Medical-Surgical: Endocrine
1. A nurse is caring for a client who is postoperative following a bilateral adrena-
lectomy. The nurse should expect to administer glucocorticoids following the
procedure to enhance which of the following therapeutic effects?
[] compensate for decrease in cortisol levels
[] inhibit glucose metabolism
[] act as a diuretic to maintain urine output
[] decrease susceptibility to infectionAns: compensate for decrease in cortisol levels
2. A nurse is planning a community health screening for a group of clients who
are at risk for type 2 diabetes mellitus. Which of the following clients should
the nurse include in the screening/
[] men who smoke
[] men and women who are obese
[] women who have hepatitis
[] men and women who consume high-protein and low-carbohydrate foodsAns:
men and women who are obese
3. A nurse is providing teaching to a client who has type 1 diabetes mellitus
about hypoglycemia. Which of the following menaifestations should the nurse
include in the teaching?
[] shakiness
[] urinary frequency
[] dry mucous membranes
[] excess thirstAns:
shakiness
4. A nurse is caring for a client who has type 2 diabetes mellitus and is display-
ing manifestations of hyperglycemia. Which of the following findings should
indicate to the nurse that the client has hyperglycemia?
[] hunger
[] increased urination
[] cold, clammy skin
[] tremorsAns: increased urination
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, 5. A nurse is reviewing the laboratory values of a client who has diabetic ke-
toacidosis. The nurse should understand that which of the following laboratory
values is consistent with diabetic ketoacidosis?
[] blood glucose 30 mg/dL []
negative urine ketones []
blood pH 7.38
[] bicarbonate level 12 mEq/LAns: bicarbonate level 12 mEq/L
6. A nurse is preparing a 24-hour urine specimen for a client who is suspected
to have pheochromocytoma. Which of the following laboratory tests from
the 24-hour urine specimen should the nurse use to determine the client's
condition?
[] creatinine clearance
[] vanillylmandelic acid (VMA)
[] 17-hydroxycorticosteroids (17-OHCS)
[] proteinAns: vanillylmandelic acid (VMA)
7. A nurse is providing teaching to a client who has type 1 diabetes mellitus
about exercise. Which of the following statements should the nurse include in
the teaching?
[] "you should exercise during peak insulin time"
[] "wear a medical alert identification tag when you exercise"
[] "exercise can decrease the effects of insulin and cause the blood glucose
levels to increase"
[] "you will get the most benefit from exercise when your glucose levels are
higher than normal"Ans: "wear a medical alert identification tag when you exercise"
8. A nurse is caring for a client who is postoperative following a parathyroidec-
tomy to treat hyperparathyroidism. Which of the following laboratory values
should the nurse expect to decrease as a therapeutic effect of the procedure?
[] calcium
[] sodium
[] potassium
[] phophorousAns: calcium
9. A nurse is caring for a client who had a thyroidectomy to treat hyperthy-
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1. A nurse is caring for a client who is postoperative following a bilateral adrena-
lectomy. The nurse should expect to administer glucocorticoids following the
procedure to enhance which of the following therapeutic effects?
[] compensate for decrease in cortisol levels
[] inhibit glucose metabolism
[] act as a diuretic to maintain urine output
[] decrease susceptibility to infectionAns: compensate for decrease in cortisol levels
2. A nurse is planning a community health screening for a group of clients who
are at risk for type 2 diabetes mellitus. Which of the following clients should
the nurse include in the screening/
[] men who smoke
[] men and women who are obese
[] women who have hepatitis
[] men and women who consume high-protein and low-carbohydrate foodsAns:
men and women who are obese
3. A nurse is providing teaching to a client who has type 1 diabetes mellitus
about hypoglycemia. Which of the following menaifestations should the nurse
include in the teaching?
[] shakiness
[] urinary frequency
[] dry mucous membranes
[] excess thirstAns:
shakiness
4. A nurse is caring for a client who has type 2 diabetes mellitus and is display-
ing manifestations of hyperglycemia. Which of the following findings should
indicate to the nurse that the client has hyperglycemia?
[] hunger
[] increased urination
[] cold, clammy skin
[] tremorsAns: increased urination
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, 5. A nurse is reviewing the laboratory values of a client who has diabetic ke-
toacidosis. The nurse should understand that which of the following laboratory
values is consistent with diabetic ketoacidosis?
[] blood glucose 30 mg/dL []
negative urine ketones []
blood pH 7.38
[] bicarbonate level 12 mEq/LAns: bicarbonate level 12 mEq/L
6. A nurse is preparing a 24-hour urine specimen for a client who is suspected
to have pheochromocytoma. Which of the following laboratory tests from
the 24-hour urine specimen should the nurse use to determine the client's
condition?
[] creatinine clearance
[] vanillylmandelic acid (VMA)
[] 17-hydroxycorticosteroids (17-OHCS)
[] proteinAns: vanillylmandelic acid (VMA)
7. A nurse is providing teaching to a client who has type 1 diabetes mellitus
about exercise. Which of the following statements should the nurse include in
the teaching?
[] "you should exercise during peak insulin time"
[] "wear a medical alert identification tag when you exercise"
[] "exercise can decrease the effects of insulin and cause the blood glucose
levels to increase"
[] "you will get the most benefit from exercise when your glucose levels are
higher than normal"Ans: "wear a medical alert identification tag when you exercise"
8. A nurse is caring for a client who is postoperative following a parathyroidec-
tomy to treat hyperparathyroidism. Which of the following laboratory values
should the nurse expect to decrease as a therapeutic effect of the procedure?
[] calcium
[] sodium
[] potassium
[] phophorousAns: calcium
9. A nurse is caring for a client who had a thyroidectomy to treat hyperthy-
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