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NCLEX RN· RN Endocrine · NCLEX RN Questions on Endocrine System

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client newly diagnosed with Cushing's disease. Which of the following client statements requires follow-up?

A. I will need to eat more potassium-rich foods.
B. I will need more steroids during periods of stress.
C. I will be at a higher risk for an infection.
D. I should do weight-bearing exercises.

Expert Explanatory Rationale

Correct Answer: I will need to eat more potassium-rich foods.

Question 2 of 5

The nurse is preparing to administer tolvaptan to a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following laboratory test results should the nurse review before administering the medication?

A. hemoglobin (Hgb) and white blood cell (WBC) count
B. alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
C. troponin and myoglobin
D. serum glucose and serum hemoglobin A1C

Expert Explanatory Rationale

Correct Answer: alanine aminotransferase (ALT) and aspartate aminotransferase (AST)

Question 3 of 5

The nurse has provided medication instruction to a client who has been prescribed metformin. Which of the following statements, if made by the client, would indicate a correct understanding of the teaching?

A. This medication may cause me to have bloating or loose stools.
B. I will need to take my blood glucose prior to taking this medication.
C. If I eat fewer carbohydrates in a day, I should skip a dose.
D. The goal of this medication is to increase my hemoglobin A1C.

Expert Explanatory Rationale

Correct Answer: This medication may cause me to have bloating or loose stools.

Question 4 of 5

The nurse is planning care for a client following bilateral adrenalectomy. The nurse should anticipate a prescription for which postoperative medication?

A. Pantoprazole
B. Propylthiouracil (PTU)
C. Propranolol
D. Hydrocortisone

Expert Explanatory Rationale

Correct Answer: Hydrocortisone

Question 5 of 5

The nurse is assessing a client with diabetes mellitus type 2. Which of the following findings would be consistent with a diagnosis of diabetes mellitus type 2?

A. Fasting blood glucose level 110 mg/dL (6.1 mmol/L) [70-110 mg/dL, 4.0-6.0 mmol/L]
B. Hemoglobin A1c (HbA1c) level 7.5% [ < 5.7%]
C. Elevated Serum Insulin Levels
D. Presence of ketones in the urine

Expert Explanatory Rationale

Correct Answer: Hemoglobin A1c (HbA1c) level 7.5% [ < 5.7%]