NCLEX-PN
Endocrine Disorders NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The nurse is preparing to care for four clients. In which order should the nurse plan to attend to the clients?
Correct Answer: A,D,C,B
Rationale: The thyroidectomy client with low SaO2 has a life-threatening airway issue, followed by the hyperthyroidism client at risk for thyroid storm, the DI client at risk for dehydration, and the stable hyperparathyroidism client last.
Question 2 of 5
The nurse is administering a pancreatic enzyme to the client diagnosed with chronic pancreatitis. Which statement best explains the rationale for administering this medication?
Correct Answer: A
Rationale: Pancreatic enzymes provide protease, amylase, and lipase to compensate for pancreatic insufficiency, aiding digestion. They don’t increase bowel movements or break down in the stomach.
Question 3 of 5
What is the best way to assess for hemorrhage in a client who has had a thyroidectomy?
Correct Answer: D
Rationale: Placing a hand under the neck and shoulders detects blood pooling under the incision, a common site for post-thyroidectomy hemorrhage.
Question 4 of 5
The client is diagnosed with hypothyroidism. Which assessment data support this diagnosis?
Correct Answer: B
Rationale: Constipation and cold intolerance are classic hypothyroidism symptoms due to slowed metabolism. Tachycardia/hypertension, fluid imbalance, and vomiting are unrelated.
Question 5 of 5
Which response by the nurse about potassium iodide (Lugol's solution) is correct?
Correct Answer: C
Rationale: Potassium iodide reduces thyroid vascularity, decreasing the risk of postoperative bleeding.