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lec ms > Midterms Part 1 > Flashcards

Midterms Part 1 Flashcards

1
Q

Nurse Jairen is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s syndrome, the nurse would expect to find:

A. Thick, coarse skin
B. Hypotension
C. Weight gain in arms and legs
D. Deposits of adipose tissue in the trunk and dorsocervical area.

A

D. Deposits of adipose tissue in the trunk and dorsocervical area.

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2
Q

Which of the following symptoms do NOT present in hyperglycemia?

A. Hunger
B. Extreme thirst
C. Glycosuria
D. Blood glucose <60 mg/dL

A

D. Blood glucose <60 mg/dL

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3
Q

Which of the following signs and symptoms causes concern and requires nursing intervention for a patient who recently had a thyroidectomy?

A. Soft hair, irritable, diarrhea
B. Heart rate of 55, blood pressure 60/43, temperature 95.3
C. Heart rate of 131, blood pressure 230/110, temperature 103.2 ‘F
D. Constipation, drowsiness, goiter

A

C. Heart rate of 131, blood pressure 230/110, temperature 103.2 ‘F

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4
Q

A patient is diagnosed with pheochromocytoma. From your
nursing knowledge, you know that the patient will present with hypertension, sweating, and palpations due to excessive catecholamine production from the?

Adrenal Medulla
Adrenal Cortex
Adrenal Glomerulosa
Adrenal Zona Fasciculata

A

Adrenal Medulla

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5
Q

Which of the following indicates a potential complication of
diabetes mellitus?

A. Hemoglobin of 9 g./dl.
B. Stooped appearance
C. Inflamed, painful joints
D. Blood pressure of 160/100 mm. Hg.

A

D. Blood pressure of 160/100 mm. Hg.

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6
Q

The nurse on duty would expect patient Luise with Addison’s disease to exhibit which of the following signs and symptoms?

A. Weight gain
B. Hunger
C. Muscle spasms
D. Lethargy

A

D. Lethargy

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7
Q

A condition whereupon a person’s body is unable to form concentrated urine, due to an absence or lack of a response to ADH, is called

A. insulin dependent diabetes mellitus
B. diabetes nephrogenicus
C. diabetes mellitus
D. diabetes insipidus

A

D. diabetes insipidus

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8
Q

A patient is recovering from a thyroidectomy. The patient starts to complain of tingling and numbness in the face, toes, and fingers. Which of the following findings below warrants attention?

A. ca+ level: 4 mg/dL
B. Na+ level: 145 mg/dL
C. Phosphate level: 4.3 mg/dL
D. K+ level: 3.5 mg/dL

A

A. ca+ level: 4 mg/dL

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9
Q

A patient is admitted with uncontrolled hypertension and the doctor suspects pheochromoctyoma. On assessment, you note the blood pressure to be 196/120 and HR 130. The patient reports feeling very anxious, sweaty, and having palpations. What do you expect the doctor will order to confirm a diagnosis of pheochromocytoma?

A. Urinalysis
B. 8-hour urine
C. 24-hour urine
D. Urine culture

A

C. 24-hour urine

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10
Q

A patient has an extremely high T3 and T4 level. Which of the following signs and symptoms do not present with this condition? Select all that apply

Respiratory Alkalosis
Constipation
Weight gain
Weight loss
Intolerance to heat

A

Weight gain

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11
Q

Harry is a diabetic patient who is experiencing a reaction to
alternating periods of nocturnal hypoglycemia and hyperglycemia. The patient might be manifesting which of the following?

A. Somogyi phenomenon
B. Diabetes insipidus
C. Brittle diabetes
D. Uncontrolled diabetes

A

A. Somogyi phenomenon

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12
Q

For the first 72 hours after thyroidectomy, the nurse would
assess the patient for Chvostek’s and Trousseau’s signs because they indicate which of the following?

A. Hypocalcemia
B. Hypokalemia
C. Hypercalcemia
D. Hyperkalemia

A

A. Hypocalcemia

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13
Q

In sprain and sprain, nursing management to decrease and pain are the following, except:

Sedatives
Ice pack
Splint support
Elevation of affected part

A

Sedatives

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14
Q

Mr. Albargy with diabetic ketoacidosis had repeat arterial blood gases (ABGs) drawn 24 hours after initiation of a Regular Insulin intravenous infusion. The results are: pH 7.30, PaC02 29, Pa02 95, 02 saturation 99%, HC03-20 mEq/L and Base excess-1.2. Nurse Tonee would interpret the results to be which acid-base imbalance?

A. Metabolic acidosis
B. Respiratory alkalosis
C. Respiratory acidosis
D. Metabolic alkalosis

A

A. Metabolic acidosis

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15
Q

A patient with hypothyroidism is having pain 9 on 1-10 scale in the right hip due to recent hip surgery. Which of the following are NOT appropriate for this patient? Select all that apply:

Levothyroxine
Thyroid hormone replacement
Morphine
Sedatives

A

Morphine
Sedatives

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16
Q

Which among the choices are Nursing Interventions Management issues when caring for a patient with Addison’s Disease? Select All that Applies

A. limit fluid intake
B. record input and output
C. daily weights
D. vitals signs
E. Cortical hormone replacement
F. administer ACTH antagonis

A

B. record input and output
C. daily weights
D. vitals signs
E. Cortical hormone replacement

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17
Q

Which of the following side effects are possible for a patient
taking an anti-thyroid medication?

A. Tachycardia
B. Skin discoloration
C. Infection and anemia
D. Joint pain and infection

A

A. Tachycardia

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18
Q

Mr. D’s incurred a radius bone incomplete fracture. So, he has a short arm cast to correct it. If the develops one or more of the following symptoms his doctor must be contacted immediately. Which among the signs and symptoms are included: select all that applies?

A.cool or cold fingers or toes
B. drainage or foul odor from the cast
C. complaints of numbness or tingling
D.increased swelling above or below the cast

A

A.cool or cold fingers or toes
B. drainage or foul odor from the cast
C. complaints of numbness or tingling
D.increased swelling above or below the cast

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19
Q

The ______secrete insulin which are located in the _______

A. Beta cells, liver
B. Alpha cells, pancreas
C. Beta cells, pancreas
D. Alpha cells, liver

A

C. Beta cells, pancreas

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20
Q

A patient is post-opt from a thyroidectomy for treatment of
Grave’s Disease. When you walk into the patient’s room to perform an assessment, which of the following findings causes the MOST concern and needs nursing intervention?

A. The patient is splinting the neck while coughing and deep breathing.
B. The patient’s Foley catheter is draining 50 cc of urine per hour.
C. The patient complains of a pain rating of 4 on 1-10 at the surgical site.
D. The patient is positioned in supine position.

A

D. The patient is positioned in supine position.

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21
Q

A patient with diabetes has a morning glucose of 50. The patient is sweaty, cold, and clammy. Which of the following nursing interventions is the MOST important?

A. Recheck the glucose level
B. Give the patient %2 cup (4 oz) of fruit juice
C. Call the doctor
D. Keep the patient nothing by mouth

A

B. Give the patient %2 cup (4 oz) of fruit juice

22
Q

A type of fracture that is caused by an underlying disease leaves your bones weak and brittle.

A. Psychological fracture
B. Compression fracture
C. Pathologic fracture
D. Direct blow

A

C. Pathologic fracture

23
Q

Mr. Luis G, a client with Cushing’s disease, needs to modify
dietary intake to control symptoms. In addition to increasing protein,which strategy would be most appropriate?

A. Restrict sodium
B. None of the above
C. Restrict potassium
D. Increase calories

A

A. Restrict sodium

24
Q

A patient sustained a fracture to the femur. The patient has
suddenly become confused, restless and has a respiratory rate of 30 breaths per minute. Based on the location of the fracture and the presenting symptoms, this patient maybe experiencing what type of complication?

A. Compart ment syndrome
B. Fat embolism
C. Osteomyelitis
D.Hypovolemia

A

B. Fat embolism

25
Q

Which is a priority nursing diagnosis of a patient with Diabetes Insipidus?

A. Risk for infection
B. Fluid volume excess
C. Fluid volume deficit
D. Hyperthermia

A

C. Fluid volume deficit

26
Q

In a District Hospital, a patient with diabetic mellitus says, “If I could just avoid what you call carbohydrates in my diet, I guess I would be okay.” Nurse Thorie should base her response to this comment on the knowledge that diabetes affects metabolism of which of the following?

