NCLEX-PN
NCLEX Endocrine Questions Questions
Extract:
Question 1 of 5
Which nursing interventions are most appropriate at this time? Select all that apply.
Correct Answer: A,C,D,F
Rationale: In thyroid crisis, frequent vital sign monitoring, activity limitation, antipyretics, and availability of calcium gluconate address hypermetabolic state and potential hypocalcemia.
Question 2 of 5
The nurse is preparing to administer the following medications. Which medication should the nurse question administering?
Correct Answer: A
Rationale: Administering thyroid hormone without T3/T4 levels risks overtreatment, as levels confirm hypothyroidism. Insulin, diuretics, and digoxin are appropriate based on data.
Question 3 of 5
The nurse caring for a client diagnosed with cancer of the pancreas writes the problem of 'altered nutrition: less than body requirements.' Which collaborative intervention should the nurse include in the plan of care?
Correct Answer: D
Rationale: Referring to a dietitian ensures specialized nutritional planning for pancreatic cancer, addressing malabsorption and weight loss. PEG feedings, family foods, and preferences are secondary.
Question 4 of 5
Which nursing diagnosis should the nursing team consider when developing this client's care plan?
Correct Answer: B
Rationale: Acromegaly can cause joint pain and muscle weakness, contributing to self-care deficits.
Question 5 of 5
The client with type 1 DM is scheduled for major surgery in the morning. The nurse on the night shift observes that the client's daily insulin dose remains the same as previously given. Which nursing action is most appropriate?
Correct Answer: A
Rationale: Because the client will be NPO for surgery, the nurse should verify the insulin type and dose to be administered to prevent a hypoglycemic reaction.