NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the client with Addisonian crisis. Which clinical change should indicate to the nurse that the therapy is effective?
Correct Answer: A
Rationale: An increase in BP indicates effective therapy by correcting hypotension from sodium and water depletion.
Question 2 of 5
An 18-year-old female client, 5'4 tall, weighing 113 kg, comes to the clinic for a nonhealing wound on her lower leg, which she has had for two (2) weeks. Which disease process should the nurse suspect the client has developed?
Correct Answer: B
Rationale: Obesity (BMI ~44) and a nonhealing wound suggest type 2 diabetes, associated with insulin resistance. Type 1 is less likely, gestational diabetes requires pregnancy, and acanthosis nigricans is a symptom, not a disease.
Question 3 of 5
After the test, the nurse provides the client with instructions. Which statement of the nurse is most accurate?
Correct Answer: C
Rationale: A radioactive iodine uptake test involves low levels of radiation, requiring short-term precautions such as avoiding close contact with others.
Question 4 of 5
Which finding would be the greatest cause for concern to the nurse during the early postoperative period following a thyroidectomy?
Correct Answer: C
Rationale: Carpal spasm (Trousseau’s sign) indicates hypocalcemia, a serious complication post-thyroidectomy due to parathyroid gland injury.
Question 5 of 5
A clinic nurse is teaching the client newly diagnosed with hypothyroidism. Which instructions should the nurse provide about taking levothyroxine sodium? Select all that apply.
Correct Answer: A,B,D
Rationale: Taking levothyroxine on an empty stomach ensures absorption, notifying the clinic for tachycardia prevents overdose, and taking it as prescribed replaces deficient hormone.