
Rationale: Elevated serum osmolality, extreme thirst, and high urine output indicate DI due to fluid loss and ADH deficiency.