NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse at a freestanding health-care clinic is caring for a 56-year-old male client who is homeless and is a type 2 diabetic controlled with insulin. Which action is an example of client advocacy?
Correct Answer: B
Rationale: Arranging insulin administration at a shelter ensures the client’s medical needs are met, advocating for his health. Housing questions, APS notification, and stopping insulin are less supportive.
Question 2 of 5
The nurse is teaching the client newly diagnosed with type 2 DM. Which information should the nurse emphasize in the session?
Correct Answer: B
Rationale: Exercise increases insulin receptor sites in the tissue and can have a direct effect on lowering blood glucose levels. Exercise contributes to weight loss, which also decreases insulin resistance.
Question 3 of 5
Preoperatively, which information is most important to teach the client before the subtotal thyroidectomy?
Correct Answer: D
Rationale: Using an incentive spirometer postoperatively helps prevent respiratory complications after thyroidectomy.
Question 4 of 5
Which signs/symptoms indicate the client with hypothyroidism is not taking enough thyroid hormone?
Correct Answer: C
Rationale: Constipation and cold intolerance indicate persistent hypothyroidism due to inadequate thyroid hormone. Weight loss/tremors, thirst, and healing/belching are unrelated.
Question 5 of 5
The nurse is reviewing serum laboratory results for four female clients. Place an X on the client requiring the most immediate assessment.
Correct Answer: C
Rationale: Client C has elevated free T4 and decreased TSH, indicating hyperthyroidism, which can lead to life-threatening thyroid storm with severe hypertension and tachycardia, requiring immediate assessment.