ONCOLOGY-CARDIAC DISEASE -RESPIRATORY-
ENDOCRINE NURS EXAM QUESTIONS WITH ANSWERS
A client who uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol. The
nurse determines that the misoprostol is having the intended therapeutic effect if which finding is
noted?
Resolved diarrhea
*Relief of epigastric pain Decreased
platelet count Decreased white
blood cell count
A nurse caring for a 23-year-old client newly diagnosed with type 1 diabetes mellitus teaches the
client insulin administration. Which statement by the client indicates a need for further teaching? "It
is not necessary for me to aspirate before injecting my insulin."
*"I will rotate my insulin injection between my arms, thighs, and abdomen on a daily basis."
"I will perform a capillary blood glucose measurement before I administer my insulin regimen." "My
glargine insulin is long acting and should be administered once a day, but insulin lispro is given just
before I eat."
A client with acute myelocytic leukemia is being treated with busulfan. Which laboratory value would
the nurse specifically monitor during treatment with this medication?
Clotting time
*Uric acid level
Potassium level Blood
glucose level
A client with a history of gastroesophageal reflux disease (GERD) is diagnosed with peptic ulcer
disease (PUD). The health care provider prescribes sucralfate in addition to the client's other
medications. What teaching should the nurse include in this client's instructions?
Take the sucralfate once a day at bedtime with food. Take
the sucralfate daily with the proton pump inhibitor.
*Take the sucralfate before meals and at bedtime on an empty stomach.
Take the sucralfate immediately after eating and within 30 minutes of an antacid.
, A client is scheduled to receive a daily morning dose of furosemide. Which client laboratory result
warrants a call to the health care provider (HCP) prior to the medication administration?
Serum sodium of 135 mEq/L (135 mmol/L)
Serum calcium of 10.4 mg/dL (2.6 mmol/L)
*Serum potassium of 2.8 mEq/L (2.8 mmol/L)
Fasting blood glucose of 110 mg/dL (6 mmol/L)
A thrombolytic is administered in the hospital emergency department to a client who has had a
myocardial infarction. The client's spouse asks the nurse about the purpose of the medication. The
nurse bases the response on which fact regarding this medication?
Thrombolytics suppress the production of fibrin.
Thrombolytics act to prevent thrombus formation.
*Thrombolytics act to dissolve thrombi that have already formed.
Thrombolytics have been proved to reverse all detrimental effects of heart attacks.
The nurse is monitoring a client with leukemia who is receiving doxorubicin by intravenous infusion.
The nurse should monitor for which finding that would indicate doxorubicin toxicity? Elevated
creatinine
Red coloration in the urine Elevated
blood urea nitrogen (BUN)
*Electrocardiogram (ECG) changes
A client who has begun taking betaxolol demonstrates an effective response to the medication as
indicated by which nursing assessment finding?
Increase in edema to 3+
Weight gain of 5 pounds
Decrease in pulse rate from 74 beats/min to 58 beats/min
*Decrease in blood pressure from 142/94 mm Hg to 128/82 mm Hg
Cortisone acetate is prescribed for a client with adrenal insufficiency. The nurse provides instructions
to the client regarding the medication. Which statement, if made by the client, indicates a need for
further instruction?
"I will limit my sodium intake." "I
, will avoid people with colds."
"I will eat a good breakfast every day."
*"I will stop the medication when I feel better."
A registered nurse (RN) is orienting a new RN on the use of atorvastatin. Which statement by the new
RN indicates that the teaching has been effective?
"It is used in heart failure."
*"It helps to control hypertension."
"It helps to reduce episodes of angina pectoris." "It
is given to clients with hypercholesterolemia."
The nurse is assigned to care for several male and female clients who take estrogen or progestins. For
which complication should the nurse monitor these clients?
Sepsis
Dehydration
*Deep vein thrombosis (DVT)
Electrocardiographic changes
A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had
been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 to
200 mg/dL (10.2 to 11.4 mmol/L). Which medication, if added to the client's regimen, may have
contributed to the hyperglycemia?
*Prednisone
Atenolol
Phenelzine
Allopurinol
A client is taking Humulin NPH insulin and regular insulin every morning. The nurse should provide
which instructions to the client? Select all that apply.
*Hypoglycemia may be experienced before dinnertime.
The insulin dose should be decreased if illness occurs.
*The insulin should be administered at room temperature.
The insulin vial needs to be shaken vigorously to break up the precipitates.
