NCLEX-PN
Endocrine Disorders NCLEX Questions with Rationale Questions
Extract:
Question 1 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 2 of 5
The client diagnosed with hypothyroidism is prescribed the thyroid hormone levothyroxine (Synthroid). Which assessment data indicate the medication has been effective?
Correct Answer: C
Rationale: Normal temperature indicates corrected hypothermia from hypothyroidism. Weight gain, decreased pulse, and no diaphoresis are not specific indicators.
Question 3 of 5
The male client diagnosed with chronic pancreatitis calls and reports to the clinic nurse he has been having a lot of 'gas,' along with frothy and very foul-smelling stools. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Frothy, foul-smelling stools suggest malabsorption (e.g., pancreatic insufficiency), requiring urgent HCP evaluation. Explaining, stool samples, or diet changes are secondary.
Question 4 of 5
The client diagnosed with Cushing's syndrome is admitted with fluid volume overload. The client weighed 190 lb on admission and 179 lb after treatment. The nurse estimates that the amount of fluid the client lost was how many milliliters?
Correct Answer: C
Rationale: One liter of fluid (1000 mL) weighs approximately 2.2 lb. An 11-lb weight loss equals 5000 mL (11 lb / 2.2 lb = 5 L × 1000 mL per L = 5000 mL).
Question 5 of 5
The client is one (1) hour postoperative thyroidectomy. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Checking for bleeding on the posterior neck prevents hematoma, a critical post-thyroidectomy complication. Chvostek’s, calcium, and dressing changes are secondary.