NCLEX CRUSADE ACADEMY TEST - 10 ENDOCRINE DISORDERS PRACTICE QUESTIONS II

1. A patient presents with facial twitching when the facial nerve is tapped. Which condition does this finding most strongly suggest?. Hypercalcemia. Hypocalcemia. Hyperkalemia. Hyponatremia.

2. Which assessment finding is expected in a patient with myxedema coma?. Tachycardia. Hyperactivity. Sinus bradycardia. Hypertension.

3. A patient with myxedema coma has an oxygen saturation of 90%. What is the nurse's priority action?. Document the finding. Provide oxygen support. Encourage fluids. Allow patient to rest.

4. After a hypophysectomy, which finding requires immediate intervention?. Nasal packing present. Urine output of 45 mL/hr. Glucose detected in nasal drainage. Mild headache.

5. A nurse is caring for a patient with hyperparathyroidism receiving IV fluids and furosemide. What is the purpose of this therapy?. Increase potassium levels. Promote calcium excretion. Prevent dehydration. Reduce sodium.

6. A UAP reports abnormal vital signs for a postoperative thyroidectomy patient. What should the nurse do first?. Administer medication. Call the healthcare provider. Reassess the patient. Delegate the task.

7. Which sign may appear during blood pressure cuff inflation in a patient with hypocalcemia?. Positive Babinski sign. Positive Trousseaus sign. Positive Kernig sign. Positive Murphy sign.

8. Which NCLEX strategy emphasizes choosing the most comprehensive assessment option?. Airway strategy. Umbrella strategy. Priority framework. Delegation method.

9. Which of the following is a priority finding in endocrine emergencies?. Mild fatigue. Slight nausea. Hypoxemia. Dry skin.

10. Which symptom is associated with hypocalcemia?. Muscle weakness. Neuromuscular excitability. Bradycardia. Dehydration.

11. Which condition increases risk of hypocalcemia after surgery?. Thyroidectomy. Appendectomy. Nephrectomy. Cholecystectomy.

12. What is the main cause of hypercalcemia in hyperparathyroidism?. Decreased renal excretion. Excess parathyroid hormone. Low vitamin D. High potassium.

13. Which step of the nursing process occurs before implementation?. Planning. Assessment. Evaluation. Documentation.

14. Which postoperative sign suggests a cerebrospinal fluid leak?. Clear drainage with glucose. Bloody drainage. Thick mucus. Yellow discharge.

15. A patient with endocrine disorder becomes lethargic with low oxygen levels. What is the nurses priority?. Document findings. Encourage rest. Manage airway. Provide education.

16. Which endocrine disorder is associated with slowed metabolism?. Hyperthyroidism. Hypothyroidism. Hyperparathyroidism. Diabetes.

17. Which electrolyte imbalance causes Chvosteks sign?. Hypokalemia. Hypocalcemia. Hypernatremia. Hypermagnesemia.

18. When a UAP reports abnormal data, what principle applies?. Implement first. Notify immediately. Validate data. Ignore.

19. Which NCLEX prioritization rule emphasizes airway above baseline findings?. Umbrella rule. Airway rule. Delegation rule. Nursing rule.

20. What does IV saline primarily accomplish in hypercalcemia treatment?. Dilutes serum calcium. Raises potassium. Decreases glucose. Increases hormones.