NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 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 2 of 5
The nurse is reviewing information for the client with type 1 DM. The nurse concludes that the client may be experiencing the Somogyi phenomenon, as evidenced by which finding?
Correct Answer: D
Rationale: The nurse should conclude that the low blood glucose in the middle of the night (45-62 mg/dL) and a rebound morning hyperglycemia (200-305 mg/dL) are signs of Somogyi phenomenon, also known as Somogyi effect.
Question 3 of 5
The nurse is admitting a client diagnosed with primary adrenal cortex insufficiency (Addison's disease). Which clinical manifestations should the nurse expect to assess?
Correct Answer: C
Rationale: Addison’s causes cortisol and aldosterone deficiency, leading to bronze pigmentation, hypotension, and anorexia. Other options describe Cushing’s, hyperthyroidism, or unrelated symptoms.
Question 4 of 5
Which statement made by the client makes the nurse suspect the client is experiencing hyperthyroidism?
Correct Answer: D
Rationale: Tight collars suggest goiter, a hyperthyroidism symptom. Anorexia, constipation, and dry skin are hypothyroid-related.
Question 5 of 5
The nurse teaches the client how the infusion pump operates and correctly points out that the infusion is typically administered in which location?
Correct Answer: C
Rationale: Insulin pumps deliver insulin into the subcutaneous tissue of the abdomen for consistent absorption.