NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
Which nursing intervention is essential for monitoring the client's condition?
Correct Answer: A
Rationale: Monitoring intake and output is critical in diabetes insipidus to assess fluid balance and the severity of polyuria.
Question 2 of 5
Which laboratory data indicate to the nurse the client’s pancreatitis is improving?
Correct Answer: A
Rationale: Acute pancreatitis is characterized by elevated serum amylase and lipase levels due to pancreatic inflammation. A decrease in these levels indicates reduced pancreatic injury and improvement in the condition. While a decreased WBC count may suggest resolving infection, it is less specific. Bilirubin levels are relevant for biliary obstruction, not pancreatitis improvement, and BUN reflects renal function, not pancreatic status.
Question 3 of 5
The nurse assesses the client following a total thyroidectomy. Which finding indicates that the client has a positive Trousseau's sign?
Correct Answer: A
Rationale: Trousseau's sign is carpal spasm due to hypocalcemia from parathyroid gland injury during thyroidectomy.
Question 4 of 5
The nurse caring for a client diagnosed with cancer of the pancreas writes the nursing diagnosis of 'risk for altered skin integrity related to pruritus.' Which intervention should the nurse implement?
Correct Answer: D
Rationale: Short fingernails prevent scratching from pruritus (due to jaundice), reducing skin breakdown risk. Turgor, antifungal creams, and bony prominences are unrelated.
Question 5 of 5
The client diagnosed with Cushing's disease has developed 1++ peripheral edema. The client has received intravenous fluids at 100 mL/hr via IV pump for the past 79 hours. The client received intravenous piggyback (IVPB) medication in 50 mL of fluid every six (6) hours for 15 doses. How many mL of fluid did the client receive?
Correct Answer: 8650 mL
Rationale: Continuous IV: 100 mL/hr × 79 hr = 7900 mL. IVPB: 50 mL × 15 doses = 750 mL.
Total = 7900 + 750 = 8650 mL.