Endocrine

Question 1

A nurse is monitoring the laboratory values of a client who has diabetes and is taking insulin which of the following results indicate a therapeutic outcome of insulin therapy

Answer 1

fasting blood glucose range= 70- 110

Postprandial= <180

preprandial= 70-130

Random= <200 

Question 2

A nurse is caring for a client via thyroidectomy the nurse should assess for which of the following findings as an indication of hypocalcemia

Answer 2

tingling and numbness of the hands and feet

Increased G.I. motility

Week thready pulse

Hyperreactive DTR

Question 3

A nurse is caring for a client who has pheochromocytoma which of the following action should the nurse take

Answer 3

elevate the head of the bed to reduce blood pressure and abdominal pressure

Do not palpate the abdomen because this can release catecholamines and increase blood pressure

Monitor the patient for hypertension



Question 4

The nurse is assessing a client who is taking propylthiouracil the nurse should identify which of the following findings as an indication of the medication is effective 

Answer 4

propylthiouracil suppresses the production of thyroid hormone and allows for weight gain. Excessive weight gain could indicate that the dose is too high

Question 5

A nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone which of the following findings should the nurse report to the provider

Answer 5

Sodium below 135 – a client with SIADH retains fluid which causes dilutional hyponatremia



Question 6

A nurse is assessing a client who has diabetes insipidus the nurse should expect which of the following findings

Answer 6

increased amount of credit due to dehydration

Question 7

A nurse is caring for a client who has diabetes mellitus and has developed peripheral neuropathy which of the following measures should the nurse recommend to prevent injuries to the clients feet

Answer 7

Monitor the temperature of bathwater with a thermometer should be below 110°F

Examine skin of the feet daily

Shop for shoes later in the day when feet are likely to have slight swelling

Trim toenails straight across and smoothie edges with an emery board

Question 8

A nurse is planning teaching for a client who has type one diabetes mellitus which of the following instruction should the nurse plan to include

Answer 8

Ingest food with alcohol traduce alcohol induced hypoglycemia

Question 9

A nurse is managing the care of a client who is postoperative and has acute adrenal insufficiency which of the following action should the nurse take

Answer 9

Administer IV hydrocortisone sodium to replace the cortisol deficiency that occurs with adrenal insufficiency

Question 10

A nurse is caring for a client who has type two diabetes and is experiencing a hyper glycemic hyperosmolar state which of the following laboratory findings should the nurse expect

Answer 10

serum pH 7.45 – patient produces enough insulin to prevent ketosis but not enough to prevent hyperglycemia therefore the serum pH is within expected range.

Glucose levels will be above 600

Question 11

A nurse is reviewing the laboratory result of a client undergoing screening for primary Cushing’s disease the nurse should expect an elevation in which of the following laboratory findings

Answer 11

steroids, sugar, sodium

Question 12

A nurse is teaching a client who has diabetes mellitus about insulin injections the clients Prescription includes evening doses of insulin glargine and regular insulin which of the following instruction should the nurse include

Answer 12

draw update insulins into separate syringes glargine Is not compatible with any other insulins

Question 13

A nurse in an outpatient clinic is teaching a client who has a diabetic foot ulcer about foot care which of the following statement by the client indicates an understanding of the teaching

Answer 13

I will apply lotion to the dry areas of my feet but not between my toes

I will not use over-the-counter medicine to treat calluses on my feet

I will wear close toed shoes to prevent injury to my feet

I will dry my feet thoroughly after washing to prevent bacterial growth between the toes

Question 14

A nurse is teaching a client who is scheduled for a vanillylmandelic acid test to screen for pheochromocytoma which of the following statements should the nurse include in their teaching

Answer 14

Restrict coffee and take 2 to 3 days prior to the test

you should avoid coffee and tea even if they are decaffeinated, bananas, chocolate, and vanilla for 2 to 3 days prior to the test

avoid aspirin because it can affect the test results

discard the first morning urine and then collect all urine after that for 24 hours

Question 15

A nurse is monitoring a client who is 24 hours postoperative after a total thyroidectomy which of the following findings should the nurse report to the provider

Answer 15

laryngeal strider

harsh high pitch sound with inspiration that Indicates respiratory obstruction the nurse should take immediate action to preserve a client airway

