NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
Which assessment technique is most appropriate when checking for laryngeal nerve damage in a client who has had a thyroidectomy?
Correct Answer: D
Rationale: Asking the client to say 'Ah' assesses vocal cord function, which can be affected by laryngeal nerve damage.
Question 2 of 5
If the following foods are available, which one should the nurse recommend?
Correct Answer: A
Rationale: Cheddar cheese is high in sodium, which is beneficial for clients with Addison's disease to replace sodium loss.
Question 3 of 5
The nurse is caring for clients on a medical floor. Which client should be assessed first?
Correct Answer: C
Rationale: Muscle twitching in SIADH suggests hyponatremia-induced neurological symptoms, requiring immediate assessment. Weight gain, slight DI output imbalance, and tiredness are less urgent.
Question 4 of 5
Which endocrine disorder should the nurse assess for in the client who has a closed head injury with increased intracranial pressure?
Correct Answer: B
Rationale: Closed head injuries with increased intracranial pressure can impair the pituitary gland, leading to diabetes insipidus (DI) due to reduced antidiuretic hormone (ADH) secretion, causing polyuria and dehydration. Pheochromocytoma, Hashimoto’s, and gynecomastia are unrelated to head trauma.
Question 5 of 5
A client has a transsphenoidal hypophysectomy to remove a pituitary tumor. When the client returns to the nursing unit following surgery, the head of the bed is elevated 30 degrees. What is the primary purpose for placing the client in this position?
Correct Answer: B
Rationale: Elevating the head 30 degrees reduces pressure on the sella turcica, minimizing the risk of cerebrospinal fluid leakage post-hypophysectomy.