NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
The nurse discusses the long-term effects of diabetes mellitus with the client and realizes that the client needs further teaching when the client identifies which occurrence as a complication of this disease?
Correct Answer: D
Rationale: Liver failure is not a common complication of diabetes, unlike blindness, stroke, and renal failure.
Question 2 of 5
Which signs/symptoms should make the nurse suspect the client is experiencing a thyroid storm?
Correct Answer: B
Rationale: Thyroid storm causes hyperpyrexia (high fever) and extreme tachycardia due to excessive thyroid hormone. Other options are hypothyroid or unrelated.
Question 3 of 5
The nurse identifies the client problem 'risk for imbalanced body temperature' for the client diagnosed with hypothyroidism. Which intervention should be included in the plan of care?
Correct Answer: A
Rationale: Hypothyroidism causes cold intolerance; discouraging electric blankets prevents burns due to reduced sensation. Frequent temperature checks, cool rooms, and rest are less relevant.
Question 4 of 5
The nurse is reviewing information for the client with type 1 DM. The nurse concludes that the client may be experiencing the Somogyi phenomenon, as evidenced by which finding?
Correct Answer: D
Rationale: The nurse should conclude that the low blood glucose in the middle of the night (45-62 mg/dL) and a rebound morning hyperglycemia (200-305 mg/dL) are signs of Somogyi phenomenon, also known as Somogyi effect.
Question 5 of 5
The nurse is caring for a client diagnosed with diabetes insipidus (DI). Which intervention should be implemented?
Correct Answer: D
Rationale: Assessing tissue turgor monitors dehydration in DI due to excessive urine output. Insulin, ketones, and caffeine restriction are diabetes mellitus-related, not DI.