NCLEX-PN
Endocrine Disorders NCLEX Questions
Extract:
Question 1 of 5
Which signs/symptoms should make the nurse suspect the client is experiencing a thyroid storm?
Correct Answer: B
Rationale: Thyroid storm causes hyperpyrexia (high fever) and extreme tachycardia due to excessive thyroid hormone. Other options are hypothyroid or unrelated.
Question 2 of 5
The home health nurse is completing the first home visit for the elderly Hispanic client newly diagnosed with type 2 DM. The client has been instructed on self-administering NPH and regular insulin in the morning and at suppertime. What information should the nurse reinforce when teaching the client? Select all that apply.
Correct Answer: A,B,D
Rationale: Daily foot inspection prevents complications, magnifying devices prevent dosing errors, and a bedtime snack covers insulin peaks to prevent hypoglycemia.
Question 3 of 5
Which client statement about managing diabetes during illness indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping insulin during illness is dangerous as stress hormones can increase blood glucose, requiring continued or adjusted insulin dosing.
Question 4 of 5
Which statement provides the best evidence that the client understands the prescribed drug therapy?
Correct Answer: B
Rationale: Levothyroxine for myxedema typically requires lifelong therapy to maintain thyroid hormone levels.
Question 5 of 5
Which laboratory data make the nurse suspect the client with primary hyperparathyroidism is experiencing a complication?
Correct Answer: A
Rationale: Elevated creatinine (2.8 mg/dL) suggests kidney damage, a complication of hyperparathyroidism’s hypercalcemia. Normal calcium, triglycerides, and sodium are unremarkable.