RN TARGETED ENDOCRINE NEWEST 2024 ACTUAL
EXAM 120 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |
ALREADY GRADED A
A nurse is teaching a client who has diabetes mellitus about insulin injections. The
client's prescription includes evening doses of insulin glargine and regular insulin.
Which of the following instructions should the nurse include? - ANSWER: Draw up
the insulins into separate syringes.
The nurse should instruct the client to draw up the insulins into separate syringes
because insulin glargine is not compatible with other insulins.
A nurse is planning teaching for a client who has type 1 diabetes mellitus. Which of
the following instructions should the nurse include? - ANSWER: Ingest alcohol with
food to reduce alcohol-induced hypoglycemia.
Alcohol inhibits the liver from producing glucose. Consuming carbohydrates while
drinking alcoholic beverages helps prevent hypoglycemia.
A nurse is caring for a client who has a pheochromocytoma. Which of the following
actions should the nurse take? - ANSWER: Elevate the head of the client's bed.
The nurse should elevate the head of the client's bed to reduce blood pressure and
abdominal pressure.
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? - ANSWER: Reduction of the effects of thyroid hormone on
the heart
Propranolol is a beta2-adrenergic blocking agent that decreases the rapid heart rate
that excessive thyroid stimulation causes.
A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Which of
the following findings should the nurse report to the provider? - ANSWER: Laryngeal
stridor
Laryngeal stridor is a harsh, high-pitched sound with inspiration that indicates
respiratory obstruction. The nurse should take immediate action to preserve the
client's airway.
A nurse is teaching a client who has an autoimmune disease about the adverse
effects of long-term corticosteroid therapy. Which of the following effects should the
nurse include? (select all that apply) - ANSWER: Osteoporosis is correct.
, Osteoporosis is an adverse effect of long-term corticosteroid therapy due to the
suppression of bone formation and the acceleration of bone resorption that
corticosteroid therapy can cause.
Moon-shaped face is correct. Long-term corticosteroid therapy causes characteristics
of iatrogenic Cushing's syndrome, including a moon-shaped face, a potbelly, and a
buffalo hump.
Increased risk of infection is correct. Increased risk of infection is an adverse effect of
long-term corticosteroid therapy due to suppression of the immune system. It
reduces the phagocytic actions of macrophages and neutrophils, thus increasing the
risk of infection.
Hearing loss is incorrect. Long-term corticosteroid therapy can cause cataracts and
glaucoma, but it does not cause hearing loss.
Weight loss is incorrect. Long-term corticosteroid therapy is more likely to cause
weight gain due to the fluid and sodium retention these medications cause.
A nurse is caring for a client who has type 2 diabetes melliltus and has
hyperglycemic-hyperosmolar state (HHS). Which of the following laboratory findings
should the nurse expect? - ANSWER: Serum pH of 7.45
A client who has HHS produces enough insulin to prevent ketosis, but not enough to
prevent hyperglycemia. Therefore, the serum pH is within the expected reference
range. Glucose levels will be above 600 mg/dL.
To screen a client for pheochromocytoma, a nurse schedules a vanillylmandelic acid
test. When teaching the client about this test, which of the following instructions
should the nurse include? - ANSWER: "Restrict coffee intake 2 to 3 days prior to the
test."
The client should avoid coffee and tea (even if they are decaffeinated), bananas,
chocolate, and vanilla for 2 to 3 days prior to the test.
A nurse in an outpatient clinic is teaching a client who has a diabetic foot ulcer about
foot care. Which of the following statements should the nurse identify as an
indication that the client understands the teaching? - ANSWER: "I will apply lotion to
the dry areas of my feet, but not between my toes."
Lotion can be used for dry areas of the feet, but the client should avoid applying
lotion between the toes, as this area is prone to bacterial growth.
