NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
The nurse determined that the client's fluid volume deficit from HHNS has resolved. Which serum laboratory finding led to the nurse's conclusion?
Correct Answer: C
Rationale: A normalizing of the serum osmolality indicates that the fluid volume deficit is resolving.
Question 2 of 5
The client diagnosed with type 2 diabetes is admitted to the intensive care unit (ICU) with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) coma. Which assessment data should the nurse expect the client to exhibit?
Correct Answer: C
Rationale: HHNS causes severe dehydration, leading to dry mucous membranes. Kussmaul’s respirations and ketone odor are DKA-specific, and diarrhea/pain are less common.
Question 3 of 5
In which position should the client be maintained after the subtotal thyroidectomy?
Correct Answer: C
Rationale: Semi-Fowler's position reduces swelling and promotes airway patency after thyroidectomy.
Question 4 of 5
Which laboratory test is most important for the nurse to monitor to determine how effectively the client's diabetes is being managed?
Correct Answer: D
Rationale: HbA1c reflects average blood glucose control over 2-3 months, indicating long-term diabetes management.
Question 5 of 5
Which nursing intervention is essential for monitoring the client's condition?
Correct Answer: A
Rationale: Monitoring intake and output is critical in diabetes insipidus to assess fluid balance and the severity of polyuria.