NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
The nurse is discharging a client diagnosed with diabetes insipidus. Which statement made by the client warrants further intervention?
Correct Answer: B
Rationale: Desmopressin (DI medication) requires consistent dosing, not morning-only, and storage instructions are vague; this needs clarification. Other statements are appropriate.
Question 2 of 5
Which client history is most significant in the development of symptoms for a client who has iatrogenic Cushing's disease?
Correct Answer: C
Rationale: Long-term glucocorticoid use causes iatrogenic Cushing’s by mimicking hypercortisolism. Anabolic/inhabited steroids and family history are less causative.
Question 3 of 5
Which statement by the client indicates a misunderstanding of the expected surgical outcome?
Correct Answer: A
Rationale: In acromegaly, physical changes such as enlarged hands or facial features are typically irreversible, even after surgery.
Question 4 of 5
The nurse is performing discharge teaching for a client diagnosed with Cushing's disease. Which statement by the client demonstrates an understanding of the instructions?
Correct Answer: B
Rationale: Tapering prednisone prevents adrenal crisis, indicating understanding. Fever notification is general, hypoglycemia is unrelated, and tackle football is unsafe.
Question 5 of 5
The client with type 2 DM is scheduled for cardiac rehabilitation exercises (cardiac rehab). The nurse notes that the client's blood glucose level is 300 mg/dL and that the urine is positive for ketones. How should the nurse proceed?
Correct Answer: D
Rationale: Exercising with blood glucose levels exceeding 250 mg/dL and ketonuria increases the secretion of glucagon, growth hormone, and catecholamines, causing the liver to release more glucose.