NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
The nurse is assessing the feet of a client with long-term type 2 diabetes. Which assessment data warrant immediate intervention by the nurse?
Correct Answer: C
Rationale: A necrotic big toe indicates severe infection or gangrene, requiring immediate intervention to prevent amputation. Crumbling/thickened nails and athlete’s foot are less urgent.
Question 3 of 5
The client diagnosed with HHNS was admitted yesterday with a blood glucose level of 780 mg/dL. The client's blood glucose level is now 300 mg/dL. Which intervention should the nurse implement?
Correct Answer: D
Rationale: A glucose drop from 780 to 300 mg/dL requires HCP notification to adjust insulin, preventing hypoglycemia. Increasing insulin, checking ketones, or meals are inappropriate.
Question 4 of 5
The client diagnosed with a pituitary tumor developed syndrome of inappropriate antidiuretic hormone (SIADH). Which interventions should the nurse implement?
Correct Answer: B
Rationale: Nausea/vomiting and daily weights monitor SIADH complications (e.g., hyponatremia, fluid overload). Dehydration is unlikely, potassium is less critical, and vasopressin worsens SIADH.
Question 5 of 5
The client diagnosed with cancer of the pancreas is being discharged to start chemotherapy in the HCP's office. Which statement made by the client indicates the client understands the discharge instructions?
Correct Answer: B
Rationale: Writing down questions ensures effective communication with the HCP, indicating understanding. Daily visits, downplaying severity, and leg injections are incorrect.