NCLEX-PN
Endocrine Disorders NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The unlicensed assistive personnel (UAP) complains to the nurse she has filled the water pitcher four (4) times during the shift for a client diagnosed with a closed head injury and the client has asked for the pitcher to be filled again. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Frequent water pitcher refills suggest polydipsia and polyuria, symptoms of diabetes insipidus post-head injury, requiring assessment. I&O, labs, and refilling follow.
Question 2 of 5
The client had a total pancreatectomy and splenectomy for cancer of the body of the pancreas. Which discharge instructions should the nurse teach? Select all that apply.
Correct Answer: B,C,D
Rationale: Stool softeners prevent constipation, insulin technique manages post-pancreatectomy diabetes, and proactive pain medication controls discomfort. I&O and elevated bed are unnecessary.
Question 3 of 5
When the client asks how to store an opened vial of insulin, which answer by the nurse offers the most correct instruction?
Correct Answer: C
Rationale: Opened insulin vials can be stored at room temperature for up to 28 days for stability and comfort during injection.
Question 4 of 5
The nurse is developing a plan of care for the client diagnosed with acquired immunodeficiency syndrome (AIDS) who has developed an infection in the adrenal gland. Which client problem is highest priority?
Correct Answer: D
Rationale: Adrenal infection may impair aldosterone production, causing fluid volume deficit (hypovolemia), a priority. Body image, activity, and coping are psychosocial and secondary.
Question 5 of 5
Because the client is receiving levothyroxine (Synthroid) for the first time, the nurse recognizes the need to cheese the client to assess the effect of the effect of replacement therapy. For which signs and symptoms should the nurse assess? Select all that apply.
Correct Answer: B,E,F
Rationale: Levothyroxine can cause signs of hyperthyroidism if overdosed, including palpitations, hyperactivity, and insomnia.