NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
Which client statement indicates the need for further teaching about thyroidectomy postoperative care?
Correct Answer: C
Rationale: Resuming normal activities immediately post-thyroidectomy is incorrect due to the risk of complications like bleeding or hypocalcemia.
Question 2 of 5
The client diagnosed with type 1 diabetes is receiving Humalog, a rapid-acting insulin, by sliding scale. The order reads blood glucose level: <150, zero (0) units; 151 to 200, three (3) units; 201 to 250, six (6) units; >251, contact health-care provider. The unlicensed assistive personnel (UAP) reports to the nurse the client's glucometer reading is 189. How much insulin should the nurse administer to the client?
Correct Answer: 3 units
Rationale: Per the sliding scale, a glucose of 189 (151–200 range) requires 3 units of Humalog.
Question 3 of 5
Which statement indicates that a client with an elevated 2-hour postprandial blood glucose level understands the significance of the screening test?
Correct Answer: B
Rationale: An elevated postprandial glucose level warrants further medical evaluation by a physician.
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
An elderly client with Type 2 diabetes mellitus develops an ingrown toenail. What is the best action for the nurse to take?
Correct Answer: D
Rationale: An ingrown toenail in a diabetic client risks infection and poor healing, requiring physician evaluation rather than self-treatment.