Endocrine Disorders NCLEX Questions with Rationale

Extract:

Question 1 of 5

The nurse receives orders for the newly admitted client with Addison's disease. Which orders should the nurse question with the HCP? Select all that apply.

Correct Answer: A,B

Rationale: Potassium administration and a sodium-restricted diet are inappropriate as Addison's disease causes hyperkalemia and hyponatremia.

Question 2 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 3 of 5

The nurse observes the client self-administering the medication. Which action indicates that the client is using the medication correctly?

A. The client shakes the medication vigorously B. The client's head is tilted to the side. C. The client inverts the drug container. D. The client inhales with each spray.

Correct Answer: D

Rationale: For intranasal lypressin, inhaling with each spray ensures proper delivery of the medication to the nasal mucosa.

Question 4 of 5

The agitated client is hospitalized with tachycardia, dyspnea, and intermittent chest palpitations. The client's BP is 170/110 mm Hg, and HR is 130 bpm. The client's health history reveals thinning hair, recent 10-lb weight loss, increased appetite, fine hand and tongue tremors, hyperreflexic tendon reflexes, and smooth, moist skin. Which prescribed intervention should be the nurse's priority?

A. 12-lead electrocardiogram (ECG) and cardiac enzyme levels. B. Obtain thyroid-stimulating hormone (TSH) and free T4 levels. C. Propranolol 2 mg IV q15 min or until symptoms are controlled. D. Propylthiouracil 600-mg oral loading dose; then 200 mg orally q4h.

Correct Answer: C

Rationale: Propranolol provides rapid symptomatic relief of thyrotoxicosis by controlling cardiac and psychomotor manifestations.

Question 5 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?

A. Elevates the head of the client's bed to 30 degrees B. Gathers supplies to replace the bloody nasal packing C. Moisturizes the client's oral mucous membranes D. Places a cold washcloth over the client's swollen eyes

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.

Endocrine Disorders NCLEX Questions with Rationale | Nurselytic

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