NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
Which nursing intervention should be included in the plan of care for the client diagnosed with hyperthyroidism?
Correct Answer: D
Rationale: Six small, balanced meals meet the increased metabolic demands of hyperthyroidism. Fiber, low-calorie diets, and fluid restriction are inappropriate.
Question 2 of 5
The nurse is caring for clients on a medical floor. Which client should be assessed first?
Correct Answer: C
Rationale: Muscle twitching in SIADH suggests hyponatremia-induced neurological symptoms, requiring immediate assessment. Weight gain, slight DI output imbalance, and tiredness are less urgent.
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
When the client asks why a diabetic relative cannot take insulin orally, what is the best answer?
Correct Answer: A
Rationale: Insulin is a protein that is broken down by digestive enzymes, rendering it ineffective if taken orally.
Question 5 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.