Endocrine NCLEX Questions

Extract:

Question 1 of 5

What is the nursing priority when administering care to a client with severe hyperthyroidism?

Correct Answer: B

Rationale: A calm, nonstimulating environment reduces hyperactivity and stress in hyperthyroidism, which exacerbates symptoms.

Question 2 of 5

As the nurse provides care for the client newly diagnosed with a large goiter, which interventions should be implemented? Select all that apply.

A. Observe the client's respiratory status B. Elevate the head of the client's bed C. Provide a diet high in food used. D. Obtain an order for a soft diet E. Assess for high fever F. Administer prescribed antibiotics

Correct Answer: A,B,D

Rationale: A large goiter can compress the trachea, necessitating respiratory monitoring, head elevation, and a soft diet to ease swallowing.

Question 3 of 5

The nurse writes a problem of 'altered body image' for a 34-year-old client diagnosed with Cushing's disease. Which intervention should be implemented?

A. Monitor blood glucose levels prior to meals and at bedtime. B. Perform a head-to-toe assessment on the client every shift. C. Use therapeutic communication to allow the client to discuss feelings. D. Assess bowel sounds and temperature every four (4) hours.

Correct Answer: C

Rationale: Therapeutic communication addresses body image concerns (e.g., moon face, weight gain) in Cushing’s, promoting coping. Glucose, assessments, and bowel sounds are unrelated.

Question 4 of 5

Two hours after taking a regular morning dose of regular insulin, the client presents to a clinic with diaphoresis, tremors, palpitations, and tachycardia. Which nursing action is most appropriate?

A. Check pulse oximetry; if 94% or less, start oxygen at 2 L per nasal cannula. B. Give a baby aspirin and one nitroglycerin tablet; obtain an electrocardiogram. C. Check blood glucose level; provide carbohydrates if less than 70 mg/dL (3.8 mmol/L). D. Check heart rate; if the HR is above 120 beats per minute, give atenolol 25 mg orally.

Correct Answer: C

Rationale: Regular insulin peaks in 2 to 4 hours after administration. The client's symptoms suggest hypoglycemia, so a blood glucose level should be checked and carbohydrates given if low.

Question 5 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?

A. Mid-morning B. Mid-afternoon C. Early evening D. During the night

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.

Endocrine NCLEX Questions | Nurselytic

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NCLEX-PN

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