med surg ati proctored exam 2025 & NURS 3110 - The Endocrine System Test
ACCOMBINATION EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT
ANSWERS VERIFIED 100% GRADED A+
NURS 3110 - The Endocrine System Test
A nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes
mellitus. The nurse should monitor for which of the following findings?
A. Joint pain
B. Constipation
C. Weight gain
D. Dilated pupils
C. Weight gain
A nurse is providing teaching to a client about taking fludrocortisone to treat
adrenocortical insufficiency. Which of the following instructions should the
nurse include? (Select all that apply.)
A. Obtain weight measurement daily
B. Report weakness or palpitations
C. Have blood pressure checked regularly
D. Eat more iron-rich foods
E. Avoid drinking grapefruit juice
A. Obtain weight measurement daily
B. Report weakness or palpitations
C. Have blood pressure checked regularly
A nurse is caring for a client who takes repaglinide 15 to 30 min before each
meal to treat type 2 diabetes mellitus. The client asks, "If I skip a meal, what
should I do?" Which of the following responses should the nurse make?
A. Double the dose before the next meal
B. Take half the dose
C. Skip the dose
D. Take the usual dose
C. Skip the dose
A nurse is caring for a client who is about to begin taking pioglitazone to treat
type 2 diabetes mellitus. The nurse should explain to the client about the need
to monitor which of the following laboratory values? (Select all that apply.)
A. Thyroid-stimulating hormone (TSH)
B. Alanine aminotransferase (ALT)
C. LDL
D. CBC
E. Creatinine clearance
,B. Alanine aminotransferase (ALT)
C. LDL
A nurse is assessing a client who has a new prescription for levothyroxine.
The nurse should identify which of the following findings as a contraindication
for this drug?
A. Bacterial skin infections
B. Diabetes insipidus
C. Immunosuppression
D. Recent myocardial infarction
D. Recent myocardial infarction
A nurse is teaching a client who has a prescription for pramlintide therapy to
treat type 1 diabetes mellitus. Which of the following instructions should the
nurse include?
A. Mix pramlintide with insulin in the syringe
B. Administer pramlintide before meals
C. Take pramlintide once daily at bedtime
D. Inject pramlintide into the upper arm
B. Administer pramlintide before meals
A nurse is caring for a client who is taking metformin and is scheduled to
undergo angiography using iodine-containing contrast dye. The nurse should
identify that an interaction between metformin and the IV contrast dye
increases the client's risk for which of the following conditions?
A. Hypokalemia
B. Hyperglycemia
C. Acute renal failure
D. Acute pancreatitis
C. Acute renal failure
Which of the following drugs should a nurse have available for a client who is
experiencing insulin toxicity?
A. Naloxone
B. Diphenhydramine
C. Acetylcysteine
D. Glucagon
D. Glucagon
A nurse at a provider's office is assessing a client who has been taking
hydrocortisone for adrenal insufficiency. The client reports fatigue and feeling
overwhelmed by personal responsibilities. Which of the following findings
should the nurse identify as an indication the provider might need to increase
the client's dosage?
A. Hypotension
B. Hyperglycemia
C. Weight gain
D. Fat redistribution
A. Hypotension
,A nurse is caring for a client who is taking desmopressin. The nurse should
make which of the following assessments to evaluate the drug's
effectiveness?
A. Peripheral pulses
B. Urine output
C. Skin integrity
D. Blood glucose
B. Urine output
A nurse is teaching a client who has a prescription for glipizide therapy to treat
type 2 diabetes mellitus. Which of the following instructions should the nurse
include?
A. Avoid drinking alcohol
B. Sit or stand for 30 min after taking the drug
C. Urinate every 4 hr
D. Take the drug 2 hr after a meal
A. Avoid drinking alcohol
A nurse is caring for a client who is taking metformin to treat type 2 diabetes
mellitus and reports muscle pain. Which of the following adverse reactions
should the nurse suspect?
A. Lactic acidosis
B. Anticholinergic effects
C. Extrapyramidal effects
D. Hypophosphatemia
A. Lactic acidosis
A nurse is teaching a client about acarbose therapy to treat type 2 diabetes
mellitus. Which of the following instructions should the nurse include?
A. Eat more iron-rich foods
B. Avoid drinking grapefruit juice
C. Increase fiber intake
D. Avoid drinking green tea
A. Eat more iron-rich foods
A nurse is teaching a client about self-administering regular insulin. The nurse
should instruct the client to rotate injection sites to prevent which of the
following?
