NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
When the nurse teaches the client how to self-administer potassium iodide (Lugol's solution), which instruction is most appropriate?
Correct Answer: C
Rationale: Diluting potassium iodide in fruit juice improves palatability and reduces gastric irritation.
Question 2 of 5
The nurse completes teaching the client with Cushing's disease. Which statement demonstrates that the client understands measures to prevent bone resorption from corticosteroid therapy?
Correct Answer: B
Rationale: Daily weight-bearing exercises can help prevent bone loss and strengthen bones and muscles.
Question 3 of 5
In response to a question about timing of symptoms during the nursing history, when is the client most likely to describe that symptoms typically occur?
Correct Answer: A
Rationale: Hyperinsulinism causes hypoglycemia, which is more likely after fasting due to excess insulin lowering blood glucose.
Question 4 of 5
The client diagnosed with cancer of the head of the pancreas is two (2) days postpancreatoduodenectomy (Whipple's procedure). Which nursing problem has the highest priority?
Correct Answer: B
Rationale: Fluid volume imbalance is the priority post-Whipple’s due to risks of bleeding or dehydration, impacting stability. Grieving, pain, and nutrition are secondary.
Question 5 of 5
The nurse administers a usual morning dose of 4 units of regular insulin and 8 units of NPH insulin at 7:30 am to the client with a blood glucose level of 110 mg/dL. Which statements regarding the client's insulin are correct?
Correct Answer: B
Rationale: The onset of regular insulin (short acting) is one-half to 1 hour, and the peak is 2 to 3 hours. The onset of NPH insulin (intermediate acting) is 2 to 4 hours, and the peak is 4 to 12 hours.