Endocrine NCLEX Questions

Extract:

Question 1 of 5

Which endocrine disorder should the nurse assess for in the client who has a closed head injury with increased intracranial pressure?

Correct Answer: B

Rationale: Closed head injuries with increased intracranial pressure can impair the pituitary gland, leading to diabetes insipidus (DI) due to reduced antidiuretic hormone (ADH) secretion, causing polyuria and dehydration. Pheochromocytoma, Hashimoto’s, and gynecomastia are unrelated to head trauma.

Question 2 of 5

A client has a transsphenoidal hypophysectomy to remove a pituitary tumor. When the client returns to the nursing unit following surgery, the head of the bed is elevated 30 degrees. What is the primary purpose for placing the client in this position?

A. To promote respiratory effort B. To reduce pressure on the sella turcica C. To prevent acidosis D. To promote oxygenation

Correct Answer: B

Rationale: Elevating the head 30 degrees reduces pressure on the sella turcica, minimizing the risk of cerebrospinal fluid leakage post-hypophysectomy.

Question 3 of 5

The nurse writes a problem of 'altered body image' for a 34-year-old client diagnosed with Cushing's disease. Which intervention should be implemented?

A. Monitor blood glucose levels prior to meals and at bedtime. B. Perform a head-to-toe assessment on the client every shift. C. Use therapeutic communication to allow the client to discuss feelings. D. Assess bowel sounds and temperature every four (4) hours.

Correct Answer: C

Rationale: Therapeutic communication addresses body image concerns (e.g., moon face, weight gain) in Cushing’s, promoting coping. Glucose, assessments, and bowel sounds are unrelated.

Question 4 of 5

A friend brings the older adult homeless client to a free health screening clinic. The friend is unable to continue administering the client's morning and evening insulin dose for treating type 1 DM. When advocating for this client, which action by the nurse is most appropriate?

A. Notify Adult Protective Services about the client's condition and living situation. B. Ask where the client lives and whether someone else could administer the insulin. C. Arrange with a local homeless shelter to have someone give the insulin injections. D. Have the client return to the screening clinic morning and evening to receive the injections.

Correct Answer: C

Rationale: The nurse advocates by ensuring that the client has access to health care services. The nurse should contact a social worker whose role it is to make placement arrangements.

Question 5 of 5

Which signs/symptoms indicate the client with hypothyroidism is not taking enough thyroid hormone?

A. Complaints of weight loss and fine tremors. B. Complaints of excessive thirst and urination. C. Complaints of constipation and being cold. D. Complaints of delayed wound healing and belching.

Correct Answer: C

Rationale: Constipation and cold intolerance indicate persistent hypothyroidism due to inadequate thyroid hormone. Weight loss/tremors, thirst, and healing/belching are unrelated.

Endocrine NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN