Endocrine Disorders NCLEX Questions with Rationale

Extract:

Question 1 of 5

Which nursing assessment is most helpful in evaluating the status of a client with Addison's disease?

Correct Answer: A

Rationale: Hypotension is a key sign of Addison's disease due to decreased aldosterone and cortisol.

Question 2 of 5

The client is admitted to the medical unit with a diagnosis of rule-out diabetes insipidus (DI). Which instructions should the nurse teach regarding a fluid deprivation test?

A. The client will be asked to drink 100 mL of fluid as rapidly as possible and then will not be allowed fluid for 24 hours. B. The client will be administered an injection of antidiuretic hormone (ADH), and urine output will be measured for four (4) to six (6) hours. C. The client will have nothing by mouth (NPO), and vital signs and weights will be done hourly until the end of the test. D. An IV will be started with normal saline, and the client will be asked to try to hold the urine in the bladder until a sonogram can be done.

Correct Answer: C

Rationale: The fluid deprivation test involves NPO status with hourly vitals and weights to assess urine concentration, diagnosing DI. Other options describe incorrect procedures.

Question 3 of 5

The client is ready for discharge following an adrenalectomy. Which statement that the client makes indicates the best understanding of the client's condition?

A. I will continue on a low-sodium, low-potassium diet.' B. My husband has arranged for a marriage counselor because of our fights.' C. I will stay out of the sun so I will not turn splotchy brown.' D. I will take all of those pills every day.'

Correct Answer: D

Rationale: Lifelong steroid replacement is required post-adrenalectomy, and taking prescribed pills daily shows understanding. A high-sodium, low-potassium diet is needed, and photosensitivity is not an issue.

Question 4 of 5

When the client asks how to store an opened vial of insulin, which answer by the nurse offers the most correct instruction?

A. The best place for storing insulin is in the bathroom, close to the shower. B. The best place to store insulin is in the refrigerator. C. The best way to store insulin is at room temperature. D. The best place for storing insulin is in a warm location but out of sunlight.

Correct Answer: C

Rationale: Opened insulin vials can be stored at room temperature for up to 28 days for stability and comfort during injection.

Question 5 of 5

The charge nurse of an intensive care unit is making assignments for the night shift. Which client should be assigned to the most experienced intensive care nurse?

A. The client diagnosed with respiratory failure who is on a ventilator and requires frequent sedation. B. The client diagnosed with lung cancer and iatrogenic Cushing's disease with ABGs of pH 7.35, PaO2 88, PaCO2 44, and HCO3 22. C. The client diagnosed with Addison's disease who is lethargic and has a BP of 80/45, P 124, and R 28. D. The client diagnosed with hyperthyroidism who has undergone a thyroidectomy two (2) days ago and has a negative Trousseau's sign.

Correct Answer: C

Rationale: Addison’s with hypotension (80/45), tachycardia (124), and lethargy suggests adrenal crisis, requiring an experienced nurse. Ventilator care, stable Cushing’s, and post-thyroidectomy are less acute.

Endocrine Disorders NCLEX Questions with Rationale | Nurselytic

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