NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
Which client action indicates a need for further teaching about insulin administration?
Correct Answer: D
Rationale: Injecting insulin into a lipodystrophic area can impair absorption, indicating a need for further teaching on site rotation.
Question 2 of 5
The nurse is preparing to administer the following medications. Which medication should the nurse question administering?
Correct Answer: A
Rationale: Administering thyroid hormone without T3/T4 levels risks overtreatment, as levels confirm hypothyroidism. Insulin, diuretics, and digoxin are appropriate based on data.
Question 3 of 5
A woman with a tumor of the adrenal cortex says to the nurse, 'Will I always look this ugly? I hate having a beard.' What is the best response for the nurse to make?
Correct Answer: C
Rationale: Post-adrenalectomy, hormonal imbalances causing symptoms like hirsutism should resolve, gradually normalizing appearance.
Question 4 of 5
The nurse is planning the care of a client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). Which interventions should be implemented? Select all that apply.
Correct Answer: A,B,D
Rationale: Fluid restriction, frequent consciousness checks, and osmolality monitoring manage SIADH’s hyponatremia and fluid overload. Stimulation is inappropriate, and weighing every 3 days is too infrequent.
Question 5 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.