NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is providing teaching to multiple clients. Which client should the nurse determine would benefit if the following illustration were utilized when teaching?
Correct Answer: D
Rationale: Clinical manifestations of Cushing's syndrome, such as moon face and fat pads, match the illustration.
Question 2 of 5
A client is diagnosed as having insulin-dependent diabetes mellitus (IDDM). She received regular insulin at 7:30 A.M. When is she most apt to develop a hypoglycemic reaction?
Correct Answer: A
Rationale: Regular insulin peaks 2-4 hours after administration, making mid-morning (9:30-11:30 A.M.) the most likely time for hypoglycemia.
Question 3 of 5
Which risk factor should the nurse expect to find in the client diagnosed with pancreatic cancer?
Correct Answer: C
Rationale: Chronic alcoholism is a well-established risk factor for pancreatic cancer, often linked to chronic pancreatitis, which predisposes to malignancy. Chewing tobacco is more associated with oral cancers, a low-fat diet is not a risk factor, and while industrial chemical exposure is a possible risk, it is less specific than alcoholism.
Question 4 of 5
The nurse is planning the care of a client diagnosed with Addison's disease. Which intervention should be included?
Correct Answer: A
Rationale: Steroid replacement (e.g., hydrocortisone) is essential for Addison’s to replace deficient cortisol/aldosterone. Fluid restriction, stimulation, and gait training are inappropriate.
Question 5 of 5
Which statement by the client about foot care indicates a need for further teaching?
Correct Answer: B
Rationale: Soaking feet can lead to skin breakdown in diabetic clients; feet should be washed and dried carefully.