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WorksheetsNCLEX - ENDOCRINE Day2 (Part 2)
Total questions: 13
Worksheet time: 13mins
Name
Class
Date
1.
Which post-op client needs priority assessment?
a)
Client post-thyroidectomy, temp 99.9°F, anxious
b)
Client 12 hr post-prostate resection, bladder spasms
c)
Client with pancreatitis, pain 8/10, HR 99
d)
Client post-nitro for angina, headache, BP 109/72
e)
-
2.
What is the preferred treatment for diabetes insipidus post-hypophysectomy?
a)
Administer desmopressin
b)
Check fasting glucose
c)
Restrict fluids
d)
Place client in Trendelenburg position
e)
-
3.
What indicates therapeutic effect of levothyroxine after 8 weeks?
a)
Apical HR 88 bpm
b)
Elevated mood
c)
Improved energy
d)
Cool, dry skin
e)
Weight gain
4.
Which are appropriate post-thyroidectomy nursing actions?
a)
Assess for numbness/tingling
b)
Encourage neck flexion
c)
Keep tracheostomy kit at bedside
d)
Elevate HOB 30–45 degrees
e)
Monitor voice quality
5.
What’s the appropriate nurse response to an elevated TSH in a client on levothyroxine?
a)
Take half dose in morning, half in evening
b)
Hold the medication for 3 weeks
c)
Increase levothyroxine dose
d)
Combine with calcium supplement
e)
-
6.
Which finding in Addison disease post-MVC requires priority follow-up?
a)
BP dropped to 90/50
b)
1st-degree AV block
c)
Pain rated 7 in leg
d)
Vesicular breath sounds
e)
-
7.
What medication should be held before a CT with IV contrast?
a)
Gabapentin
b)
Amlodipine
c)
Metformin
d)
Phenytoin
e)
-
8.
What insulin should be administered at bedtime for type 1 diabetes?
a)
Administer glargine and lispro per protocol
b)
Hold both if glucose is low
c)
Hold glargine
d)
Only give glargine if glucose >150
e)
-
9.
Which desmopressin side effect needs immediate provider notification?
a)
Frustration about fluid restriction
b)
Cold symptoms
c)
Nasal irritation
d)
Frequent headaches
e)
-
10.
Which finding in a client with acromegaly requires urgent follow-up?
a)
Leathery skin
b)
Elevated glucose
c)
Knee pain
d)
S3 and S4 heart sounds
e)
-
11.
What is the best immediate action for stridor post-thyroidectomy?
a)
Check for bleeding
b)
Assess swallowing
c)
Elevate HOB
d)
Activate rapid response
e)
-
12.
Which is a priority action for a type 1 diabetic with nausea, fruity breath, and Kussmaul respirations?
a)
Administer 1L normal saline IV
b)
Initiate insulin drip
c)
Breathe into paper bag
d)
Draw blood glucose
e)
Place client on cardiac monitor
13.
What are key interventions for a client with SIADH?
a)
Implement seizure precautions
b)
Monitor daily weights
c)
Monitor serum osmolality
d)
Perform neuro checks
e)
Enforce fluid restriction
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