CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
Chapter 50: Nursing Management: Endocrine
Problems Test Bank
MULTIPLE CHOICE
1. A 45-year-oldmale patient with suspected acromegaly is seen at the clinic. To assist in making
the diagnosis, which question should the nurse ask?
a. “Have you had a recent head injury?”
b. “Do you have to wear larger shoes now?”
c. “Is there a family history of acromegaly?”
d. “Are you experiencing tremors or anxiety?”
ANS: B
Acromegaly causes an enlargement of the hands and feet. Head injury and family history are not
risk factors for acromegaly. Tremors and anxiety are not clinical manifestations of acromegaly.
DIF: Cognitive Level: Apply (application) REF: 1190
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
2. A 42-year-old female patient is scheduled for transsphenoidal hypophysectomy to treat a
pituitary adenoma. During preoperative teaching, the nurse instructs the patient about the need to
a. cough and deep breathe every 2 hours postoperatively.
b. remain on bed rest for the first 48 hours after the surgery.
CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
,CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
c. avoid brushing teeth for at least 10 days after the surgery.
d. be positioned flat with sandbags at the head postoperatively.
ANS: C
To avoid disruption of the suture line, the patient should avoid brushing the teeth for 10 days
after surgery. It is not necessary to remain on bed rest after this surgery. Coughing is
discouraged because it may cause leakage of cerebrospinal fluid (CSF) from the suture line. The
head of the bed should be elevated 30 degrees to reduce pressure on the sella turcica and
decrease the risk for headaches.
DIF: Cognitive Level: Apply (application) REF: 1191
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
3. The nurse is planning postoperative care for a patient who is being admitted to the surgical
unit form the recovery room after transsphenoidal resection of a pituitary tumor. Which nursing
action should be included?
a. Palpate extremities for edema.
b. Measure urine volume every hour.
c. Check hematocrit every 2 hours for 8 hours.
d. Monitor continuous pulse oximetry for 24 hours.
ANS: B
After pituitary surgery, the patient is at risk for diabetes insipidus caused by cerebral edema.
Monitoring of urine output and urine specific gravity is essential. Hemorrhage is not a common
problem. There is no need to check the hematocrit hourly. The patient is at risk for
dehydration, not volume overload. The patient is not at high risk for problems with
CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
,CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
oxygenation, and continuous pulse oximetry is not needed.
CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
, CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
DIF: Cognitive Level: Apply (application) REF: 1191
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
4. The nurse is assessinga 41-year-old African American male patient diagnosed with a
pituitary tumor causing panhypopituitarism. Assessment findings consistent with
panhypopituitarism include
a. high blood pressure.
b. decreased facial hair.
c. elevated blood glucose.
d. tachycardia and cardiac palpitations.
ANS: B
Changes in male secondary sex characteristics such as decreased facial hair, testicular atrophy,
diminished spermatogenesis, loss of libido, impotence, and decreased muscle mass are associated
with decreases in follicle stimulating hormone (FSH) and luteinizing hormone (LH). Fasting
hypoglycemia and hypotension occur in panhypopituitarism as a result of decreases in
adrenocorticotropic hormone (ACTH) and cortisol. Bradycardia is likely due to the decrease in
thyroid stimulating hormone (TSH) and thyroid hormones associated with panhypopituitarism.
DIF: Cognitive Level: Apply (application) REF: 1192
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
5. Which information will the nurse include when teaching a 50-year-old male patient
about somatropin (Genotropin)?
a. The medication will be needed for 3 to 6 months.
b. Inject the medication subcutaneously every day.
CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
WITH COPLETE SOLUTION PACK 2022 UPDATE
Chapter 50: Nursing Management: Endocrine
Problems Test Bank
MULTIPLE CHOICE
1. A 45-year-oldmale patient with suspected acromegaly is seen at the clinic. To assist in making
the diagnosis, which question should the nurse ask?
a. “Have you had a recent head injury?”
b. “Do you have to wear larger shoes now?”
c. “Is there a family history of acromegaly?”
d. “Are you experiencing tremors or anxiety?”
ANS: B
Acromegaly causes an enlargement of the hands and feet. Head injury and family history are not
risk factors for acromegaly. Tremors and anxiety are not clinical manifestations of acromegaly.
DIF: Cognitive Level: Apply (application) REF: 1190
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
2. A 42-year-old female patient is scheduled for transsphenoidal hypophysectomy to treat a
pituitary adenoma. During preoperative teaching, the nurse instructs the patient about the need to
a. cough and deep breathe every 2 hours postoperatively.
b. remain on bed rest for the first 48 hours after the surgery.
CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
,CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
c. avoid brushing teeth for at least 10 days after the surgery.
d. be positioned flat with sandbags at the head postoperatively.
ANS: C
To avoid disruption of the suture line, the patient should avoid brushing the teeth for 10 days
after surgery. It is not necessary to remain on bed rest after this surgery. Coughing is
discouraged because it may cause leakage of cerebrospinal fluid (CSF) from the suture line. The
head of the bed should be elevated 30 degrees to reduce pressure on the sella turcica and
decrease the risk for headaches.
DIF: Cognitive Level: Apply (application) REF: 1191
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
3. The nurse is planning postoperative care for a patient who is being admitted to the surgical
unit form the recovery room after transsphenoidal resection of a pituitary tumor. Which nursing
action should be included?
a. Palpate extremities for edema.
b. Measure urine volume every hour.
c. Check hematocrit every 2 hours for 8 hours.
d. Monitor continuous pulse oximetry for 24 hours.
ANS: B
After pituitary surgery, the patient is at risk for diabetes insipidus caused by cerebral edema.
Monitoring of urine output and urine specific gravity is essential. Hemorrhage is not a common
problem. There is no need to check the hematocrit hourly. The patient is at risk for
dehydration, not volume overload. The patient is not at high risk for problems with
CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
,CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
oxygenation, and continuous pulse oximetry is not needed.
CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
, CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
DIF: Cognitive Level: Apply (application) REF: 1191
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
4. The nurse is assessinga 41-year-old African American male patient diagnosed with a
pituitary tumor causing panhypopituitarism. Assessment findings consistent with
panhypopituitarism include
a. high blood pressure.
b. decreased facial hair.
c. elevated blood glucose.
d. tachycardia and cardiac palpitations.
ANS: B
Changes in male secondary sex characteristics such as decreased facial hair, testicular atrophy,
diminished spermatogenesis, loss of libido, impotence, and decreased muscle mass are associated
with decreases in follicle stimulating hormone (FSH) and luteinizing hormone (LH). Fasting
hypoglycemia and hypotension occur in panhypopituitarism as a result of decreases in
adrenocorticotropic hormone (ACTH) and cortisol. Bradycardia is likely due to the decrease in
thyroid stimulating hormone (TSH) and thyroid hormones associated with panhypopituitarism.
DIF: Cognitive Level: Apply (application) REF: 1192
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
5. Which information will the nurse include when teaching a 50-year-old male patient
about somatropin (Genotropin)?
a. The medication will be needed for 3 to 6 months.
b. Inject the medication subcutaneously every day.
CHAPTER 50,NURSING MANAGEMENT:ENDOCRINE QUESTIONS
WITH COPLETE SOLUTION PACK 2022 UPDATE
