Endocrine NCLEX PN Practice Questions II With Rationale | 30 Q&A

Endocrine NCLEX PN Practice Questions II Ana Corona, MSN, FNP-C Nursing Instructor Question 1 A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of ...

Endocrine NCLEX PN Practice Questions II Ana Corona, MSN, FNP-C Nursing Instructor Question 1 A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect? A: Atherosclerosis B: Diabetic nephropathy C: Autonomic neuropathy D: Somatic neuropathy  1  Question 2  A patient’s chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute? A: Decreased HR B: Paresthesias C: Muscle weakness of the extremities D: Migraines  2  Question 3  A patient’s chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute? A: Vomiting B: Extreme Thirst C: Weight gain D: Acetone breath smell  3  Question 4  A 84 year-old male has been loosing mobility and gaining weight over the last 2 months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed? A: CBC (complete blood count) B: ECG (electrocardiogram) C: Thyroid function tests D: CT scan  4  Question 5  A 28 year old male has been found wandering around in a confused pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first? A: Blood sugar check B: CT scan C: Blood cultures D: Arterial blood gases  5  Question 6  The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is: A. Measure the urinary output B. Check the vital signs C. Encourage increased fluid intake D. Weigh the client  6  Question 7  A client has had a unilateral adrenalectomy to remove a tumor. To prevent complications, the most important measurement in the immediate post-operative period for the nurse to take is: A. Blood pressure B. Temperature C. Output D. Specific gravity  7  Question 8  A client with Addison's disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement? A. Glucometer readings as ordered B. Intake/output measurements C. Sodium and potassium levels monitored D. Daily weights  8  Question 9  A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses' next action be? A. Obtain a crash cart B. Check the calcium level C. Assess the dressing for drainage D. Assess the blood pressure for hypertension  9  Question 10  A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in 4 months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority? A. Impaired physical mobility related to decreased endurance B. Hypothermia r/t decreased metabolic rate C. Disturbed thought processes r/t interstitial edema D. Decreased cardiac output r/t bradycardia  10  Question 11  The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs? A. "I will make sure I eat breakfast within 10 minutes of taking my insulin." B. "I will need to carry candy or some form of sugar with me all the time." C. "I will eat a snack around three o'clock each afternoon." D. "I can save my dessert from supper for a bedtime snack."  11  Question 12  A 25-year-old client with Grave's disease is admitted to the unit. What would the nurse expect the admitting assessment to reveal? A. Bradycardia B. Decreased appetite C. Exophthalmos D. Weight gain  12  Question 13  A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse's response is based on the knowledge that: A. There is no need to take thyroid medication because the fetus's thyroid produces a thyroid-stimulating hormone. B. Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy. C. It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism. D. Fetal growth is arrested if thyroid medication is continued during pregnancy.  13  does not slow. Fetal growth is not arrested if thyroid medication is continued, so answer D is incorrect.  Question 14  A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes: A. Increasing fluid intake B. Limiting ambulation C. Administering an enema D. Withholding food for 8 hours  14  Question 15  The nurse should visit which of the following clients first? A. The client with diabetes with a blood glucose of 95mg/dL B. The client with hypertension being maintained on Lisinopril C. The client with chest pain and a history of angina D. The client with Raynaud's disease  15  Question 16  The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs? A. "I will make sure I eat breakfast within 2 hours of taking my insulin." B. "I will need to carry candy or some form of sugar with me all the time." C. "I will eat a snack around three o'clock each afternoon." D. "I can save my dessert from supper for a bedtime snack."  16  Question 17  The physician has ordered a thyroid scan to confirm the diagnosis. Before the procedure, the nurse should: A. Assess the client for allergies B. Bolus the client with IV fluid C. Tell the client he will be asleep D. Insert a urinary catheter  17  Question 18  A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact? A. The client should be placed in a room with negative pressure. B. Infection requires close contact; therefore, the door may remain open. C. Transmission is highly likely, so the client should wear a mask at all times. D. Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.  18  Question 19  The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside? A. A tracheotomy set B. A padded tongue blade C. An endotracheal tube D. An airway  19  Situation: A 17-year-old female model comes to your ER complaining of generalized cramps and numbness in her fingers. Medical history is noncontributory. When questioned, she tells you that She has been on a high-protein diet for "about 6 weeks." An I.V. line is started and blood is drawn for laboratory studies. Her serum calcium level is 5.5 mg/dl.  Question 20 In assessing this patient for hypocalcemia, Chvostek's sign is elicited by: A. Applying a (BP) cuff to the upper arm, inflating it, and observing for carpopedal spasm. B. Tapping a finger on the skin above the supramandibular portion of the parotid gland and observing for twitching of the upper lip on side opposite stimulation. C. Tapping a finger on the skin above the supramandibular portion of the parotid gland and observing for twitching of the upper lip on same side as stimulation. D. Having the patient hyperventilate (more than 30 breaths/minute) to produce carpopedal spasm resulting from respiratory alkalosis.  20  Question 21  Trousseau's sign can be elicited in the hypocalcemic patient by: A. Applying a BP cuff to upper arm, inflating it, and observing for carpopedal spasm. B. Tapping a finger on the supramandibular portion of the parotid cland and observing for twitching of the upper lip on the side opposite to the stimulation. C. Tapping a finger on the supramandibular portion of the parotid gland and observing for twitching of the upper lip on the same side as stimulation. D. Having the patient hyperventilate (more than 30 breaths/minute) to produce carpopedal spasm resulting from respiratory acidosis.  21  Situation:  A 71-year-old woman is transported to the ED because of fatigue and a change in mental status. On physical examination, her temperature is 96.8 degrees F. (36 degrees C.) rectally. Her BP is 110/74 mm Hg; pulse, 48 beats/minute; respirations, 12 breaths/minute; periorbital edema is present, and a yellowish skin pigmentation is noted. Her daughter relates a history of "thyroid problem" and noncompliance with medical therapy. The diagnosis of myxedema is made.  Question next slide  Question 22  The patient admitted with hypothyroid crisis (myxedema coma) would most likely have which of the following electrolyte abnormalities? A. Hyponatremia B. Hypernatremia C. Hyperglycemia D. Hypocalcemia  22  Question 23  Which of the following acid-base imbalances is most likely to occur in this patient? A. Respiratory acidosis B. Respiratory alkalosis without compensation C. Metabolic alkalosis D. Respiratory alkalosis with compensation  23  Question 24  Parental injections of cortisol for patients with addison’s disease should be injected: A. After the patient eats B. Deep into the deltoid C. Deep into the gluteal muscle D. Into the subcutaneous tissue  24  Question 25  Which medication is not an oral hypoglycemic agent? A. Glypizide (Glucotrol) B. Tolbutamide (Orinase) C. Chlorpropamide (diabinese) D. Diazoxide (Hyperstat)  25  Question 26 While reviewing a clients lab results, the nurse recognizes that a fasting glucose value of ________________ is within normal limits.  A diabetic client is admitted to the ER by a coworker, who found him unconscious on the floor. A nurse would first: