NCLEX-PN
Endocrine Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is assessing the client who has type 2 DM. Which findings indicate to the nurse that the client is experiencing HHNS? Select all that apply.
Correct Answer: A,C,D
Rationale: A serum osmolality of 364 mOsm/kg, very dry mucous membranes, and a BP of 90/42 indicate HHNS due to elevated osmolality, dehydration, and hypotension from osmotic diuresis.
Question 2 of 5
The nurse is interviewing four clients. Which client is at the greatest risk for developing type 2 DM?
Correct Answer: D
Rationale: Research has shown that the highest incidence of DM is among Native Americans.
Question 3 of 5
The nurse is providing an in-service on thyroid disorders. One of the attendees asks the nurse, 'Why don't the people in the United States get goiters as often?' Which statement by the nurse is the best response?
Correct Answer: D
Rationale: Iodized salt provides dietary iodine, preventing iodine deficiency goiters common elsewhere. Screening, genetics, and medications are not primary reasons.
Question 4 of 5
Which client statement indicates a correct understanding of corticosteroid therapy for Addison's disease?
Correct Answer: B
Rationale: Corticosteroid therapy for Addison's disease requires daily administration to replace deficient hormones and maintain physiological balance.
Question 5 of 5
The nurse is planning to complete noon assessments for four assigned clients with type 1 DM. All of the clients received subcutaneous insulin aspart at 0800 hours. Place the clients in the order of priority for the nurse's assessment.
Correct Answer: B,A,C,D
Rationale: The 45-year-old client with dyspnea, chest pressure, and atrial fibrillation is at risk for a cardiac event, requiring immediate assessment. The 60-year-old with vomiting is next due to potential hypoglycemia. The 75-year-old with hyperglycemia needs attention but is less urgent. The 50-year-old with normal glucose is last.