NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the client admitted in Addisonian crisis. Which medication, if prescribed, should the nurse plan to administer?
Correct Answer: D
Rationale: Hydrocortisone is a corticosteroid used to replace deficient glucocorticoids in Addisonian crisis.
Question 2 of 5
Because propylthiouracil (Propyl-Thyracil) can cause agranulocytosis, the nurse advises the client to notify the physician's health problem occurs?
Correct Answer: A
Rationale: Agranulocytosis, a side effect of propylthiouracil, can manifest as a persistent sore throat due to decreased white blood cells.
Question 3 of 5
Which arterial blood gas results should the nurse expect in the client diagnosed with diabetic ketoacidosis?
Correct Answer: D
Rationale: DKA causes metabolic acidosis (low pH 7.30, low HCO3 18) with compensatory respiratory alkalosis (low PaCO2 30). Other options show normal or alkalotic states.
Question 4 of 5
The client with type 2 diabetes controlled with biguanide oral diabetic medication is scheduled for a computed tomography (CT) scan with contrast of the abdomen to evaluate pancreatic function. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Biguanides (e.g., metformin) are held 48 hours before contrast CT to prevent lactic acidosis due to contrast-induced kidney injury. High-fat diets, consent, and enzymes are irrelevant.
Question 5 of 5
Which statement indicates that the client has misunderstood the nurse's teaching?
Correct Answer: D
Rationale: Type 1 diabetes requires lifelong insulin therapy, so dependence will not stop.