The NPH insulin should be drawn into the syringe first, then the regular insulin.
ENDOCRINE NURS EXAM QUESTIONS WITH ANSWERS
A client who uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol. The
nurse determines that the misoprostol is having the intended therapeutic effect if which finding is
noted?
Resolved diarrhea
*Relief of epigastric pain Decreased
platelet count Decreased white
blood cell count
A nurse caring for a 23-year-old client newly diagnosed with type 1 diabetes mellitus teaches the
client insulin administration. Which statement by the client indicates a need for further teaching? "It
is not necessary for me to aspirate before injecting my insulin."
*"I will rotate my insulin injection between my arms, thighs, and abdomen on a daily basis."
"I will perform a capillary blood glucose measurement before I administer my insulin regimen." "My
glargine insulin is long acting and should be administered once a day, but insulin lispro is given just
before I eat."
A client with acute myelocytic leukemia is being treated with busulfan. Which laboratory value would
the nurse specifically monitor during treatment with this medication?
Clotting time
*Uric acid level
Potassium level Blood
glucose level
A client with a history of gastroesophageal reflux disease (GERD) is diagnosed with peptic ulcer
disease (PUD). The health care provider prescribes sucralfate in addition to the client's other
medications. What teaching should the nurse include in this client's instructions?
Take the sucralfate once a day at bedtime with food. Take
the sucralfate daily with the proton pump inhibitor.
*Take the sucralfate before meals and at bedtime on an empty stomach.
Take the sucralfate immediately after eating and within 30 minutes of an antacid.
, A client is scheduled to receive a daily morning dose of furosemide. Which client laboratory result
warrants a call to the health care provider (HCP) prior to the medication administration?
Serum sodium of 135 mEq/L (135 mmol/L)
Serum calcium of 10.4 mg/dL (2.6 mmol/L)
*Serum potassium of 2.8 mEq/L (2.8 mmol/L)
Fasting blood glucose of 110 mg/dL (6 mmol/L)
A thrombolytic is administered in the hospital emergency department to a client who has had a
myocardial infarction. The client's spouse asks the nurse about the purpose of the medication. The
nurse bases the response on which fact regarding this medication?
Thrombolytics suppress the production of fibrin.
Thrombolytics act to prevent thrombus formation.
*Thrombolytics act to dissolve thrombi that have already formed.
Thrombolytics have been proved to reverse all detrimental effects of heart attacks.
The nurse is monitoring a client with leukemia who is receiving doxorubicin by intravenous infusion.
The nurse should monitor for which finding that would indicate doxorubicin toxicity? Elevated
creatinine
Red coloration in the urine Elevated
blood urea nitrogen (BUN)
*Electrocardiogram (ECG) changes
A client who has begun taking betaxolol demonstrates an effective response to the medication as
indicated by which nursing assessment finding?
Increase in edema to 3+
Weight gain of 5 pounds
Decrease in pulse rate from 74 beats/min to 58 beats/min
*Decrease in blood pressure from 142/94 mm Hg to 128/82 mm Hg
Cortisone acetate is prescribed for a client with adrenal insufficiency. The nurse provides instructions
to the client regarding the medication. Which statement, if made by the client, indicates a need for
further instruction?
"I will limit my sodium intake." "I
, will avoid people with colds."
"I will eat a good breakfast every day."
*"I will stop the medication when I feel better."
A registered nurse (RN) is orienting a new RN on the use of atorvastatin. Which statement by the new
RN indicates that the teaching has been effective?
"It is used in heart failure."
*"It helps to control hypertension."
"It helps to reduce episodes of angina pectoris." "It
is given to clients with hypercholesterolemia."
The nurse is assigned to care for several male and female clients who take estrogen or progestins. For
which complication should the nurse monitor these clients?
Sepsis
Dehydration
*Deep vein thrombosis (DVT)
Electrocardiographic changes
A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had
been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 to
200 mg/dL (10.2 to 11.4 mmol/L). Which medication, if added to the client's regimen, may have
contributed to the hyperglycemia?
*Prednisone
Atenolol
Phenelzine
Allopurinol
A client is taking Humulin NPH insulin and regular insulin every morning. The nurse should provide
which instructions to the client? Select all that apply.
*Hypoglycemia may be experienced before dinnertime.
The insulin dose should be decreased if illness occurs.
*The insulin should be administered at room temperature.
The insulin vial needs to be shaken vigorously to break up the precipitates.
The NPH insulin should be drawn into the syringe first, then the regular insulin.
