The nurse is caring for a client scheduled for an adrenalectomy after

Endocrine RN NCLEX Questions

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Question 1 of 5.

The nurse is caring for a client scheduled for an adrenalectomy after being diagnosed with pheochromocytoma. Which preoperative clinical data is essential for the nurse to monitor?

A. intake and output

B. blood glucose

C. vital signs

D. hemoglobin and hematocrit

Explanation: Pheochromocytoma causes catecholamine surges, leading to hypertension and tachycardia. Monitoring vital signs is critical preoperatively to manage these fluctuations and ensure stability.

Question 2 of 5.

The nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following would indicate the client is achieving the treatment goals?

A. Mean arterial pressure (MAP) 71 mmHg

B. Potassium 3.3 mEq/L (mmol) [3.5-5 mEq/L]

C. Blood glucose 255 mg/dL (14.15 mmol/L) [70-110 mg/dL, 4.0-11.0 mmol/L]

D. Serum pH 7.33 [7.35 and 7.45]

Explanation: In DKA, treatment aims to correct acidosis, hyperglycemia, and electrolyte imbalances. A serum pH of 7.33 is closer to the normal range (7.35-7.45), indicating improvement in acidosis. MAP of 71 mmHg is low, potassium is below normal, and glucose remains elevated, suggesting ongoing issues.

Question 3 of 5.

The nurse supervises a graduate nurse caring for a client newly admitted for postoperative management following a thyroidectomy. Which of the following actions by the graduate nurse indicates effective planning of the client's care?

A. A bottle of sterile water and petroleum-based gauze is at the bedside.

B. Obtains a prescription for magnesium sulfate.

C. The bedside is prepared with a tracheostomy set, oxygen, and suction.

D. Applies a cervical collar to the client

Explanation: Post-thyroidectomy, airway obstruction from swelling or hemorrhage is a risk. A tracheostomy set, oxygen, and suction are essential for emergency airway management. Sterile water and gauze are insufficient, magnesium sulfate is unrelated, and a cervical collar may restrict breathing.

Question 4 of 5.

The nurse plans care for a client experiencing a hyperglycemic-hyperosmolar state (HHS). The nurse should anticipate which prescriptions from the primary healthcare provider (PHCP)?

A. 0.9% saline infusion

B. Glargine insulin

C. Sodium polystyrene

D. Sodium bicarbonate

Explanation: HHS involves severe hyperglycemia and dehydration. 0.9% saline corrects fluid loss. Glargine is long-acting and not ideal for acute HHS, sodium polystyrene treats hyperkalemia, and bicarbonate is rarely used unless pH is critically low.

Question 5 of 5.

Select the client findings that require follow-up.

A. Capillary blood glucose

B. Peripheral pulse findings

C. Blood pressure

D. Not taking birth control

Explanation: Elevated glucose (254 mg/dL) suggests hyperglycemia, needing investigation. BP (145/93) indicates hypertension, requiring monitoring. Edema and BMI of 32 signal potential endocrine or cardiac issues. Peripheral pulses are normal and birth control is unrelated.