Endocrine Disorders NCLEX Questions with Rationale

Extract:

Question 1 of 5

The nurse observes a colleague caring for the client who had a hypophysectomy via the transsphenoidal approach 12 hours ago. Which action would require the observing nurse to intervene?

Correct Answer: B

Rationale: Nasal packing is left in place for 3-4 days post-hypophysectomy and should not be changed without an HCP order.

Question 2 of 5

The nurse is discussing the importance of exercising with a client diagnosed with type 2 diabetes whose diabetes is well controlled with diet and exercise. Which information should the nurse include in the teaching about diabetes?

A. Eat a simple carbohydrate snack before exercising. B. Carry peanut butter crackers when exercising. C. Encourage the client to walk 20 minutes three (3) times a week. D. Perform warm-up and cool-down exercises.

Correct Answer: D

Rationale: Warm-up and cool-down exercises prevent injury during exercise, crucial for type 2 diabetics. Pre-exercise snacks are for insulin users, peanut butter is high-fat, and walking is good but not the focus.

Question 3 of 5

The client is admitted to the medical unit with a diagnosis of rule-out diabetes insipidus (DI). Which instructions should the nurse teach regarding a fluid deprivation test?

A. The client will be asked to drink 100 mL of fluid as rapidly as possible and then will not be allowed fluid for 24 hours. B. The client will be administered an injection of antidiuretic hormone (ADH), and urine output will be measured for four (4) to six (6) hours. C. The client will have nothing by mouth (NPO), and vital signs and weights will be done hourly until the end of the test. D. An IV will be started with normal saline, and the client will be asked to try to hold the urine in the bladder until a sonogram can be done.

Correct Answer: C

Rationale: The fluid deprivation test involves NPO status with hourly vitals and weights to assess urine concentration, diagnosing DI. Other options describe incorrect procedures.

Question 4 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for clients on an oncology floor. Which intervention should the nurse delegate to the UAP?

A. Assist the client with abdominal pain to turn to the side and flex the knees. B. Monitor the Jackson Pratt drainage tube to ensure it is draining properly. C. Check to see if the client is sleeping after pain medication is administered. D. Empty the bedside commode of the client who has been having melena.

Correct Answer: A

Rationale: Assisting with positioning is within the UAP’s scope and promotes comfort. Monitoring drains, assessing sleep, and handling melena require RN skills.

Question 5 of 5

Which nursing assessment is most helpful in evaluating the status of a client with Addison's disease?

A. Blood pressure B. Bowel sounds C. Breath sounds D. Heart sounds

Correct Answer: A

Rationale: Hypotension is a key sign of Addison's disease due to decreased aldosterone and cortisol.

Endocrine Disorders NCLEX Questions with Rationale | Nurselytic

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