A nurse is teaching a client who has diabetes mellitus. Which of the following should
the nurse include as an expected finding of diabetic ketoacidosis (DKA)? - ANSWER:
Blood glucose levels above 300 mg/dL
EXAM 120 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |
ALREADY GRADED A
A nurse is teaching a client who has diabetes mellitus about insulin injections. The
client's prescription includes evening doses of insulin glargine and regular insulin.
Which of the following instructions should the nurse include? - ANSWER: Draw up
the insulins into separate syringes.
The nurse should instruct the client to draw up the insulins into separate syringes
because insulin glargine is not compatible with other insulins.
A nurse is planning teaching for a client who has type 1 diabetes mellitus. Which of
the following instructions should the nurse include? - ANSWER: Ingest alcohol with
food to reduce alcohol-induced hypoglycemia.
Alcohol inhibits the liver from producing glucose. Consuming carbohydrates while
drinking alcoholic beverages helps prevent hypoglycemia.
A nurse is caring for a client who has a pheochromocytoma. Which of the following
actions should the nurse take? - ANSWER: Elevate the head of the client's bed.
The nurse should elevate the head of the client's bed to reduce blood pressure and
abdominal pressure.
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? - ANSWER: Reduction of the effects of thyroid hormone on
the heart
Propranolol is a beta2-adrenergic blocking agent that decreases the rapid heart rate
that excessive thyroid stimulation causes.
A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Which of
the following findings should the nurse report to the provider? - ANSWER: Laryngeal
stridor
Laryngeal stridor is a harsh, high-pitched sound with inspiration that indicates
respiratory obstruction. The nurse should take immediate action to preserve the
client's airway.
A nurse is teaching a client who has an autoimmune disease about the adverse
effects of long-term corticosteroid therapy. Which of the following effects should the
nurse include? (select all that apply) - ANSWER: Osteoporosis is correct.
, Osteoporosis is an adverse effect of long-term corticosteroid therapy due to the
suppression of bone formation and the acceleration of bone resorption that
corticosteroid therapy can cause.
Moon-shaped face is correct. Long-term corticosteroid therapy causes characteristics
of iatrogenic Cushing's syndrome, including a moon-shaped face, a potbelly, and a
buffalo hump.
Increased risk of infection is correct. Increased risk of infection is an adverse effect of
long-term corticosteroid therapy due to suppression of the immune system. It
reduces the phagocytic actions of macrophages and neutrophils, thus increasing the
risk of infection.
Hearing loss is incorrect. Long-term corticosteroid therapy can cause cataracts and
glaucoma, but it does not cause hearing loss.
Weight loss is incorrect. Long-term corticosteroid therapy is more likely to cause
weight gain due to the fluid and sodium retention these medications cause.
A nurse is caring for a client who has type 2 diabetes melliltus and has
hyperglycemic-hyperosmolar state (HHS). Which of the following laboratory findings
should the nurse expect? - ANSWER: Serum pH of 7.45
A client who has HHS produces enough insulin to prevent ketosis, but not enough to
prevent hyperglycemia. Therefore, the serum pH is within the expected reference
range. Glucose levels will be above 600 mg/dL.
To screen a client for pheochromocytoma, a nurse schedules a vanillylmandelic acid
test. When teaching the client about this test, which of the following instructions
should the nurse include? - ANSWER: "Restrict coffee intake 2 to 3 days prior to the
test."
The client should avoid coffee and tea (even if they are decaffeinated), bananas,
chocolate, and vanilla for 2 to 3 days prior to the test.
A nurse in an outpatient clinic is teaching a client who has a diabetic foot ulcer about
foot care. Which of the following statements should the nurse identify as an
indication that the client understands the teaching? - ANSWER: "I will apply lotion to
the dry areas of my feet, but not between my toes."
Lotion can be used for dry areas of the feet, but the client should avoid applying
lotion between the toes, as this area is prone to bacterial growth.
A nurse is teaching a client who has diabetes mellitus. Which of the following should
the nurse include as an expected finding of diabetic ketoacidosis (DKA)? - ANSWER:
Blood glucose levels above 300 mg/dL
