NCLEX RN Endocrine Questions
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Question 1 of 5.
Extract:The following scenario applies to the next 1 items The nurse in the emergency department cares for a 45-year-old female Nurses' Note The client reports significant fatigue that has worsened over the past eight weeks. Additionally, the client reports constipation, hair loss, and a 3-kilogram (6.6 pounds) weight gain. She reports missing work because of difficulty concentrating and persistent fatigue. The client is alert and fully oriented. She appears fatigued and reports dizziness when she moves quickly. Periorbital edema, various bruises, and facial swelling were noted on assessment. Peripheral pulses were intact and weak. The client denies any pain. Vital Signs Oral temperature 97 F (36.1o C); Pulse 51/minute; Respirations 15/minute. BP 93/61 mm Hg; Oxygen saturation 95% on room air.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two (2) actions the nurse should take to address that condition, and two (2) parameters the nurse should monitor to assess the client's progress.
Action To take
- A.Obtain a prescription for levothyroxine
- B. Obtain a prescription for methimazole
- C. Have the client complete a blood transfusion consent
- D. Obtain an order for a urine cortisol level
- E. Initiate fall precautions.
Potential Condition
- A.Vital Signs
- B. Serum TSH/T3/T4 levels
- C. Intake and Output
- D. Cortisol Level
- E. BUN and Creatinine.
Parameter to Monitor
- A.Graves' disease
- B. Cushing's syndrome
- C. Hypothyroidism
- D. Systemic Lupus Erythematosus
- E. Adrenal Insufficiency.
Explanation: Fatigue, weight gain, and bradycardia suggest hypothyroidism. Levothyroxine treats it, fall precautions address dizziness, and TSH/T3/T4 and vital signs monitor progress.
Question 2 of 5.
The nurse is caring for a client with Graves' disease who has exophthalmos. The nurse should recommend that the client
A. prevent eye dryness by applying artificial tears.
B. use scanning techniques to move the head from side to side.
C. take their thyroid hormone as prescribed.
D. sleep flat on your back without any pillows.
Explanation: Exophthalmos in Graves' disease causes protruding eyes, increasing the risk of dryness and irritation. Artificial tears help maintain moisture and protect the eyes. Sleeping flat may worsen eye protrusion, and thyroid hormone management is unrelated to exophthalmos directly.
Question 3 of 5.
The nurse is caring for a client who developed a thyroid storm. The nurse should obtain a prescription for
A. enalapril.
B. calcium gluconate.
C. levothyroxine.
D. propranolol.
Explanation: Thyroid storm is a life-threatening hyperthyroid state. Propranolol, a beta-blocker, reduces heart rate, blood pressure, and other hypermetabolic symptoms. Enalapril is for hypertension, calcium gluconate for hypocalcemia, and levothyroxine worsens hyperthyroidism.
Question 4 of 5.
The nurse is developing a plan of care for a client with hypothyroidism that is not controlled with medication. The nurse should recommend
A. applying lotion after a warm bath.
B. high-fiber snacks.
C. caffeinated beverages to promote energy.
D. physical activities with frequent rest breaks.
E. adding fans to the room to keep it cool.
Explanation: Hypothyroidism causes dry skin, constipation, and fatigue. Lotion hydrates skin, high-fiber snacks aid bowel movements, and rest breaks accommodate low energy. Caffeine may overstimulate, and fans are unhelpful as clients feel cold, not hot.
Question 5 of 5.
The nurse is assessing a client with a myxedema coma. Which of the following would be an expected finding?
A. Glucose 59 mg/dL (3.28 mmol/L) [70-110 mg/d, 4.0-6.0 mmol/L]
B. Sodium 155 mEq/L (mmol/L) [135-145 mEq/L, mmol/L]
C. Serum pH 7.49 [7.35-7.45]
Explanation: Myxedema coma, a severe hypothyroid state, can cause hypoglycemia due to reduced metabolism. Hypernatremia and alkalosis are not typical; hyponatremia and acidosis are more common.
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