Question 16

A nurse is assessing a client who has adrenal insufficiency which of the following findings should the nurse expect

Answer 16

-calcium 12.8
a patient who has adrenal insufficiency will have a calcium level above expected range of 9 to 10

-weight loss
-sodium level below expected range

Question 17

A nurse is admitting a client who has hyperthyroidism When assessing a client the nurse should expect which of the following findings

Answer 17

Trimmers, diaphoresis, insomnia

Question 18

And a nurse is assessing a client who has a new diagnosis of Cushing’s disease which of the following findings should the nurse expect

Answer 18

hirsutism , Weight gain, elevated blood pressure, thinning skin

Question 19

A nurse is teaching a client about Glycosylated hemoglobin HB A1c testing which of the following client statements indicates an understanding of the teaching

Answer 19

The test results are a good indicator of my average blood glucose levels over 120 day. Which is the lifespan of a red blood cell

Question 20

A nurse is teaching a client who has type one DM about how to prevent complications during illness which of the following statements by the client indicates an understanding of the teaching

Answer 20

I should call my provider if my BG level exceed 250 during illness

I should check my BG level every four hours

Question 21

A nurse has administered propranolol by IV bolus to a client who is having a thyroid storm which of the following findings indicates that the client is having the therapeutic response

Answer 21

Reduction of the effects of thyroid hormone on the heart propranolol decreases the rapid heart rate caused by excessive thyroid stimulation

Question 22

A nurse is providing discharge teaching to a client who has the guy and a new prescription for Desmopressin nasal spray which of the following instruction should the nurse include in her teaching

Answer 22

blow your nose gently prior to using the nasal spray primed the nasal spray

pump by pressing down four times before the initial use

sit upright with head tilted forward slightly when administering the spray

Question 23

A nurse is assessing a client who has DM and reports feeling anxious which of the following findings should the nurse expect if the client is hypoglycemic

Answer 23

Cool, clammy skin in addition to anxiety, nervousness, tachycardia, and confusion

Question 24

A nurse is preparing a teaching plan for a client who has DI and requires intranasal Desmopressin which of the following information should the nurse include

Answer 24

Report nocturia because it requires a dose adjustment. The provider will increase the dosage until the client no longer has nocturia 

Question 25

A nurse is reviewing lab values for a client who has DKA which of the Following should the nurse expect

Answer 25

-Low pH
-PaCO2 with an expected range
-HCO 3/ bicarbonate low

Question 26

A nurse is teaching a client who has auto immune disease about adverse effects of long-term corticosteroid therapy which of the following adverse effects should the nurse include

Answer 26

-osteoporosis
due to the suppression of bone formation and the acceleration of bone reabsorption that can be caused

-moon shaped face
Cushing syndrome including moon shaped face a potbelly and a buffalo hunt can occur due to long-term use

• increased risk of infection
  due to the reduction of macrophages, neutrophils, suppressing immune system

Question 27

A nurse is developing a teaching plan for a client who had a thyroidectomy and takes thyroid hormone replacement which of the following instruction should the nurse plan to include

Answer 27

take this medication on an empty stomach do not eat or drink anything for 30 to 60 minutes after

Do not take with ant acids they can reduce the effectiveness of thyroid replacement

Take the medication with a full glass of water

Question 28

The nurse is teaching a client who has DM which of the following should the nurse include as an expected finding of diabetic keto acidosis DKA

Answer 28

-blood glucose levels above 300

-deep labored breathing known as Kussmaul respirations

-weight loss
-polydipsia, polyuria, polyphagia

Question 29

A nurse is teaching a client about adrenocorticotropic hormone ACTH stimulation test the nurse explain the purpose of this test is to assess for which of the following disorders

Answer 29

Addison’s disease – his test measures the cortisol response to ACTH the responses absent or very decreased inclined to have primary adrenal insufficiency

Question 30

A home health nurse is assessing a client who requires lifelong hormone replacement therapy for the treatment of hypothyroidism the client has not been taking the medication regularly which of the following findings should the nurse expect

Answer 30

Hypotension, Brady piña, dysrhythmias, cold intolerance, cool dry skin

These are all expected findings of hypothyroidism