NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
Which client history is most significant in the development of symptoms for a client who has iatrogenic Cushing's disease?
Correct Answer: C
Rationale: Long-term glucocorticoid use causes iatrogenic Cushing’s by mimicking hypercortisolism. Anabolic/inhabited steroids and family history are less causative.
Question 2 of 5
The client with type 2 DM is scheduled for cardiac rehabilitation exercises (cardiac rehab). The nurse notes that the client's blood glucose level is 300 mg/dL and that the urine is positive for ketones. How should the nurse proceed?
Correct Answer: D
Rationale: Exercising with blood glucose levels exceeding 250 mg/dL and ketonuria increases the secretion of glucagon, growth hormone, and catecholamines, causing the liver to release more glucose.
Question 3 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.
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
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.