NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is assessing the feet of a client with long-term type 2 diabetes. Which assessment data warrant immediate intervention by the nurse?
Correct Answer: C
Rationale: A necrotic big toe indicates severe infection or gangrene, requiring immediate intervention to prevent amputation. Crumbling/thickened nails and athlete’s foot are less urgent.
Question 2 of 5
The client admitted to rule out pancreatic islet tumors complains of feeling weak, shaky, and sweaty. Which priority intervention should be implemented by the nurse?
Correct Answer: C
Rationale: Weakness, shakiness, and sweating suggest hypoglycemia from an insulinoma; a glucose check confirms this, guiding treatment. IV D5W, HCP notification, and juice follow confirmation.
Question 3 of 5
The nurse is teaching the client who lacks parathyroid hormone (PTH) about foods to consume. Which items should be included on a list of appropriate foods for the client?
Correct Answer: A
Rationale: High-calcium foods like dark green vegetables, soybeans, and tofu are appropriate for hypoparathyroidism to address chronic hypocalcemia.
Question 4 of 5
A friend brings the older adult homeless client to a free health screening clinic. The friend is unable to continue administering the client's morning and evening insulin dose for treating type 1 DM. When advocating for this client, which action by the nurse is most appropriate?
Correct Answer: C
Rationale: The nurse advocates by ensuring that the client has access to health care services. The nurse should contact a social worker whose role it is to make placement arrangements.
Question 5 of 5
Which endocrine disorder should the nurse assess for in the client who has a closed head injury with increased intracranial pressure?
Correct Answer: B
Rationale: Closed head injuries with increased intracranial pressure can impair the pituitary gland, leading to diabetes insipidus (DI) due to reduced antidiuretic hormone (ADH) secretion, causing polyuria and dehydration. Pheochromocytoma, Hashimoto’s, and gynecomastia are unrelated to head trauma.