NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to discharge the client following a unilateral adrenalectomy to treat hyperaldosteronism caused by an adenoma. Which instruction should be included in this client's discharge teaching?
Correct Answer: B
Rationale: Self-monitoring BP is necessary as hypertension may persist in 20% of clients post-adrenalectomy.
Question 2 of 5
Which nursing interventions are most appropriate at this time? Select all that apply.
Correct Answer: A,C,D,F
Rationale: In thyroid crisis, frequent vital sign monitoring, activity limitation, antipyretics, and availability of calcium gluconate address hypermetabolic state and potential hypocalcemia.
Question 3 of 5
The clinic nurse is assessing the client. The nurse evaluates that the client's levothyroxine dose is too low when which findings are noted on assessment? Select all that apply.
Correct Answer: B,C,D,F
Rationale: Decreased sweating, apathy, fatigue, paresthesias, and slowed mental processes indicate hypothyroidism, suggesting an inadequate levothyroxine dose.
Question 4 of 5
During change of shifts, a nurse discovers that a hospitalized client with diabetes received two doses of insulin. After notifying the physician, which nursing action is most appropriate?
Correct Answer: D
Rationale: Monitoring blood glucose is critical to detect and manage potential hypoglycemia from the double dose.
Question 5 of 5
The client diagnosed with Cushing's disease has developed 1++ peripheral edema. The client has received intravenous fluids at 100 mL/hr via IV pump for the past 79 hours. The client received intravenous piggyback (IVPB) medication in 50 mL of fluid every six (6) hours for 15 doses. How many mL of fluid did the client receive?
Correct Answer: 8650 mL
Rationale: Continuous IV: 100 mL/hr × 79 hr = 7900 mL. IVPB: 50 mL × 15 doses = 750 mL.
Total = 7900 + 750 = 8650 mL.