Endocrine Nclex questions and answers

Endocrine Nclex questions and answers1. After teaching a client with acromegaly who is scheduled for an open transsphenoidal hypophysectomy, the nurse assesses the client’s understanding. Which statement made by the client indicates a need for further teaching? a) “I am glad no visible incision will result from this surgery.” b) “I hope I can go back to wearing size 8 shoes instead of size 12.” c) “I will no longer need to limit my fluid intake after surgery.” d) “I will wear slip-on shoes after surgery to limit bending over.” 2. After teaching a client who is recovering from an endoscopic transsphenoidal hypophysectomy, the nurse assesses the client’s understanding. Which statement made by the client indicates a correct understanding of the teaching? a) “I’ll keep food on upper shelves so I do not have to bend over.” b) “I must wash the incision with saline and redress it daily.” c) “I should cough and deep breathe every 2 hours while I am awake.” d) “I will wear dark glasses to prevent sun exposure.” 3. A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic hormone (SIADH). The client’s serum sodium level is 114 mEq/L (114 mmol/L). What nursing action would be appropriate? a) Handle the client gently by using turn sheets for repositioning. b) Instruct assistive personnel to measure intake and output. c) Restrict the client’s fluid intake to 600 mL/day. d) Consult with the dietitian about increased dietary sodium. 4. The nurse is caring for a client who is diagnosed with diabetes insipidus (DI). For what common complication will the nurse monitor? a) Hypertension b) Bradycardia c) Dehydration d) Urine Retention 5. A client is being treated for diabetes insipidus (DI) with synthetic vasopressin (desmopressin). What is the priority health teaching that the nurse provides regarding drug therapy? Created from exam creator software provided by: Ignatavicius, D. D., Workman, L. M., & Rebar, C. (2021). Medical-surgical nursing: Concepts for interprofessional collaborative care (10th ed.). St. Louis, MO: Elsevier. Downloaded by DANIEL NDAMBIRI () lOMoARcPSD| a) The need to weigh every day and report weight gain. b) The need to check the client’s urinary specific gravity. c) The need to take blood pressure at least twice a day. d) The need to monitor blood glucose every day. 6. A nurse cares for a client with adrenal hyperfunction. The client screams at her husband, bursts into tears, and throws her water pitcher against the wall. She then tells the nurse, “I feel like I am going crazy.” How would the nurse respond? a) “I will ask your doctor to order a mental health consult for you.” b) “Can I bring you information about support groups? c) “I will close the door to your room and restrict visitors.” d) “You feel this way because of your hormone levels.” 7. A nurse is reviewing care for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) with assistive personnel. What statement by the AP indicates understanding of this client’s care? a) “I will encourage plenty of fluids to promote urination and prevent dehydration.” b) “I will assess the client’s mucous membranes and skin for signs of dehydration.” c) “I will teach the client not to select high-sodium or salty foods on the menu.” d) “I will weigh the client carefully before breakfast and compare with yesterday’s weight.” 8. The nurse is preparing to give tolvaptan for a client who has syndrome of inappropriate antidiuretic hormone (SIADH). For which potentially life-threatening adverse effect would the nurse monitor? a) Rapid onset hypernatremia b) Myocardial Infarction c) Bowel perforation d) Increased intracranial pressure 9. The nurse is caring for a client with adrenal insufficiency. What priority physical assessment would the nurse perform? a) Respiratory assessment b) Neurologic assessment Created from exam creator software provided by: Ignatavicius, D. D., Workman, L. M., & Rebar, C. (2021). Medical-surgical nursing: Concepts for interprofessional collaborative care (10th ed.). St. Louis, MO: Elsevier. Downloaded by DANIEL NDAMBIRI () lOMoARcPSD| c) Cardiac assessment d) Skin assessment 10. The nurse is planning health teaching for a client starting on levothyroxine. What health teaching about this drug would the nurse include? a) The need to check blood pressure and pulse every day. b) The need to report chest pain and dyspnea when starting the drug. c) The need to take the drug when the client feels fatigued and weak. d) The need to rotate injection sites when giving self the drug. 11. A nurse assesses a client who is recovering from a subtotal thyroidectomy and observes the development of stridor. What is the priority action for the nurse to take? a) Contact the Rapid Response Team and prepare for intubation. b) Document the finding and assess the client hourly. c) Apply oxygen via nasal cannula at 2 L/min. d) Place the client in high-Fowler position in the bed. 12. A nurse assesses a client who is recovering from a subtotal thyroidectomy. On the first postoperative day before discharge, the client states, “I feel numbness and tingling around my mouth.” What action does the nurse take? a) Offer mouth care. b) Assess for muscle twitching. c) Loosen the dressing. d) Ask the client orientation questions. 13. A nurse assesses a client on the medical-surgical unit. Which statement made by the client alerts the nurse to assess the patient for hypothyroidism? a) “My sister has thyroid problems.” b) “I am always tired, even with 12 hours of sleep.” c) “Food just doesn’t taste good without a lot of salt.” d) “I seem to feel the heat more than other people.”