NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
Which nursing instruction should the nurse discuss with the client who is receiving glucocorticoids for Addison’s disease?
Correct Answer: B
Rationale: Addison’s disease requires glucocorticoid replacement, and doses must be increased during stress or infection to mimic the body’s natural cortisol response and prevent adrenal crisis. Tapering applies to exogenous steroid cessation, empty stomach intake is incorrect, and socks are irrelevant.
Question 2 of 5
The client diagnosed with acute pancreatitis has a ruptured pseudocyst. Which procedure should the nurse anticipate the HCP prescribing?
Correct Answer: A
Rationale: A ruptured pancreatic pseudocyst can cause peritoneal irritation or fluid accumulation, potentially requiring drainage. Paracentesis removes abdominal fluid, which may be performed in severe cases, though surgical drainage or endoscopic intervention is more specific. Chest tube insertion is for pleural issues, lumbar puncture is for cerebrospinal fluid, and pancreatic biopsy is diagnostic, not therapeutic for a ruptured pseudocyst.
Question 3 of 5
The client is admitted to the ICU diagnosed with DKA. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Ventilation, fluid status, ketone checks, and I&O monitoring manage DKA’s acidosis, dehydration, and ketosis. Potassium is given only if low, not routinely.
Question 4 of 5
The nurse teaches the client with newly diagnosed diabetes mellitus about the signs and symptoms of hypoglycemia. Which of the following should the nurse stress in teaching? Select all that apply.
Correct Answer: D,E,F
Rationale: Hypoglycemia causes hunger, diaphoresis, and confusion due to low blood glucose affecting the brain and body.
Question 5 of 5
The nurse identifies the client problem 'risk for imbalanced body temperature' for the client diagnosed with hypothyroidism. Which intervention should be included in the plan of care?
Correct Answer: A
Rationale: Hypothyroidism causes cold intolerance; discouraging electric blankets prevents burns due to reduced sensation. Frequent temperature checks, cool rooms, and rest are less relevant.