NCLEX Questions on Endocrine System (1-5)

Welcome to NCLEX Questions on Endocrine System. Enjoy answering and I hope that NCLEX Review Classes can somehow help you in your future examination. Good Luck

1. The nurse plans activity for the postoperative client who has hypothyroidism. Which activity is the most beneficial for this client?

a) passive stretching of joints
b) ambulating in the hallway
c) balancing exercise and rest
d) coughing and deep breathing

2. A client with myxedema has changes in intellectual function, such as impaired memory, decreased attention span, and lethargy. The client's husband, who is upset, shares his concerns with the nurse. Which statement by then nurse would be helpful to the client's husband?

a) it's obvious that you are concerned about your wife's condition, but the symptoms may improve with continued therapy
b) would you like to me to ask the doctor for a prescription for a stimulant?
c) I don't blame you for being frustrated, because the symptoms will only get worse
d) give it time. I've seen dozens of clients with this problem who fully recover

3. A client is diagnosed with hyperparathyroidism. The nurse who is teaching the client about dietary alterations to manage the disorder plans to tell the client to limit which of the following foods in the diet?

a) bananas
b) chicken breast
c) yogurt
d) oatmeal

4. A client with hyperparathyroidism has hypercalcemia. The client has no history of cardiac disease. The client indicates an understanding of how to manage the condition if he states that he should do which of the following to help control the disorder?

a) take calcium carbonate antacids
b) increase intake of alkaline ash foods
c) use salt on foods at will
d) limit fluid intake

5. A nurse participating in a free health screening at the local mall obtains a random blood glucose level of 190mg/dL on an otherwise healthy client. The nurse should tell the client to do which of the following as a next step?

a) begin blood glucose monitoring three times a day
b) call the physician to have the value rechecked as soon as able
c) seek treatment for diabetes mellitus
d) see the physician about starting insulin therapy

NCLEX Questions on Endocrine System
Answers and Rationale

1) B
- A client with hypothyroidism has a slow metabolic rate; thus the activity most beneficial to the client is ambulating in the hallways because it increases the client's metabolic rate by working skeletal muscles and increasing the work of the heart (option B). In addition, ambulation is highly beneficial for the postoperative client because it helps prevent or alleviate complications associated with surgery and bedrest. Ambulation is a better activity than passive range of motion (option A), is a vital aspect of reconditioning (option C), helps restore muscle mass, and helps mobilize pulmonary secretions (option D); thus ambulation has a more comprehensive profile of potential client benefits.

2) A
- Using therapeutic communication techniques, the nurse acknowledges the husband's concerns and conveys that the client's symptoms are common with myxedema. With thyroid hormone therapy, these symptoms should decrease, and cognitive function often returns to normal within 2 weeks. Option B would not be helpful, and it also blocks further communication. Option C is pessimistic and untrue. Option D is not appropriate and offers false reassurance.

3) C
- The client with hyperparathyroidism is likely to have elevated calcium levels. This client should reduce the intake of dairy products such as milk, cheese, ice cream, or yogurt. Apples, bananas, chicken, oatmeal, and pasta are considered to be low-calcium foods.

4) C
- Sodium should not be limited for the client with hypercalcemia unless contraindicated for another reason, such as cardiac disease. When sodium is retained, calcium is lost through the kidneys. An acid-ash diet should be used to help prevent stone formation as a result of high urinary calcium. Calcium-containing medications and foods are withheld or limited. Fluid intake should be increased to help eliminate calcium from the body (called calciuresis).

5) B
- Adult diabetes mellitus can be diagnosed either by symptoms (polydipsia, polyuria, polyphagia) or laboratory values. Diabetes mellitus is diagnosed by an abnormal glucose tolerance test or when random plasma glucose levels are greater than 200 mg/dL, or fasting plasma glucose levels are greater than 140 mg/dL on two separate occasions. The question indicates that the client is otherwise healthy, so it may be assumed this is the first test. Further confirmation of this result is needed to ensure appropriate diagnosis and therapy.

After you reviewed your answers through its rationale, you can now proceed to the next set of questions:

NCLEX Questions on Endocrine System (6-10)

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