NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
Which action by the nurse provides the best data for monitoring the client's therapeutic response to sodium restriction?
Correct Answer: B
Rationale: Measuring pedal edema assesses fluid retention, a key indicator of sodium restriction response in Cushing's syndrome.
Question 2 of 5
Which laboratory value should be monitored by the nurse for the client diagnosed with diabetes insipidus?
Correct Answer: A
Rationale: Diabetes insipidus causes dilute urine, risking hypernatremia; serum sodium monitoring is critical. Calcium, urine glucose, and WBCs are unrelated.
Question 3 of 5
The client has developed iatrogenic Cushing's disease. Which statement is the scientific rationale for the development of this diagnosis?
Correct Answer: B
Rationale: Iatrogenic Cushing’s results from prolonged exogenous steroid use, mimicking endogenous hypercortisolism. Autoimmune issues, pituitary tumors, and idiopathic causes are incorrect.
Question 4 of 5
Which statement provides the best evidence that the client who has undergone a bilateral adrenalectomy understands the postoperative course?
Correct Answer: A
Rationale: Avoiding infections is critical post-adrenalectomy due to lifelong steroid replacement and immunosuppression.
Question 5 of 5
Which monitoring approach is best for the nurse to recommend?
Correct Answer: B
Rationale: A glucometer provides accurate, real-time blood glucose levels for effective diabetes management.