ADVANCED ENDOCRINE DISORDER EXAM
PRACTICE QUESTIONS AND ANSWERS
A client who returned to the nursing unit 8 hours ago after
hypophysectomy has clear drainage saturating the nasal
dressing. The nurse should take which action? -
CORRECT ANSWER -Put the head of the bed flat.
-> Test the drainage for glucose.
Test the drainage for occult blood.
Continue to observe for further drainage.
The nurse working on an endocrine nursing unit
understands that which correct concept is used in planning
care? - CORRECT ANSWER -Clients with
hyperthyroidism must be monitored for weight gain.
Clients who have diabetes insipidus should be assessed
for fluid excess.
-> Clients who have hyperparathyroidism should be
protected against falls.
Clients with Cushing's syndrome are likely to experience
episodic hypotension.
,The nurse educator is asking the nursing student to recall
the signs/symptoms of hypothyroidism. The nurse
educator determines that the student understands this
disorder if which are included in the student's response?
Select all that apply. - CORRECT ANSWER --> Dry skin
Irritability
Palpitations
Weight loss
-> Constipation
-> Cold intolerance
When the nurse is reinforcing instructions to a client who
has been newly diagnosed with type 1 diabetes mellitus,
which statement by the client would indicate that teaching
has been effective? - CORRECT ANSWER -"I will stop
taking my insulin if I'm too sick to eat."
"I will decrease my insulin dose during times of illness."
"I will adjust my insulin dose according to the level of
glucose in my urine."
-> "I will notify my health care provider if my blood glucose
level is consistently greater than 250 mg/dL." During data
collection on a postoperative client who has undergone
hypophysectomy, the client complains of thirst and frequent
,urination. Knowing the expected complication of this
surgery, the nurse should check which parameter next? -
CORRECT ANSWER -Serum glucose
Blood pressure
Respiratory rate
-> Urine specific gravity
The nurse should expect to note which interventions in the
plan of care for a client with hypothyroidism? Select all
that apply. - CORRECT ANSWER -Provide a cool
environment for the client.
Instruct the client to consume a high-fat diet.
-> Instruct the client about thyroid replacement therapy.
-> Encourage the client to consume fluids and high-fiber
foods in the diet.
Inform the client that iodine preparations will be prescribed
to treat the disorder.
-> Instruct the client to contact the health care provider if
episodes of chest pain occur.
Glucagon hydrochloride injection would most likely be
prescribed for which disorder? - CORRECT
, ANSWER -Thyroid crisis
Hypoadrenalism
-> Type 1 diabetes mellitus
Excess growth hormone secretion
A client is brought to the emergency department with
suspected diabetic ketoacidosis (DKA). Which finding
should the nurse note as being consistent with this
diagnosis? - CORRECT ANSWER -High serum glucose
level and low serum bicarbonate level
The nurse is monitoring a client following a thyroidectomy
for signs/symptoms of hypocalcemia. Which sign/symptom
noted in the client indicates the presence of
hypocalcemia? - CORRECT ANSWER Bradycardia
Flaccid paralysis
Negative Chvostek's sign
-> Tingling around the mouth
The nurse in an outpatient diabetes clinic is assisting in
caring for a client on insulin pump therapy.
PRACTICE QUESTIONS AND ANSWERS
A client who returned to the nursing unit 8 hours ago after
hypophysectomy has clear drainage saturating the nasal
dressing. The nurse should take which action? -
CORRECT ANSWER -Put the head of the bed flat.
-> Test the drainage for glucose.
Test the drainage for occult blood.
Continue to observe for further drainage.
The nurse working on an endocrine nursing unit
understands that which correct concept is used in planning
care? - CORRECT ANSWER -Clients with
hyperthyroidism must be monitored for weight gain.
Clients who have diabetes insipidus should be assessed
for fluid excess.
-> Clients who have hyperparathyroidism should be
protected against falls.
Clients with Cushing's syndrome are likely to experience
episodic hypotension.
,The nurse educator is asking the nursing student to recall
the signs/symptoms of hypothyroidism. The nurse
educator determines that the student understands this
disorder if which are included in the student's response?
Select all that apply. - CORRECT ANSWER --> Dry skin
Irritability
Palpitations
Weight loss
-> Constipation
-> Cold intolerance
When the nurse is reinforcing instructions to a client who
has been newly diagnosed with type 1 diabetes mellitus,
which statement by the client would indicate that teaching
has been effective? - CORRECT ANSWER -"I will stop
taking my insulin if I'm too sick to eat."
"I will decrease my insulin dose during times of illness."
"I will adjust my insulin dose according to the level of
glucose in my urine."
-> "I will notify my health care provider if my blood glucose
level is consistently greater than 250 mg/dL." During data
collection on a postoperative client who has undergone
hypophysectomy, the client complains of thirst and frequent
,urination. Knowing the expected complication of this
surgery, the nurse should check which parameter next? -
CORRECT ANSWER -Serum glucose
Blood pressure
Respiratory rate
-> Urine specific gravity
The nurse should expect to note which interventions in the
plan of care for a client with hypothyroidism? Select all
that apply. - CORRECT ANSWER -Provide a cool
environment for the client.
Instruct the client to consume a high-fat diet.
-> Instruct the client about thyroid replacement therapy.
-> Encourage the client to consume fluids and high-fiber
foods in the diet.
Inform the client that iodine preparations will be prescribed
to treat the disorder.
-> Instruct the client to contact the health care provider if
episodes of chest pain occur.
Glucagon hydrochloride injection would most likely be
prescribed for which disorder? - CORRECT
, ANSWER -Thyroid crisis
Hypoadrenalism
-> Type 1 diabetes mellitus
Excess growth hormone secretion
A client is brought to the emergency department with
suspected diabetic ketoacidosis (DKA). Which finding
should the nurse note as being consistent with this
diagnosis? - CORRECT ANSWER -High serum glucose
level and low serum bicarbonate level
The nurse is monitoring a client following a thyroidectomy
for signs/symptoms of hypocalcemia. Which sign/symptom
noted in the client indicates the presence of
hypocalcemia? - CORRECT ANSWER Bradycardia
Flaccid paralysis
Negative Chvostek's sign
-> Tingling around the mouth
The nurse in an outpatient diabetes clinic is assisting in
caring for a client on insulin pump therapy.
