RN Targeted Medical Surgical Endocrine Online Practice 2023
Study online at https://quizlet.com/_hhorzq
1. A nurse is caring for a client on a medical-surgical unit.
The nurse is reviewing the client's electronic medical record. Select the "5"
findings that are possible manifestations of adrenal insufficiency.: Blood pressure
Potassium level
Energy level
Sodium level
Skin findings
2. 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?: Hypotension
3. A nurse is providing discharge teaching to a client who has diabetes insipidus
and a new prescription for desmopressin nasal spray. Which of the following
instructions should the nurse include in the teaching?: "Blow your nose gently prior to
using the nasal spray."
4. A nurse is assessing a client who has diabetes insipidus. The nurse should
expect which of the following findings?: Increased hematocrit
5. A nurse is assessing a client who has diabetes mellitus and reports feeling
anxious. Which of the following findings should the nurse expect if the client is
hypoglycemic?: Cool, clammy skin
6. A nurse is caring for a client following a thyroidectomy. The nurse should as-
sess for which of the following findings as an indication of hypocalcemia?: Tingling
and numbness of the hands and feet
7. A nurse is assessing a client who has syndrome of inappropriate antidiuretic
hormone (SIADH). Which of the following findings is the priority for the nurse
to report to the provider?: Sodium 110 mEq/L (136 to 145 mEq/L)
1/5
, RN Targeted Medical Surgical Endocrine Online Practice 2023
Study online at https://quizlet.com/_hhorzq
8. 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 the teaching?: "Restrict coffee intake 2 to 3 days prior to the test."
9. A nurse is teaching a client who has diabetes mellitus. Which of the follow-
ing should the nurse include as an expected finding of diabetic ketoacidosis
(DKA)?: Blood glucose levels above 300 mg/dL (74 to 106 mg/dL)
10. A nurse is teaching a client about glycosylated hemoglobin (HbA1c) testing.
Which of the following client statements indicates an understanding of the
teaching?: "This test's result is a good indicator of my average blood glucose levels."
11. A nurse is teaching a client about the adrenocorticotropic hormone (ACTH)
stimulation test. The nurse should explain that the purpose of the test is to
assess for which of the following disorders?: Addison's disease
12. A nurse is caring for a client who has type 2 diabetes mellitus and is ex-
periencing a hyperglycemic-hyperosmolar state (HHS). Which of the following
laboratory findings should the nurse expect?: Serum pH 7.41 (7.35 to 7.45)
13. A nurse in an outpatient clinic is teaching a client who has a diabetic foot
ulcer about foot care. Which of the following statements by the client indicates
an understanding of the teaching?: "I will apply lotion to the dry areas of my feet but not between
my toes."
14. A nurse is teaching a client who has diabetes mellitus about insulin injec-
tions. The client's prescription includes evening doses of insulin glargine and
regular insulin. Which of the following instructions should the nurse include?-
: Draw up the insulins into separate syringes.
15. 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
a therapeutic response?: Reduction of the effects of thyroid hormone on the heart
16. A nurse is reviewing the laboratory results of a client undergoing screening
for primary Cushing's disease. The nurse should expect an elevation in which
of the following laboratory findings?: Glucose
17. A nurse is monitoring a client who is 24 hr postoperative after a total thy-
roidectomy. Which of the following findings should the nurse report to the
provider?: Laryngeal stridor
2/5
Study online at https://quizlet.com/_hhorzq
1. A nurse is caring for a client on a medical-surgical unit.
The nurse is reviewing the client's electronic medical record. Select the "5"
findings that are possible manifestations of adrenal insufficiency.: Blood pressure
Potassium level
Energy level
Sodium level
Skin findings
2. 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?: Hypotension
3. A nurse is providing discharge teaching to a client who has diabetes insipidus
and a new prescription for desmopressin nasal spray. Which of the following
instructions should the nurse include in the teaching?: "Blow your nose gently prior to
using the nasal spray."
4. A nurse is assessing a client who has diabetes insipidus. The nurse should
expect which of the following findings?: Increased hematocrit
5. A nurse is assessing a client who has diabetes mellitus and reports feeling
anxious. Which of the following findings should the nurse expect if the client is
hypoglycemic?: Cool, clammy skin
6. A nurse is caring for a client following a thyroidectomy. The nurse should as-
sess for which of the following findings as an indication of hypocalcemia?: Tingling
and numbness of the hands and feet
7. A nurse is assessing a client who has syndrome of inappropriate antidiuretic
hormone (SIADH). Which of the following findings is the priority for the nurse
to report to the provider?: Sodium 110 mEq/L (136 to 145 mEq/L)
1/5
, RN Targeted Medical Surgical Endocrine Online Practice 2023
Study online at https://quizlet.com/_hhorzq
8. 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 the teaching?: "Restrict coffee intake 2 to 3 days prior to the test."
9. A nurse is teaching a client who has diabetes mellitus. Which of the follow-
ing should the nurse include as an expected finding of diabetic ketoacidosis
(DKA)?: Blood glucose levels above 300 mg/dL (74 to 106 mg/dL)
10. A nurse is teaching a client about glycosylated hemoglobin (HbA1c) testing.
Which of the following client statements indicates an understanding of the
teaching?: "This test's result is a good indicator of my average blood glucose levels."
11. A nurse is teaching a client about the adrenocorticotropic hormone (ACTH)
stimulation test. The nurse should explain that the purpose of the test is to
assess for which of the following disorders?: Addison's disease
12. A nurse is caring for a client who has type 2 diabetes mellitus and is ex-
periencing a hyperglycemic-hyperosmolar state (HHS). Which of the following
laboratory findings should the nurse expect?: Serum pH 7.41 (7.35 to 7.45)
13. A nurse in an outpatient clinic is teaching a client who has a diabetic foot
ulcer about foot care. Which of the following statements by the client indicates
an understanding of the teaching?: "I will apply lotion to the dry areas of my feet but not between
my toes."
14. A nurse is teaching a client who has diabetes mellitus about insulin injec-
tions. The client's prescription includes evening doses of insulin glargine and
regular insulin. Which of the following instructions should the nurse include?-
: Draw up the insulins into separate syringes.
15. 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
a therapeutic response?: Reduction of the effects of thyroid hormone on the heart
16. A nurse is reviewing the laboratory results of a client undergoing screening
for primary Cushing's disease. The nurse should expect an elevation in which
of the following laboratory findings?: Glucose
17. A nurse is monitoring a client who is 24 hr postoperative after a total thy-
roidectomy. Which of the following findings should the nurse report to the
provider?: Laryngeal stridor
2/5
