Endocrine Disorders NCLEX Questions | Nurselytic

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Endocrine Disorders NCLEX Questions Questions

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Question 1 of 5

The male client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) secondary to cancer of the lung tells the nurse he wants to discontinue the fluid restriction and does not care if he dies. Which action by the nurse is an example of the ethical principle of autonomy?

Correct Answer: C

Rationale: Notifying the HCP and respecting the client’s fluid request honors autonomy. Sharing with others violates confidentiality, explaining risks is beneficence, and covertly giving water is unethical.

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 client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of 8.1%. Which interpretation should the nurse make based on this result?

Correct Answer: C

Rationale: An A1c of 8.1% is above the recommended target (<7% for most diabetics), indicating poor glycemic control. It is not normal, acceptable, or dangerously high (e.g., >10%).

Question 4 of 5

The nurse is discussing the endocrine system with the client. Which endocrine gland secretes epinephrine and norepinephrine?

Correct Answer: C

Rationale: The adrenal medulla secretes catecholamines (epinephrine and norepinephrine), which regulate the fight-or-flight response. The pancreas secretes insulin/glucagon, the adrenal cortex produces corticosteroids, and the anterior pituitary releases hormones like ACTH.

Question 5 of 5

The health-care provider has ordered 40 g/24 hr of intranasal vasopressin for a client diagnosed with diabetes insipidus. Each metered spray delivers 10 g. The client takes the medication every 12 hours. How many sprays are delivered at each dosing time?

Correct Answer: 2 sprays

Rationale:
Total dose: 40 g/24 hr, split every 12 hr = 20 g/dose. Each spray = 10 g, so 20 g ÷ 10 g/spray = 2 sprays per dose.

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