A. Rapid absorption
B. Intradermal injection
C. Injection pain
D. Lipohypertrophy
D. Lipohypertrophy
A nurse is caring for a client who is about to begin taking somatropin. The
nurse should explain the need to monitor which of the following laboratory
values? (Select all that apply.)
A. Blood amylase
B. Creatinine clearance
, C. Urine calcium
D. Blood glucose
E. CBC
C. Urine calcium
D. Blood glucose
A nurse is educating the parents of a child who has a new diagnosis of Prader-
Willi Syndrome (PWS) and has been prescribed somatropin. Which of the
following statements by a parent indicates understanding of the teaching?
A. "We will use a different spot for injection each time we give the medication"
B. "We'll give the shot in the thigh muscle rather than fatty tissue to decrease
injection pain"
C. "We'll watch our child for signs of low blood sugar while using somatropin"
D. "We should stop the medication if our child loses weight"
A. "We will use a different spot for injection each time we give the medication"
A nurse should recognize that a provider will prescribe a lower dose of
sitagliptin for a client who has type 2 diabetes mellitus and who also has
which of the following?
A. Thyroid disease
B. Bronchitis
C. Heart failure
D. Renal impairment
D. Renal impairment
A nurse is caring for a client who is taking propylthiouracil (PTU) and reports
weight gain, drowsiness, and depression. The nurse should identify that the
client is experiencing which of the following adverse reactions to the drug?
A. Thyrotoxicosis
B. Hypothyroidism
C. Lactic acidosis
D. Radiation sickness
B. Hypothyroidism
A nurse administers pramlintide at 0800 to a client who has type 1 diabetes
mellitus. At which of the following times should the nurse expect the drug to
exert its peak action?
A. 0820
B. 0900
C. 1030
D. 1100
A. 0820
A nurse is providing teaching to a client who is about to begin exenatide
therapy to treat type 2 diabetes mellitus. Which of the following instructions
should the nurse include? (Select all that apply.)
A. Inject the drug subcutaneously
B. Expect the peak effect in 2 hr
C. Use the drug as a supplement to an oral hypoglycemic
ACCOMBINATION EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT
ANSWERS VERIFIED 100% GRADED A+
NURS 3110 - The Endocrine System Test
A nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes
mellitus. The nurse should monitor for which of the following findings?
A. Joint pain
B. Constipation
C. Weight gain
D. Dilated pupils
C. Weight gain
A nurse is providing teaching to a client about taking fludrocortisone to treat
adrenocortical insufficiency. Which of the following instructions should the
nurse include? (Select all that apply.)
A. Obtain weight measurement daily
B. Report weakness or palpitations
C. Have blood pressure checked regularly
D. Eat more iron-rich foods
E. Avoid drinking grapefruit juice
A. Obtain weight measurement daily
B. Report weakness or palpitations
C. Have blood pressure checked regularly
A nurse is caring for a client who takes repaglinide 15 to 30 min before each
meal to treat type 2 diabetes mellitus. The client asks, "If I skip a meal, what
should I do?" Which of the following responses should the nurse make?
A. Double the dose before the next meal
B. Take half the dose
C. Skip the dose
D. Take the usual dose
C. Skip the dose
A nurse is caring for a client who is about to begin taking pioglitazone to treat
type 2 diabetes mellitus. The nurse should explain to the client about the need
to monitor which of the following laboratory values? (Select all that apply.)
A. Thyroid-stimulating hormone (TSH)
B. Alanine aminotransferase (ALT)
C. LDL
D. CBC
E. Creatinine clearance
,B. Alanine aminotransferase (ALT)
C. LDL
A nurse is assessing a client who has a new prescription for levothyroxine.
The nurse should identify which of the following findings as a contraindication
for this drug?
A. Bacterial skin infections
B. Diabetes insipidus
C. Immunosuppression
D. Recent myocardial infarction
D. Recent myocardial infarction
A nurse is teaching a client who has a prescription for pramlintide therapy to
treat type 1 diabetes mellitus. Which of the following instructions should the
nurse include?
