NCLEX-PN
Endocrine NCLEX Questions Questions
Extract:
Question 1 of 5
Which sign is most suggestive that a client with type 2 diabetes is developing hyperosmolar hyperglycemic nonketotic syndrome (HHNS)?
Correct Answer: A
Rationale: A serum glucose level of 650 mg/dL is characteristic of HHNS, indicating severe hyperglycemia.
Question 2 of 5
Which laboratory finding is most indicative of Addison's disease in this client?
Correct Answer: B,D
Rationale: Addison's disease causes decreased aldosterone, leading to low serum sodium and high potassium levels due to impaired electrolyte regulation.
Question 3 of 5
What should be included in the nursing care plan for a client with diabetes insipidus?
Correct Answer: B
Rationale: Diabetes insipidus causes excessive urine output due to low antidiuretic hormone, requiring strict intake and output monitoring to assess fluid balance.
Question 4 of 5
What is the nursing priority when administering care to a client with severe hyperthyroidism?
Correct Answer: B
Rationale: A calm, nonstimulating environment reduces hyperactivity and stress in hyperthyroidism, which exacerbates symptoms.
Question 5 of 5
Which finding would be the greatest cause for concern to the nurse during the early postoperative period following a thyroidectomy?
Correct Answer: C
Rationale: Carpal spasm (Trousseau’s sign) indicates hypocalcemia, a serious complication post-thyroidectomy due to parathyroid gland injury.