NCLEX-PN
Endocrine Disorders NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The nurse is assessing a client in an outpatient clinic. Which assessment data are a risk factor for developing pheochromocytoma?
Correct Answer: C
Rationale: A family history of adrenal tumors increases pheochromocytoma risk, as it’s a catecholamine-secreting adrenal tumor. Skin cancer, hypertension, and migraines are unrelated.
Question 2 of 5
Immediately after surgery, the nurse assesses the client for bleeding. Where is the best location to assess for bleeding?
Correct Answer: B
Rationale: Trans-sphenoidal hypophysectomy is performed through the nasal cavity, so bleeding is most likely to be observed in the nose.
Question 3 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on an oncology floor. Which intervention should the nurse delegate to the UAP?
Correct Answer: A
Rationale: Assisting with positioning is within the UAP’s scope and promotes comfort. Monitoring drains, assessing sleep, and handling melena require RN skills.
Question 4 of 5
The male client diagnosed with chronic pancreatitis calls and reports to the clinic nurse he has been having a lot of 'gas,' along with frothy and very foul-smelling stools. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Frothy, foul-smelling stools suggest malabsorption (e.g., pancreatic insufficiency), requiring urgent HCP evaluation. Explaining, stool samples, or diet changes are secondary.
Question 5 of 5
Because the client is receiving levothyroxine (Synthroid) for the first time, the nurse recognizes the need to cheese the client to assess the effect of the effect of replacement therapy. For which signs and symptoms should the nurse assess? Select all that apply.
Correct Answer: B,E,F
Rationale: Levothyroxine can cause signs of hyperthyroidism if overdosed, including palpitations, hyperactivity, and insomnia.