A. Protein and carbohydrates only
B. Protein, fats and carbohydrates
C. Carbohydrates only
D.Fats and carbohydrates only

A

B. Protein, fats and carbohydrates

27
Q

A client has had a cast applied to a fracture limb, and the health care provider has ordered frequent neurovascular checks. Which assessment should the nurse perform? SELECT ALL THAT APPLY:

A. Position
B.Paresthesia
C. Pain
D.Color
E. Temperature

A

B.Paresthesia
C. Pain
D.Color
E. Temperature

28
Q

The nurse assesses a client who had a thyroidectomy 8 hours ago. The nurse finds the client anxious, with tingling around the mouth and muscle twitching in the right arm. Which is the most important for the nurse to implement
first?

A. Document the findings in the electronic medical record
B. Change the surgical dressing to assess for bleeding
C. Draw arterial blood gases
D. Obtain a serum calcium level

A

D. Obtain a serum calcium level

29
Q

Which of the following statements are CORRECT about Grave’s Disease?

A. Grave’s Disease is caused by independently functioning nodular goiters producing excessive amounts of T3 and T4.
B. Grave’s Disease patients do not present with protruding eyes or a goiter, as in Toxic Nodular Goiter (TNG)
C. Grave’s Disease is a complication of untreated hypothyroidism
D. Grave’s Disease is caused by an autoimmune condition where the body produces an antibody called TSI (which acts like TSH on the body)

A

D. Grave’s Disease is caused by an autoimmune condition where the body produces an antibody called TSI (which acts like TSH on the body)

30
Q

The endocrine gland(s) that makes insulin:

A. Pancreas
B. Pituitary Gland
C. Thyroid Gland
D. Adrenal Gland

A

A. Pancreas

31
Q

When teaching a diabetic client about foot care, a nurse educator should instruct the diabetic client to do which of the following?

A. Buy shoes a half size larger
B. Use heating pads for sore feet
C. Avoid going barefoot
D. Cut toenails at angles

A

C. Avoid going barefoot

32
Q

Which is the priority nursing diagnosis of a patient with a
compound fracture?

A. Impaired mobility
B. Activity intolerance
C. Risk for ineffective tissue perfusion
D. Anxiety

A

C. Risk for ineffective tissue perfusion

33
Q

A patient is recovery from a parathyroidectomy. Which of the following findings causes concern and requires nursing intervention?

A. Vital signs are normal
B. The patient’s voice is hoarse
C. The patient’s calcium level is 8.9 mg/dL
D. The patient is in Semi-Fowler’s position

A

B. The patient’s voice is hoarse

34
Q

The nurse admiting a client with the diagnosis of pheochromocytoma expects that signs and symptoms would include which of the following?

A. Hypertension, bradycardia
B. Hypertension, tachycardia
C. Hypotension, bradycardia
D. Hypotension, tachycardia

A

B. Hypertension, tachycardia

35
Q

A patient with Addison’s Disease is being discharged home on Prednisone. Which of the following statements by the patient needs clarification?

A. “I will take this medication as needed when symptoms are present only.”
B. “I will take this medication at the same time every day.”
C. “I will notify the doctor if the symptoms become worst.’
D. “| will wear Medic-Alert bracelet outside.

A

A. “I will take this medication as needed when symptoms are present only.”

36
Q

After thyroidectomy, which of the following must be at the
bedside of the patient to manage respiratory distress?

A. Tracheostomy set
B. Sterile water
C. Scissors
D. Antihistamine

A

A. Tracheostomy set

37
Q

Desmopressin acetate (DDAVP) is given to a patient with diabetes insipidus. Which of the following therapeutic response should you expect?

A. Decreased blood pressure.
B. Decreased attention span
C. Decreased urinary output
D. Decreased blood sugar.

A

C. Decreased urinary output

38
Q

The principal goals of therapy for older patients who have poor glycemic control are:

A. Enhancing the quality of life
B. All of the above.
C. Decreasing the chance of complications
D. Improving self-care through education.

