NU 185: MED-SURGE II EXAM 4 | QUESTIONS AND
ANSWERS | 2026 UPDATED | GALEN COLLEGE OF
NURSING-SAN ANTONIO.
A client is admitted for removal of a goiter. Which nursing intervention should receive
priority during the postoperative period? *Exam Cram Endocrine - ANSWER-Assessing
the Clients Airway
A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis,
the nurse would anticipate an order for? *Exam Cram Endocrine - ANSWER-Calcium
A client with Addison's Disease will most likely exhibit which symptom? *Exam Cram
Endocrine - ANSWER-Bronze Pigmentation
A client w/ Cushing's Syndrome should be instructed to? *Exam Cram Endocrine -
ANSWER-Limit the Sodium in her DIet
A client w/ Polyuria, Polydipsia, and Polyphagia is diagnosed w/ diabetes mellitus. The
nurse would expect that these symptoms are r/t? *Exam Cram Endocrine - ANSWER-
Hyperglycemia
Which laboratory test conducted on the client w/ Diabetes Mellitus indicates
compliance? *Exam Cram Endocrine - ANSWER-Hgb A-1C
A client hospitalized with acute glomerulonephritis has a positive ASO titer. The nurse
understands that the client's current illness is due to a... *Exam Cram Renal - ANSWER-
Prior Bacterial Infection
, The physician has prescribed hydralazine (Apresoline) for a client with acute
glomerulonephritis. Which finding indicates that the drug is having the desired effect?
*Exam Cram Renal - ANSWER-The clients bp has decreased
A client with acute glomerulonephritis requests a snack. Which snack is suitable given
the client's dietary restrictions? *Exam Cram Renal - ANSWER-Applesauce
The physician has ordered Prednisone 50 mg daily to promote diuresis in a client with
nephrotic syndrome. The nurse should administer the medication... *Exam Cram Renal -
ANSWER-With a snack or glass of milk
A client receiving Gentamicin (Garamycin) IVPB has a morning peak level of 12
micrograms/mL. The nurse should...*Exam Cram Renal - ANSWER-Notify the physician
because the level is too high
The nurse is teaching the client with an ileal conduit regarding skin care to prevent
excoriation. In addition to applying a well-fitted collection bag the client should be told to
empty the collection bag... *Exam Cram Renal - ANSWER-When it is one third full
A client with end stage renal disease has been managed by peritoneal dialysis. Which
finding should be reported to the doctor immediately? *Exam Cram Renal - ANSWER-The
client complains of abdominal pain and nauseaThe client w/ a suspected pituitary tumor
will most likely exhibit symptoms of? *Exam Cram Endocrine - ANSWER-Alteration in
Visual Acuity
A diabetic client has been maintained on GLucophage (Metformin) for regulation of his
blood glucose levels. Which teaching should be included in the plan of care? *Exam
Cram Endocrine - ANSWER-Report changes in Urinary Pattern
A client w/ diabetes experiences Somogyi's effect. To prevent this complication, the
nurse should instruct the client to? *Exam Cram Endocrine - ANSWER-Eat a protein and
carbohydrate snack at bedtime
ANSWERS | 2026 UPDATED | GALEN COLLEGE OF
NURSING-SAN ANTONIO.
A client is admitted for removal of a goiter. Which nursing intervention should receive
priority during the postoperative period? *Exam Cram Endocrine - ANSWER-Assessing
the Clients Airway
A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis,
the nurse would anticipate an order for? *Exam Cram Endocrine - ANSWER-Calcium
A client with Addison's Disease will most likely exhibit which symptom? *Exam Cram
Endocrine - ANSWER-Bronze Pigmentation
A client w/ Cushing's Syndrome should be instructed to? *Exam Cram Endocrine -
ANSWER-Limit the Sodium in her DIet
A client w/ Polyuria, Polydipsia, and Polyphagia is diagnosed w/ diabetes mellitus. The
nurse would expect that these symptoms are r/t? *Exam Cram Endocrine - ANSWER-
Hyperglycemia
Which laboratory test conducted on the client w/ Diabetes Mellitus indicates
compliance? *Exam Cram Endocrine - ANSWER-Hgb A-1C
A client hospitalized with acute glomerulonephritis has a positive ASO titer. The nurse
understands that the client's current illness is due to a... *Exam Cram Renal - ANSWER-
Prior Bacterial Infection
, The physician has prescribed hydralazine (Apresoline) for a client with acute
glomerulonephritis. Which finding indicates that the drug is having the desired effect?
*Exam Cram Renal - ANSWER-The clients bp has decreased
A client with acute glomerulonephritis requests a snack. Which snack is suitable given
the client's dietary restrictions? *Exam Cram Renal - ANSWER-Applesauce
The physician has ordered Prednisone 50 mg daily to promote diuresis in a client with
nephrotic syndrome. The nurse should administer the medication... *Exam Cram Renal -
ANSWER-With a snack or glass of milk
A client receiving Gentamicin (Garamycin) IVPB has a morning peak level of 12
micrograms/mL. The nurse should...*Exam Cram Renal - ANSWER-Notify the physician
because the level is too high
The nurse is teaching the client with an ileal conduit regarding skin care to prevent
excoriation. In addition to applying a well-fitted collection bag the client should be told to
empty the collection bag... *Exam Cram Renal - ANSWER-When it is one third full
A client with end stage renal disease has been managed by peritoneal dialysis. Which
finding should be reported to the doctor immediately? *Exam Cram Renal - ANSWER-The
client complains of abdominal pain and nauseaThe client w/ a suspected pituitary tumor
will most likely exhibit symptoms of? *Exam Cram Endocrine - ANSWER-Alteration in
Visual Acuity
A diabetic client has been maintained on GLucophage (Metformin) for regulation of his
blood glucose levels. Which teaching should be included in the plan of care? *Exam
Cram Endocrine - ANSWER-Report changes in Urinary Pattern
A client w/ diabetes experiences Somogyi's effect. To prevent this complication, the
nurse should instruct the client to? *Exam Cram Endocrine - ANSWER-Eat a protein and
carbohydrate snack at bedtime
