TEACHING IN NURSING (NSG 674)
ENDOCRINE POST TEST QUESTIONS 100%
VERIFIED AND ACCURATE WEST VIRGINIA
UNIVERSITY
,W7 & W8 | Endocrine Post Test
Your score: 84% (84.4/100)
point
1. A nurse reads in a client’s H&P that the client is deficient in a hormone that stimulates
the thyroid gland. What is an appropriate term for this hormone?
Your Answer: Incorrect
Thyrotoxicosis
Thyrotropin
Thyroidectomy
Thyroid hormone
Explanation:
Thyrotropin: "-tropin" is a hormone that stimulates the release of other hormones.
(Option 1). Thyrotoxicosis: "toxicosis" would indicate a toxic condition.
(Option 3). Thyroidectomy: "-ectomy" refers to surgical removal.
(Option 4). Thyroid hormone: This is the hormone that would be stimulated for release BY
thyrotropin.
point
2. A nurse is educating a diabetic client about their diet. Which information should the
nurse include in dietary teaching?
Your Answer: Correct
Carbohydrate counting is focused on the total grams of carbohydrates eaten per meal
Glucose control is best achieved by eating three large meals each day
There is not a restriction on eating fruits, because they contain naturally occurring fructose
It is ok for the client to indulge in a normal portion of sugary dessert if they have 'saved'
their carbohydrates through the day
Explanation:
Carbohydrate counting is focused on the total grams of carbohydrates eaten per meal" is
correct. Carbohydrate counting is very important for the diabetic patient, because
carbohydrates not only provide energy, but choosing the right carbs will allow the client to
1/82
, consume adequate nutrients and prevent glucose imbalances. This approach focuses on total
grams consumed in each meal. For clients on insulin therapy, this method helps achieve a
consistent glucose level over time. The diet should take into account the client's overall level
of health, weight, activity level and any medications they take. Because good nutrition habits
are key to the client's health status, the nurse should recommend the client follow up with a
dietitian for further teaching.
(Option 2). "Glucose control is best achieved by eating three large meals each day" is
incorrect because the best glucose control is achieved by consuming small portions of food
more frequently throughout the day.
(Option 3). "There is not a restriction on eating fruits, because they contain naturally occurring
fructose" is incorrect because fructose is still a sugar, and therefore still counted as a
carbohydrate. These carbs must still be added to the carbohydrate count.
(Option 4). "It is ok for the client to indulge in a normal portion of sugary dessert if they have
'saved' their carbohydrates through the day" is incorrect because, while it is ok for the diabetic
client to have dessert, they should take care to consume a smaller portion. Consuming a
sugary dessert will contribute to a spike in blood glucose level, even if the client has saved
their carbohydrates throughout the day.
point
3. A client came in with severe sepsis and is now diagnosed with MODS. Which of the
following should the nurse expect the doctor to order?
Your Answer: Correct
Prepare the client to ambulate
Continuous cardiac monitoring telemetry
Doxycycline 25 mg PO daily
Speech therapy
Explanation:
The client with MODS is in organ dysfunction and needs continuous cardiac monitoring to
watch the heart.
(Option 1). The client with MODS is in organ dysfunction and will need close monitoring, not
ambulation.
2/82
, (Option 3). The client with MODS will not be treated with PO antibiotics, but rather IV
antibiotics and fluids.
(Option 4). The client diagnosed with MODS will not need speech therapy at this time.
point
4. A nurse is counseling a client who has hypertension and type 2 diabetes. During the
initial assessment, the nurse notes that the client has a blood pressure of 148/92 mmHg, a
BMI of 28, and a blood glucose level of 161 mg/dL. Which of the following information about
health and wellness would be most beneficial for the nurse to teach this client?
Your Answer: Correct
Tell the client to first control the hypertension, and then glucose levels are more likely to
normalize
Explain to the client that weight loss would be beneficial and that a low-carb diet is best
Describe how the client can limit fat intake in the diet to less than 45% of total daily calories
Help the client understand how to lose weight to get their BMI to less than 25
Explanation:
A BMI of 28 is considered overweight. This client also has an elevated blood glucose and a
high blood pressure reading. Both glucose issues and hypertension can usually be improved
if an overweight client makes lifestyle changes to get to a healthy weight and normal body
mass index. If the nurse helps the client to understand the importance of weight
management, the client can choose to improve their weight and improve their blood pressure
and blood glucose as well.
(Option 1). The underlying cause of elevated glucose and hypertension is most likely the
client's high BMI. If the BMI is lowered by weight loss, then the other values will likely
normalize.
(Option 2). A low-carb diet is not the best weight loss choice for everyone. A dietician consult
can help the client to choose the best weight loss plan, tailored to their preference and
circumstance.
