NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
The nurse assesses that the client diagnosed with Cushing's syndrome has an irregular HR, right arm ecchymosis, 4+ pitting edema in the legs, and a blood glucose of 140 mg/dL. Which action should be the nurse's priority?
Correct Answer: C
Rationale: The HCP should be notified immediately to address the irregular HR, which may result from hypokalemia, a common issue in Cushing's syndrome.
Question 2 of 5
Which nursing diagnosis should the nursing team consider when developing this client's care plan?
Correct Answer: B
Rationale: Acromegaly can cause joint pain and muscle weakness, contributing to self-care deficits.
Question 3 of 5
The nurse is admitting a client to rule out aldosteronism. Which assessment data support the client's diagnosis?
Correct Answer: D
Rationale: Elevated blood pressure is a hallmark of aldosteronism due to sodium retention and fluid overload. Temperature, pulse, and respirations are less specific.
Question 4 of 5
Which I.V. medication can the nurse expect the physician to order to treat the client's condition?
Correct Answer: A
Rationale: Calcium gluconate is used to treat tetany caused by hypocalcemia in hypoparathyroidism.
Question 5 of 5
The nurse assesses the client following a total thyroidectomy. Which finding indicates that the client has a positive Trousseau's sign?
Correct Answer: A
Rationale: Trousseau's sign is carpal spasm due to hypocalcemia from parathyroid gland injury during thyroidectomy.