NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
Which documentation finding provides the best indication that the client has successfully avoided an adrenal (addisonian) crisis after surgery?
Correct Answer: C
Rationale: Stable vital signs indicate the absence of adrenal crisis, characterized by hypotension and shock.
Question 2 of 5
The client is three (3) days postoperative unilateral adrenalectomy. Which discharge instructions should the nurse teach?
Correct Answer: D
Rationale: Notifying the HCP for incision inflammation prevents infection post-adrenalectomy. Lifelong steroids are for bilateral procedures, vasopressin is for DI, and Foley catheters are not standard.
Question 3 of 5
A client is admitted to the hospital with recently diagnosed Type I diabetes mellitus and is to have fasting blood work drawn this morning. At 7:00 A.M., the lab has not arrived to draw the blood. The client's dose of regular insulin is scheduled for 7:30 A.M. What is the best action for the nurse to take?
Correct Answer: C
Rationale: Withholding insulin until blood is drawn and the client has eaten prevents hypoglycemia during fasting blood work.
Question 4 of 5
Which documentation finding provides the best indication that the client has successfully avoided an adrenal (addisonian) crisis after surgery?
Correct Answer: C
Rationale: Stable vital signs indicate the absence of adrenal crisis, characterized by hypotension and shock.
Question 5 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.