NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
Which laboratory finding is most indicative of Addison's disease in this client?
Correct Answer: B,D
Rationale: Addison's disease causes decreased aldosterone, leading to low serum sodium and high potassium levels due to impaired electrolyte regulation.
Question 2 of 5
The nurse is reviewing serum laboratory results for four female clients. Place an X on the client requiring the most immediate assessment.
Correct Answer: C
Rationale: Client C has elevated free T4 and decreased TSH, indicating hyperthyroidism, which can lead to life-threatening thyroid storm with severe hypertension and tachycardia, requiring immediate assessment.
Question 3 of 5
Which assessment technique is most appropriate when checking for laryngeal nerve damage in a client who has had a thyroidectomy?
Correct Answer: D
Rationale: Asking the client to say 'Ah' assesses vocal cord function, which can be affected by laryngeal nerve damage.
Question 4 of 5
The nurse is teaching the client diagnosed with hyperthyroidism. Which information should be taught to the client? Select all that apply.
Correct Answer: B,C,D
Rationale: Coping with emotional lability, reporting OTC meds, and carrying ID address hyperthyroidism’s effects and safety. Rapid weight loss is expected, and thyroid meds are for hypothyroidism.
Question 5 of 5
The client diagnosed with diabetes complains of a curtain being drawn across the eyes. Which should the nurse implement first?
Correct Answer: C
Rationale: A curtain-like vision loss suggests retinal detachment, a diabetic complication requiring urgent HCP notification. Ophthalmoscopy, closing eyes, or RRT are inappropriate first steps.