(Option 3). Fat intake should be between 20-35% for adults.
point
5. The client has a sudden onset of decreased urine output, proteinuria, increased
3/82
ENDOCRINE POST TEST QUESTIONS 100%
VERIFIED AND ACCURATE WEST VIRGINIA
UNIVERSITY
,W7 & W8 | Endocrine Post Test
Your score: 84% (84.4/100)
point
1. A nurse reads in a client’s H&P that the client is deficient in a hormone that stimulates
the thyroid gland. What is an appropriate term for this hormone?
Your Answer: Incorrect
Thyrotoxicosis
Thyrotropin
Thyroidectomy
Thyroid hormone
Explanation:
Thyrotropin: "-tropin" is a hormone that stimulates the release of other hormones.
(Option 1). Thyrotoxicosis: "toxicosis" would indicate a toxic condition.
(Option 3). Thyroidectomy: "-ectomy" refers to surgical removal.
(Option 4). Thyroid hormone: This is the hormone that would be stimulated for release BY
thyrotropin.
point
2. A nurse is educating a diabetic client about their diet. Which information should the
nurse include in dietary teaching?
Your Answer: Correct
Carbohydrate counting is focused on the total grams of carbohydrates eaten per meal
Glucose control is best achieved by eating three large meals each day
There is not a restriction on eating fruits, because they contain naturally occurring fructose
It is ok for the client to indulge in a normal portion of sugary dessert if they have 'saved'
their carbohydrates through the day
Explanation:
Carbohydrate counting is focused on the total grams of carbohydrates eaten per meal" is
correct. Carbohydrate counting is very important for the diabetic patient, because
carbohydrates not only provide energy, but choosing the right carbs will allow the client to
1/82
, consume adequate nutrients and prevent glucose imbalances. This approach focuses on total
grams consumed in each meal. For clients on insulin therapy, this method helps achieve a
consistent glucose level over time. The diet should take into account the client's overall level
of health, weight, activity level and any medications they take. Because good nutrition habits
are key to the client's health status, the nurse should recommend the client follow up with a
dietitian for further teaching.
(Option 2). "Glucose control is best achieved by eating three large meals each day" is
incorrect because the best glucose control is achieved by consuming small portions of food
more frequently throughout the day.
(Option 3). "There is not a restriction on eating fruits, because they contain naturally occurring
fructose" is incorrect because fructose is still a sugar, and therefore still counted as a
carbohydrate. These carbs must still be added to the carbohydrate count.
(Option 4). "It is ok for the client to indulge in a normal portion of sugary dessert if they have
'saved' their carbohydrates through the day" is incorrect because, while it is ok for the diabetic
client to have dessert, they should take care to consume a smaller portion. Consuming a
sugary dessert will contribute to a spike in blood glucose level, even if the client has saved
their carbohydrates throughout the day.
point
3. A client came in with severe sepsis and is now diagnosed with MODS. Which of the
following should the nurse expect the doctor to order?
Your Answer: Correct
Prepare the client to ambulate
Continuous cardiac monitoring telemetry
Doxycycline 25 mg PO daily
Speech therapy
Explanation:
The client with MODS is in organ dysfunction and needs continuous cardiac monitoring to
watch the heart.
(Option 1). The client with MODS is in organ dysfunction and will need close monitoring, not
ambulation.
2/82
, (Option 3). The client with MODS will not be treated with PO antibiotics, but rather IV
antibiotics and fluids.
(Option 4). The client diagnosed with MODS will not need speech therapy at this time.
point
4. A nurse is counseling a client who has hypertension and type 2 diabetes. During the
initial assessment, the nurse notes that the client has a blood pressure of 148/92 mmHg, a
BMI of 28, and a blood glucose level of 161 mg/dL. Which of the following information about
health and wellness would be most beneficial for the nurse to teach this client?
Your Answer: Correct
Tell the client to first control the hypertension, and then glucose levels are more likely to
normalize
Explain to the client that weight loss would be beneficial and that a low-carb diet is best
Describe how the client can limit fat intake in the diet to less than 45% of total daily calories
Help the client understand how to lose weight to get their BMI to less than 25
Explanation:
A BMI of 28 is considered overweight. This client also has an elevated blood glucose and a
high blood pressure reading. Both glucose issues and hypertension can usually be improved
if an overweight client makes lifestyle changes to get to a healthy weight and normal body
mass index. If the nurse helps the client to understand the importance of weight
management, the client can choose to improve their weight and improve their blood pressure
and blood glucose as well.
(Option 1). The underlying cause of elevated glucose and hypertension is most likely the
client's high BMI. If the BMI is lowered by weight loss, then the other values will likely
normalize.
(Option 2). A low-carb diet is not the best weight loss choice for everyone. A dietician consult
can help the client to choose the best weight loss plan, tailored to their preference and
circumstance.
(Option 3). Fat intake should be between 20-35% for adults.
point
5. The client has a sudden onset of decreased urine output, proteinuria, increased
3/82
