NCLEX-PN
Endocrine Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The home health nurse is admitting a client diagnosed with cancer of the pancreas. Which information is the most important for the nurse to discuss with the client?
Correct Answer: B
Rationale: An advance directive is critical for pancreatic cancer due to poor prognosis, ensuring the client’s wishes are respected. Food preferences, insurance, and eating are secondary.
Question 2 of 5
To prepare for potential postoperative complications related to the thyroidectomy, which item is necessary to keep at the client's bedside?
Correct Answer: B
Rationale: A tracheostomy tray is essential in case of airway obstruction due to swelling or hematoma post-thyroidectomy.
Question 3 of 5
The nurse is caring for the client diagnosed with DI. Which nursing actions are most appropriate? Select all that apply.
Correct Answer: A,C
Rationale: Monitoring urine output and weights tracks fluid loss, and DDAVP replaces ADH in DI.
Question 4 of 5
Which client problem is the nurse’s priority concern for the client diagnosed with acute pancreatitis?
Correct Answer: D
Rationale: Acute pancreatitis is characterized by severe abdominal pain due to pancreatic inflammation and autodigestion. Pain relief is the priority concern, as it addresses the client’s immediate discomfort, improves patient comfort, and reduces physiological stress, which can exacerbate the condition. Using the ABCs (Airway, Breathing, Circulation) and Maslow’s hierarchy, pain is a physiological need that takes precedence. Impaired nutrition (1) is relevant but secondary, as clients are often NPO initially. Skin integrity (2) and anxiety (3) are lower priorities, as they are less immediate concerns in acute pancreatitis.
Question 5 of 5
The nurse is planning to complete noon assessments for four assigned clients with type 1 DM. All of the clients received subcutaneous insulin aspart at 0800 hours. Place the clients in the order of priority for the nurse's assessment.
Correct Answer: B,A,C,D
Rationale: The 45-year-old client with dyspnea, chest pressure, and atrial fibrillation is at risk for a cardiac event, requiring immediate assessment. The 60-year-old with vomiting is next due to potential hypoglycemia. The 75-year-old with hyperglycemia needs attention but is less urgent. The 50-year-old with normal glucose is last.