Endocrine NCLEX Practice Questions (1-5)

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1. The nurse is performing an admission assessment on a client admitted to the hospital with a diagnosis of pheochromocytoma. The nurse prepares to implement what action to assess for the principal manifestation associated with this disorder?

a) checks the client’s pupils
b) checks the peripheral pulses
c) takes the client’s blood pressure
d) assesses for the presence of peripheral edema

 

2. Regular insulin by continuous intravenous (IV) infusion is prescribed for a client with a blood glucose level of 700 mg/dL. The nurse plans to:

a) mix the solution in 5% dextrose
b) change the solution every 6 hours
c) infuse the medication via an electronic infusion pump
d) titrate the infusion according to the client’s urine glucose levels

 

3. The nurse is developing a plan of a care for a client with diabetic ketoacidosis (DKA). The nurse includes which intervention in the plan?

a) assess for fluid overload
b) limit family visitation time
c) ambulate the client every 2 hours
d) maintain side rails in the upright position

 

4. A client undergoes a subtotal thyroidectomy. The nurse ensures that which priority item is at the client’s bedside upon arrival from the operating room?

a) an apnea monitor
b) a suction unit and oxygen
c) a blood transfusion warmer
d) an ampule of phytonadione (vitamin K)

 

5. The nurse is preparing the bedside for a postoperative parathyroidectomy client who is expected to return to the nursing unit from the recovery room in 1 hour. The nurse ensures that which piece of medical equipment is at the client’s bedside?

a) cardiac monitor
b) tracheotomy set
c) intermittent gastric suction
d) underwater seal chest drainage system

 

 

Endocrine NCLEX Practice Questions
Answers and Rationale

 

1) C
– Pheochromocytoma is a catecholamine-secreting tumor that is usually located in the adrenal medulla. Hypertension is the principal manifestation associated with pheochromocytoma, and it can be persistent, fluctuating, intermittent, or paroxysmal. The blood pressure status would be assessed by taking the client’s blood pressure. The assessments in options A, B, and D are not associated with this disorder.

 

2) C
– Insulin is administered via an infusion pump to prevent inadvertent overdose and subsequent hypoglycemia. There is no reason to change the solution every 6 hours. Dextrose is added to the IV infusion once the serum glucose level reaches 250 mg/dL to prevent the occurrence of hypoglycemia. Administering dextrose to a client with a serum glucose level of 700 mg/dL would counteract the beneficial effects of insulin in reducing the glucose level. Glycosuria is not a reliable indicator of the actual serum glucose levels because many factors affect the renal threshold for glucose loss in the urine.

 

3) D
– The client with DKA may experience a decrease in the level of consciousness (LOC) secondary to acidosis. Safety becomes a priority for any client with a decreased LOC, thus requiring the use of side rails to prevent fall injuries. The client will experience fluid loss (dehydration) rather than overload and may be too ill to ambulate. Family visitation is helpful for both the client and family to assist with psychosocial adaptation.

 

4) B
– Following thyroidectomy, respiratory distress can occur from tetany, tissue swelling, or hemorrhage. It is important to have oxygen and suction equipment readily available and in working order if such an emergency were to arise. Apnea is not a problem associated with thyroidectomy, unless the client experienced a respiratory arrest. Blood transfusions can be administered without a warmer, if necessary. Vitamin K would not be administered for a client who is hemorrhaging, unless deficiencies in clotting factors warrant its administration.

 

5) B
– Respiratory distress caused by hemorrhage and swelling and compression of the trachea is a primary concern for the nurse managing the care of a postoperative parathyroidectomy client. An emergency tracheotomy set is always routinely placed at the bedside of the client with this type of surgery, in anticipation of this potential complication. Options A, C, and D are not specifically needed with the surgical procedure.

 

After you reviewed your answers through its rationale, you can now proceed to the next set of questions:

Endocrine NCLEX Practice Questions (6-10)

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