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Endocrine & Metabolic Care

20-page printable study edition. Clinical judgment practice across metabolic changes. The exact PDF is delivered after purchase.

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Chapters in this book

  1. 1.The endocrine map
  2. 2.study page: The endocrine map
  3. 3.Diabetes and insulin therapy
  4. 4.study page: Diabetes and insulin
  5. 5.DKA vs HHS
  6. 6.study page: DKA vs HHS
  7. 7.Thyroid and parathyroid
  8. 8.study page: Thyroid and
  9. 9.Adrenal disorders
  10. 10.study page: Adrenal disorders

Chapter 1 The endocrine map Learning goal: Locate each gland and match it to its hormones. Major endocrine glands Pituitary ADH, GH, ACTH, TSH - the master regulator.; Thyroid T3/T4 set metabolic rate; calcitonin.; Adrenals Cortisol, aldosterone, catecholamines.; Pancreas Insulin (beta cells) and glucagon (alpha cells).; Simplified teaching schematic - not to anatomical scale.; Figure 1.1; Hormone; Too much; Too little

Thyroid hormone; Graves: heat intolerance, weight loss, tachycardia; Hypothyroid: cold intolerance, weight gain, bradycardia; Cortisol; Cushing: moon face, hyperglycemia, thin skin; Addison: hypotension, hyperpigmentation, hypoglycemia; SIADH: water retention, hyponatremia; Diabetes insipidus: large dilute urine, hypernatremia

Educational use only. Verify against current facility policy and drug references. Not real NCLEX items.

Chapter 1 study page: The endocrine map Use this page to consolidate the chapter before attempting the questions. Writing the answers from memory (active recall) is one of the most effective study strategies. In your own words, summarise: The endocrine map.

What is the single most dangerous finding in this chapter, and what is the first nursing action?

Which medication, lab value or number from this chapter must you memorise? Write it with its unit.

Create one NCLEX-style question of your own on this chapter and explain the correct answer.

Check your understanding Q. A client produces 6 L of dilute urine daily after head injury. Suspect: A. SIADH B. Diabetes insipidus C. Cushing syndrome D. Hyperthyroidism Answers and rationales are in the Practice exam chapter.

Educational use only. Verify against current facility policy and drug references. Not real NCLEX items.

Sample shown: about 261 of 2,848 words.

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What’s included

  • 20-page downloadable PDF
  • Glucose changes
  • Hormone disorders
  • Monitoring

Free preview · high-yield NCLEX areas

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Each card shows a real sample of what's inside: the topic area, the skill being tested, an original exam-style question, the full explanation and a tip you can reuse on test day.

NCLEX-RN · Prioritization

Skill tested: Who do you see first?

Four clients were just assigned. Which should the RN assess first?

  1. A. Client 1 day after an appendectomy asking for pain medication
  2. B. Client with COPD whose SpO2 is 90%, which is their baseline
  3. C. Client with new confusion and a respiratory rate of 8/min after an opioid dose
  4. D. Client with diabetes whose breakfast tray is late
NCLEX-PN · Infection control

Skill tested: Choosing the right precautions

A client has confirmed C. difficile. Which PPE and hand-hygiene practice is correct?

  1. A. Surgical mask and alcohol rub
  2. B. Gown and gloves, then soap and water
  3. C. N95 respirator only
  4. D. Gloves only, then alcohol rub
NCLEX-RN · Pharmacology

Skill tested: Spotting drug toxicity

A client taking digoxin reports nausea and yellow-tinged vision. What is the priority action?

  1. A. Give the next dose with food
  2. B. Hold the dose, check the apical pulse, and report possible toxicity
  3. C. Encourage oral fluids
  4. D. Recheck vision in 4 hours
NCLEX-PN · Coordinated care

Skill tested: Knowing when to escalate

Which finding should the PN report to the RN right away?

  1. A. Temperature 37.2 °C (99 °F)
  2. B. New facial droop on one side
  3. C. Client requests a blanket
  4. D. Urine output of 50 mL/hr
NCLEX-RN · Cardiac & electrolytes

Skill tested: Reading lab values

Which potassium level needs urgent follow-up for a client receiving IV furosemide?

  1. A. 4.2 mEq/L
  2. B. 3.8 mEq/L
  3. C. 2.9 mEq/L
  4. D. 4.9 mEq/L
NCLEX-PN · Basic care & comfort

Skill tested: Preventing complications

Which action best prevents pressure injury in a client who cannot move independently?

  1. A. Massage reddened bony areas
  2. B. Reposition at least every 2 hours
  3. C. Keep the head of the bed at 60° at all times
  4. D. Use a donut cushion
The full editions include many more questions like these across all eight NCLEX client-needs areas, each with a full explanation.