NCLEX Test Bank – (ENDO)

1. A client scheduled for a thyroidectomy says to the nurse,

"I am so scared to get cut in my neck." Based on the

client's statement,the nurse determines that the client is

experiencing which problem?

- Fear about impending surgery

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2. The nurse is caring for a client with Addison's disease.

The nursechecks the client's vital signs and determines

that the client has orthostatic hypotension. The nurse

determines that this finding relates to which factor?

- A decreased secretion of aldosterone

3. Which nursing measure would be effective in preventing

complications in a client with Addison's disease?

- Monitoring the blood glucose

4. The nurse is collecting data on a client with a diagnosis

of hypothyroidism. Which of these behaviors, if present

in the client's history, should the nurse determine as

being likely relatedto the symptoms of this disorder?

- Depression

5. While collecting data on a client being prepared for an

adrenalectomy, the nurse obtains a temperature

reading of 100.8° F. The nurse analyzes this

temperature reading as which?

- A finding that needs to be reported immediately

6. The anticipated intended effect of fludrocortisone acetate

(Florinef) for the treatment of Addison's disease is which?

- Promote electrolyte balance.

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7. The nurse is caring for a client with hypothyroidism who

is overweight. Which food items should the nurse suggest

to includein the plan?

- Skim milk, apples, whole-grain bread, and cereal

8. A client has a blood glucose level drawn for suspected

hyperglycemia. After interviewing the client, the nurse

determines that the client ate lunch approximately 2

hours beforethe blood specimen was drawn. The

laboratory reports the blood glucose to be 180 mg/dL,

and the nurse analyzes this result as indicative of which

interpretation?

- Elevated from the normal value

9. In planning nutrition for the client with

hypoparathyroidism,which diet would be appropriate?

- High in calcium and low phosphorous

10. The nurse is caring for a client with type 1 diabetes

mellitus whois hyperglycemic. Which problem should the

nurse consider first,when planning care for this client?

- Signs of dehydration

11. A preoperative client is scheduled for adrenalectomy to

remove apheochromocytoma. The nurse should most

closely monitor which assessment in the preoperative

period?

- Vital signs

12. The nurse working on an endocrine nursing unit

understands thatwhich correct concept is used in

planning care?

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- Clients who have hyperparathyroidism should be

protected against falls.

13. Glucagon hydrochloride injection would most likely be

prescribed for which disorder?

- Type 1 diabetes mellitus

14. The nurse is caring for a child with a diagnosis of

diabetes insipidus. The nurse anticipates that the

health care provider willprescribe which medications?

- Desmopressin acetate (DDAVP)

15. When caring for a client diagnosed with

pheochromocytoma,which information should the nurse

know when assisting withplanning care?

- Excessive catecholamines are released.

16. A client with pheochromocytoma is scheduled for

surgery andsays to the nurse, "I'm not sure that surgery

is the best thing todo." Which response by the nurse is

appropriate?

- "You have concerns about the surgical treatment for

your condition?"

17. A client with Cushing's syndrome verbalizes concern to

the nurseregarding the appearance of the buffalo hump

that has developed. Which response by the nurse is

appropriate?

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- "Usually, these physical changes slowly improve

followingtreatment."

18. A client with diabetes mellitus demonstrates acute

anxiety whenadmitted to the hospital for the treatment

of hyperglycemia. Which intervention would be

appropriate to decrease the client'sanxiety?

- Convey empathy, trust, and respect toward the

client.

19. The nurse is collecting data from a client with type 2

diabetesmellitus. Which statement by the client

indicates an understanding of the medication

regimen?

- "The medication that I am taking helps release

the insulin Ialready make."

20. The nurse is collecting data from a client who is being

admittedto the hospital for a diagnostic workup for

primary hyperparathyroidism. The nurse understands

that which client complaint would be characteristic of

this disorder?

- Polyuria

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