Endocrine RN NCLEX Questions
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Question 1 of 5.
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse recognizes that SIADH can be caused by which condition?
A. Small cell lung cancer
B. Tumor on the adrenal medulla
C. Inflammation in the nephron
D. Beta cell destruction in the pancreas
Explanation: SIADH results from excess ADH, often caused by small cell lung cancer, which can ectopically produce ADH. Adrenal tumors, nephron inflammation, and beta cell issues do not typically cause SIADH.
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.
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