Endocrine NCLEX Practice Questions and Answers 2021/2022 with complete solution.
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Course
NCLEX
Institution
NCLEX
Which of the following assessment findings characterize thyroid storm?
a) increased body temperature, decreased pulse, and increased blood pressure
b) increased body temperature, increased pulse, and increased blood pressure
c) increased body temperature, decreased pulse, and decreased blood pre...
endocrine nclex practice questions and answers 20212022 with complete solution
which of the following assessment findings characterize thyroid storm
the nurse is planning care for a client with hyp
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Endocrine NCLEX Practice Questions
Which of the following assessment findings characterize thyroid storm?
a) increased body temperature, decreased pulse, and increased blood pressure
b) increased body temperature, increased pulse, and increased blood pressure
c) increased body temperature, decreased pulse, and decreased blood pressure
d) increased body temperature, increased pulse, and decreased blood pressure -
answer b) increased body temperature, increased pulse, and increased blood pressure
Thyroid storm is characterized by SNS activation. Thyroid hormones potentiate effects
of cathecolamines (epinephrine/norepinephrine). Therefore, all vital signs will be
increased.
The nurse is planning care for a client with hyperthyroidism. Which of the following
nursing interventions are appropriate? Select all that apply
a) instill isotonic eye drops as necessary
b) provide several, small, well-balanced meals
c) provide rest periods
d) keep environment warm
e) encourage frequent visitors and conversation
f) weigh the client daily - answer a, b, c, and f
(a) The client with hyperthyroidism may experience exopthalmos. This requires
instillation of eye drops to prevent dryness and ulceration of the cornea.
(b and f) The client experiences weight loss because of hypermetabolism. Several,
small, well-balanced meals are given to improve nutritional status of the client and daily
weights should be monitored. Weight is the most objective indicator of nutritional status.
(c) The client is usually exhausted due to restlessness and agitation. Frequent rest
periods help the client regain energy.
After thyroidectomy, which of the following is the priority assessment to observe
laryngeal nerve damage?
a) hoarseness of voice
b) difficulty in swallowing
c) tetany
d) fever - answer a) hoarseness of voice
Laryngeal nerve damage is manifested by severe hoarseness of voice of "whispery
voice".
When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:
a. vasopressin (Pitressin Synthetic)
b. furosemide (Lasix).
c. regular insulin.
, Endocrine NCLEX Practice Questions
d. 10% dextrose. - answer a. vasopressin (Pitressin Synthetic)
Because diabetes insipidus results from decreased antidiuretic hormone (vasopressin)
production, the nurse should expect to administer synthetic vasopressin for hormone
replacement therapy. Furosemide, a diuretic, is contraindicated because a client with
diabetes insipidus experiences polyuria. Insulin and dextrose are used to treat diabetes
mellitus and its complications, not diabetes insipidus.
Nurse Ronn is assessing a client with possible Cushing's syndrome. In a client with
Cushing's syndrome, the nurse would expect to find:
a. Hypotension.
b. Thick, coarse skin.
c. Deposits of adipose tissue in the trunk and dorsocervical area.
d. Weight gain in arms and legs. - answer c. Deposits of adipose tissue in the trunk and
dorsocervical area
Because of changes in fat distribution, adipose tissue accumulates in the trunk, face
(moonface), and dorsocervical areas (buffalo hump). Hypertension is caused by fluid
retention. Skin becomes thin and bruises easily because of a loss of collagen. Muscle
wasting causes muscle atrophy and thin extremities.
For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female
client for Chvostek's sign and Trousseau's sign because they indicate which of the
following?
a. Hypocalcemia
b. Hypercalcemia
c. Hypokalemia
d. Hyperkalemia - answer a. Hypocalcemia
The client who has undergone a thyroidectomy is at risk for developing hypocalcemia
from inadvertent removal or damage to the parathyroid gland. The client with
hypocalcemia will exhibit a positive Chvostek's sign (facial muscle contraction when the
facial nerve in front of the ear is tapped) and a positive Trousseau's sign (carpal spasm
when a blood pressure cuff is inflated for a few minutes). These signs aren't present
with hypercalcemia, hypokalemia, or hyperkalemia.
An incoherent female client with a history of hypothyroidism is brought to the emergency
department by the rescue squad. Physical and laboratory findings reveal hypothermia,
hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of
the face and pretibial area. Knowing that these findings suggest severe hypothyroidism,
nurse Libby prepares to take emergency action to prevent the potential complication of:
a. Thyroid storm.
b. Cretinism.
c. Myxedema coma.
d. Hashimoto's thyroiditis. - answer c. Myexedema coma.
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