NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is discussing ways to prevent diabetic ketoacidosis with the client diagnosed with type 1 diabetes. Which instruction is most important to discuss with the client?
Correct Answer: C
Rationale: Continuing insulin during illness prevents DKA by maintaining glucose control. ADA referral, avoiding OTC meds, and vaccines are secondary.
Question 2 of 5
The client diagnosed with acute pancreatitis is being discharged home. Which statement by the client indicates the teaching has been effective?
Correct Answer: B
Rationale: A low-fat, non-spicy diet prevents pancreatitis exacerbation, indicating effective teaching. Caffeine reduction is secondary, amylase/lipase are not self-monitored, and early work return is risky.
Question 3 of 5
The nurse is reviewing serum laboratory results for four female clients. Place an X on the client requiring the most immediate assessment.
Correct Answer: C
Rationale: Client C has elevated free T4 and decreased TSH, indicating hyperthyroidism, which can lead to life-threatening thyroid storm with severe hypertension and tachycardia, requiring immediate assessment.
Question 4 of 5
Preoperatively, which information is most important to teach the client before the subtotal thyroidectomy?
Correct Answer: D
Rationale: Using an incentive spirometer postoperatively helps prevent respiratory complications after thyroidectomy.
Question 5 of 5
What should be included in the nursing care plan for a client with diabetes insipidus?
Correct Answer: B
Rationale: Diabetes insipidus causes excessive urine output due to low antidiuretic hormone, requiring strict intake and output monitoring to assess fluid balance.