A

B. All of the above.

39
Q

Select all that apply: Which of the following are signs and
symptoms of Grave’s Disease:

Heat Intolerance
Cold intolerance
Weight gain
Goiter
Fast Heart Rate

A

Heat Intolerance
Goiter
Fast Heart Rate

40
Q

Doods a male client with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that themclient’s hypertension is caused by excessive hormone secretion from which of the following glands?

A. Adrenal Medulla
B. Adrenal Cortex
C. Pancreas
D. Parathyroid

A

B. Adrenal Cortex

41
Q

A nurse is teaching a nutrition class for clients with newly
diagnosed type ll diabetes. Which meal represents the best adherence to the principles of and recommendations for diabetic meal planning?

A. Hamburger on a whole wheat bun with lettuce and tomato
B. Grilled chicken breast with baked French fries
C. Black bean chili with brown rice, mixed green salad
D. Baked tilapia with tomato salsa, steamed white rice.

A

C. Black bean chili with brown rice, mixed green salad

42
Q

A patient is being discharged home for treatment of
hypothyroidism. Which medication is most commonly prescribed for this condition?

A. PTU (Propylthiouracil)
B. Tapazole
C. Levothyroxine
D. Inderal

A

C. Levothyroxine

43
Q

A 35-year-old male client presents to the emergency department point after sustaining a severe tibial fracture to the left leg. Nurse Lowe is assessing the injury for possible complications, including compartment syndrome. All of the following interventions would be appropriate to compartment syndrome except

A. assess urine output for dark smoky urine
B. elevate the injured limb and apply ice packs
C. notify the physician if no peripheral pulses are detected
D. assess for paresthesia, pallor, and pain in the left lower leg

A

B. elevate the injured limb and apply ice packs

44
Q

A patient has excessive catecholamines in the urine. Which of the following signs and symptoms would the patient NOT exhibit? SELECT-ALL-THAT-APPLY:

Tachycardia
Hypoglycemia
Decreased Basal Metabolic Rate
Anxiety

A

Hypoglycemia
Decreased Basal Metabolic Rate

45
Q

The nurse is instructing a client with diabetes mellitus (DM)
regarding foot care. The nurse should include which of the following?

A. Apply antibiotic ointment sparingly between the toes to prevent infection
B. Wear nylon socks.
C. Allow 12 to 34 -inch toe room when closing shoes.
D. Inspect feet daily

A

D. Inspect feet daily

46
Q

In a 29-year-old female client who is being successfully treated for Cushing’s syndrome, nurse Lyzette would expect a decline in:

A. Bone mineralization
B. Hair loss
C. Serum glucose level
D. Menstrual flow

A

C. Serum glucose level

47
Q

Assessment of a diabetic client for common complications
should always include examination of the:

A. Abdomen
B. Eyes
C. Lymph glands
D. Pharynx

A

B. eyes

48
Q

The nurse is preparing to administer the following medications. Which medication should the nurse question administering?

A. The loop diuretic to the client with a potassium level of 2 mEq/L
B. The thyroid hormone to the client who does not have a T3, T4 level
C. The cardiac glycoside to the client who has a digoxin level of 1.4 mg/dL
D. The regular insulin to the client with a blood glucose level of 210 mg/dL

A

A. The loop diuretic to the client with a potassium level of 2 mEq/L

49
Q

It is an autoimmune disorder where the body attacks the thyroid gland that causes it to stop releasing T3 and T4.

A. Hashimoto’s Thyroiditis
B. Toxic nodular goiter (TNG)
C. Myxedema coma
D. Thyroid storm

A

A. Hashimoto’s Thyroiditis

50
Q

Which of the following is the priority of a client with Addisonian crisis?

A. Relieving anxiety
B. Preventing irreversible shock
C. Preventing infection
D. Controlling hypertension

A

B. Preventing irreversible shock

51
Q

JC has diabetes type 2. Nurse Martha has taught him about the illness and evaluates learning has occurred when the client makes which statement?

A. My peripheral cells have increased sensitivity to insulin.
B. “My cells have increased their receptors, but there is enough insulin.”
C. “My beta cells cannot produce enough insulin for my cells.”
D. “My cells cannot use the insulin my pancreas makes.”

A

D. “My cells cannot use the insulin my pancreas makes.”

lec ms (8 decks)

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