NURSING 2239 FINAL EXAM
,Endocrine:
The physician has ordered a fluid deprivation test for a patient suspected of having diabetes
insipidus. During the test, the nurse should prioritize what assessments?
B) Heart rate and BP
A patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH)
is being cared for in the critical care unit. The priority nursing diagnosis for a patient with this
condition is what?
B) Excess fluid volume
A patient with pheochromocytoma has been admitted for an adrenalectomy to be performed the
following day. To prevent complications, the nurse should anticipate preoperative administration
of which of the following?
D) IV corticosteroids
A patient is undergoing testing for suspected adrenocortical insufficiency. The care team should
ensure that the patient has been assessed for the most common cause of adrenocortical
insufficiency. What is the most common cause of this health problem?
A) Therapeutic use of corticosteroids
The nurse is caring for a patient at risk for an addisonian crisis. For what associated signs and
symptoms should the nurse monitor the patient? Select all that apply.
B) Pallor
C) Rapid respiratory rate
E) Hypotension
The nurse is caring for a patient with Addison's disease who is scheduled for discharge. When
teaching the patient about hormone replacement therapy, the nurse should address what topic?
B) The need for lifelong steroid replacement
A nurse caring for a patient with diabetes insipidus is reviewing laboratory results. What is an
expected urinalysis finding?
C) Highly dilute urine
The nurse is caring for a patient with a diagnosis of Addison's disease. What sign or symptom is
most closely associated with this health problem?
, C) Muscle weakness
You are developing a care plan for a patient with Cushing syndrome. What nursing diagnosis
would have the highest priority in this care plan?
A) Risk for injury related to weakness
A 30 year-old female patient has been diagnosed with Cushing syndrome. What psychosocial
nursing diagnosis should the nurse most likely prioritize when planning the patient's care?
C) Disturbed body image related to changes in physical appearance
The nurse caring for a patient with Cushing syndrome is describing the dexamethasone
suppression test scheduled for tomorrow. What does the nurse explain that this test will involve?
C) Administration of dexamethasone orally at 11 PM, and a plasma cortisol level at 8 AM the
next morning
A patient with suspected adrenal insufficiency has been ordered an adrenocorticotropic
hormone stimulation test. Administration of ACTH caused a marked increase in cortisol levels.
How should the nurse interpret this finding?
A) The patient's pituitary function is compromised.
Following an Addisonian crisis, a patient's adrenal function has been gradually regained. The
nurse should ensure that the patient knows about the need for supplementary glucocorticoid
therapy in which of the following circumstances?
A) Episodes of high psychosocial stress
A patient with Cushing syndrome as a result of a pituitary tumor has been admitted for a
transsphenoidal hypophysectomy. What would be most important for the nurse to monitor
before, during, and after surgery?
A) Blood glucose
A nurse cares for a client who is recovering from a hypophysectomy. Which action should the
nurse take first?
C) Report clear or light yellow drainage from the nose
A nurse assesses a client with Cushing's disease. Which assessment findings should the nurse
correlate with this disorder? (Select all that apply.)
,Endocrine:
The physician has ordered a fluid deprivation test for a patient suspected of having diabetes
insipidus. During the test, the nurse should prioritize what assessments?
B) Heart rate and BP
A patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH)
is being cared for in the critical care unit. The priority nursing diagnosis for a patient with this
condition is what?
B) Excess fluid volume
A patient with pheochromocytoma has been admitted for an adrenalectomy to be performed the
following day. To prevent complications, the nurse should anticipate preoperative administration
of which of the following?
D) IV corticosteroids
A patient is undergoing testing for suspected adrenocortical insufficiency. The care team should
ensure that the patient has been assessed for the most common cause of adrenocortical
insufficiency. What is the most common cause of this health problem?
A) Therapeutic use of corticosteroids
The nurse is caring for a patient at risk for an addisonian crisis. For what associated signs and
symptoms should the nurse monitor the patient? Select all that apply.
B) Pallor
C) Rapid respiratory rate
E) Hypotension
The nurse is caring for a patient with Addison's disease who is scheduled for discharge. When
teaching the patient about hormone replacement therapy, the nurse should address what topic?
B) The need for lifelong steroid replacement
A nurse caring for a patient with diabetes insipidus is reviewing laboratory results. What is an
expected urinalysis finding?
C) Highly dilute urine
The nurse is caring for a patient with a diagnosis of Addison's disease. What sign or symptom is
most closely associated with this health problem?
, C) Muscle weakness
You are developing a care plan for a patient with Cushing syndrome. What nursing diagnosis
would have the highest priority in this care plan?
A) Risk for injury related to weakness
A 30 year-old female patient has been diagnosed with Cushing syndrome. What psychosocial
nursing diagnosis should the nurse most likely prioritize when planning the patient's care?
C) Disturbed body image related to changes in physical appearance
The nurse caring for a patient with Cushing syndrome is describing the dexamethasone
suppression test scheduled for tomorrow. What does the nurse explain that this test will involve?
C) Administration of dexamethasone orally at 11 PM, and a plasma cortisol level at 8 AM the
next morning
A patient with suspected adrenal insufficiency has been ordered an adrenocorticotropic
hormone stimulation test. Administration of ACTH caused a marked increase in cortisol levels.
How should the nurse interpret this finding?
A) The patient's pituitary function is compromised.
Following an Addisonian crisis, a patient's adrenal function has been gradually regained. The
nurse should ensure that the patient knows about the need for supplementary glucocorticoid
therapy in which of the following circumstances?
A) Episodes of high psychosocial stress
A patient with Cushing syndrome as a result of a pituitary tumor has been admitted for a
transsphenoidal hypophysectomy. What would be most important for the nurse to monitor
before, during, and after surgery?
A) Blood glucose
A nurse cares for a client who is recovering from a hypophysectomy. Which action should the
nurse take first?
C) Report clear or light yellow drainage from the nose
A nurse assesses a client with Cushing's disease. Which assessment findings should the nurse
correlate with this disorder? (Select all that apply.)
