NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
Which characteristic findings would the nurse expect to assess in a client with Addison's disease? Select all that apply.
Correct Answer: A,D,E,F
Rationale: Addison's disease causes adrenal insufficiency, leading to salt craving, bronzed skin, hypoglycemia, and weight loss.
Question 2 of 5
The nurse is discharging a client diagnosed with diabetes insipidus. Which statement made by the client warrants further intervention?
Correct Answer: B
Rationale: Desmopressin (DI medication) requires consistent dosing, not morning-only, and storage instructions are vague; this needs clarification. Other statements are appropriate.
Question 3 of 5
The client newly diagnosed with hyperthyroidism has a fever of 101.3°F (38.5°C). Which additional assessment findings should the nurse identify as those associated with thyroid storm? Select all that apply.
Correct Answer: B,C,E
Rationale: Tachycardia, diarrhea, and recent stress (e.g., tooth extraction) are associated with thyroid storm due to excessive thyroid hormone.
Question 4 of 5
An adult with myxedema is started on thyroid replacement therapy and is discharged. The client returns to the doctor's office one week later. Which statement that the client makes is most indicative of an adverse reaction to the medication?
Correct Answer: A
Rationale: Chest pain during activity suggests angina, a potential adverse effect of thyroid replacement therapy due to increased metabolic demand.
Question 5 of 5
The elderly client is admitted to the intensive care department diagnosed with severe HHNS. Which collaborative intervention should the nurse include in the plan of care?
Correct Answer: A
Rationale: IV normal saline corrects severe dehydration in HHNS, a priority collaborative intervention. Insulin is secondary, daily glucose checks are insufficient, and ABGs are less critical in HHNS.