A. Mix pramlintide with insulin in the syringe
B. Administer pramlintide before meals
C. Take pramlintide once daily at bedtime
D. Inject pramlintide into the upper arm
B. Administer pramlintide before meals
A nurse is caring for a client who is taking metformin and is scheduled to
undergo angiography using iodine-containing contrast dye. The nurse should
identify that an interaction between metformin and the IV contrast dye
increases the client's risk for which of the following conditions?
A. Hypokalemia
B. Hyperglycemia
C. Acute renal failure
D. Acute pancreatitis
C. Acute renal failure
Which of the following drugs should a nurse have available for a client who is
experiencing insulin toxicity?
A. Naloxone
B. Diphenhydramine
C. Acetylcysteine
D. Glucagon
D. Glucagon
A nurse at a provider's office is assessing a client who has been taking
hydrocortisone for adrenal insufficiency. The client reports fatigue and feeling
overwhelmed by personal responsibilities. Which of the following findings
should the nurse identify as an indication the provider might need to increase
the client's dosage?
A. Hypotension
B. Hyperglycemia
C. Weight gain
D. Fat redistribution
A. Hypotension
,A nurse is caring for a client who is taking desmopressin. The nurse should
make which of the following assessments to evaluate the drug's
effectiveness?
A. Peripheral pulses
B. Urine output
C. Skin integrity
D. Blood glucose
B. Urine output
A nurse is teaching a client who has a prescription for glipizide therapy to treat
type 2 diabetes mellitus. Which of the following instructions should the nurse
include?
A. Avoid drinking alcohol
B. Sit or stand for 30 min after taking the drug
C. Urinate every 4 hr
D. Take the drug 2 hr after a meal
A. Avoid drinking alcohol
A nurse is caring for a client who is taking metformin to treat type 2 diabetes
mellitus and reports muscle pain. Which of the following adverse reactions
should the nurse suspect?
A. Lactic acidosis
B. Anticholinergic effects
C. Extrapyramidal effects
D. Hypophosphatemia
A. Lactic acidosis
A nurse is teaching a client about acarbose therapy to treat type 2 diabetes
mellitus. Which of the following instructions should the nurse include?
A. Eat more iron-rich foods
B. Avoid drinking grapefruit juice
C. Increase fiber intake
D. Avoid drinking green tea
A. Eat more iron-rich foods
A nurse is teaching a client about self-administering regular insulin. The nurse
should instruct the client to rotate injection sites to prevent which of the
following?
A. Rapid absorption
B. Intradermal injection
C. Injection pain
D. Lipohypertrophy
D. Lipohypertrophy
A nurse is caring for a client who is about to begin taking somatropin. The
nurse should explain the need to monitor which of the following laboratory
values? (Select all that apply.)
A. Blood amylase
B. Creatinine clearance
, C. Urine calcium
D. Blood glucose
E. CBC
C. Urine calcium
D. Blood glucose
A nurse is educating the parents of a child who has a new diagnosis of Prader-
Willi Syndrome (PWS) and has been prescribed somatropin. Which of the
following statements by a parent indicates understanding of the teaching?
A. "We will use a different spot for injection each time we give the medication"
B. "We'll give the shot in the thigh muscle rather than fatty tissue to decrease
injection pain"
C. "We'll watch our child for signs of low blood sugar while using somatropin"
D. "We should stop the medication if our child loses weight"
A. "We will use a different spot for injection each time we give the medication"
A nurse should recognize that a provider will prescribe a lower dose of
sitagliptin for a client who has type 2 diabetes mellitus and who also has
which of the following?
A. Thyroid disease
B. Bronchitis
C. Heart failure
D. Renal impairment
D. Renal impairment
A nurse is caring for a client who is taking propylthiouracil (PTU) and reports
weight gain, drowsiness, and depression. The nurse should identify that the
client is experiencing which of the following adverse reactions to the drug?
A. Thyrotoxicosis
B. Hypothyroidism
C. Lactic acidosis
D. Radiation sickness
B. Hypothyroidism
A nurse administers pramlintide at 0800 to a client who has type 1 diabetes
mellitus. At which of the following times should the nurse expect the drug to
exert its peak action?
A. 0820
B. 0900
C. 1030
D. 1100
A. 0820
A nurse is providing teaching to a client who is about to begin exenatide
therapy to treat type 2 diabetes mellitus. Which of the following instructions
should the nurse include? (Select all that apply.)
A. Inject the drug subcutaneously
B. Expect the peak effect in 2 hr
C. Use the drug as a supplement to an oral hypoglycemic
