NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
The home health nurse is completing the first home visit for the elderly Hispanic client newly diagnosed with type 2 DM. The client has been instructed on self-administering NPH and regular insulin in the morning and at suppertime. What information should the nurse reinforce when teaching the client? Select all that apply.
Correct Answer: A,B,D
Rationale: Daily foot inspection prevents complications, magnifying devices prevent dosing errors, and a bedtime snack covers insulin peaks to prevent hypoglycemia.
Question 2 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 3 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 4 of 5
Which assessment findings would the nurse expect to document the patient's health care, and the patient's health care? Select all that apply.
Correct Answer: C,E,F
Rationale: DKA is characterized by acetone breath, warm/flushed skin, vomiting, abdominal pain, and thirst due to hyperglycemia and dehydration.
Question 5 of 5
At the beginning of thyroid replacement therapy after a thyroidectomy, the nurse must monitor the client closely for side effects. Which findings would the nurse expect to detect if the client is receiving more thyroid hormone replacement than required? Select all that apply.
Correct Answer: B,C,E
Rationale: Excess thyroid hormone can cause tachycardia, insomnia, and hypertension due to increased metabolic rate.