Endocrine Water Pong Questions

The nurse is teaching diet restrictions for a client with Addison's disease. The client would indicate an understanding of the diet by stating? A. "I will increase sodium and fluids and restrict potassium." B. "I will increase potassium and sodium and restrict fluids." C. "I will increase sodium, potassium and fluids." D. "I will increase fluids and restrict sodium and potassium."

A. "I will increase sodium and fluids and restrict potassium."

Jemma, who weighs 210 lb (95 kg) and has been diagnosed with hyperglycemia tells the nurse that her husband sleeps in another room because her snoring keeps him awake. The nurse notices that she has large hands and a hoarse voice. Which of the following would the nurse suspect as a possible cause of the client's hyperglycemia? A. Acromegaly B. Type 1 diabetes mellitus C. Hypothyroidism D. Deficient growth hormone

A. Acromegaly

A nurse is developing a teaching plan for a male client diagnosed with diabetes insipidus. The nurse should include information about which hormone lacking in clients with diabetes insipidus? A. Antidiuretic hormone (ADH). B. Thyroid-stimulating hormone (TSH). C. Follicle-stimulating hormone (FSH). D. Luteinizing hormone (LH).

A. Antidiuretic hormone (ADH)

After thyroidectomy, which of the following is the priority assessment to observe laryngeal nerve damage? A. hoarseness of voice B. difficulty in swallowing C. tetany D. fever

A. Hoarseness of voice

For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client for Chvostek's sign and Trousseau's sign because they indicate which of the following? A. Hypocalcemia B. Hypercalcemia C. Hypokalemia D. Hyperkalemia

A. Hypocalcemia

The nurse is admitting a patient who is diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH) and has serum sodium of 118 mEq/L (118 mmol/L). Which health care provider prescriptions should the nurse anticipate receiving? Select all that apply. A. Initiate an infusion of 3% NaCl. B. Administer intravenous furosemide. C. Restrict fluids to 800 mL over 24 hours. D. Elevate the head of the bed to high Fowler's. E. Administer a vasopressin antagonist as prescribed.

A. Initiate an infusion of 3% NaCl. C. Restrict fluids to 800 mL over 24 hours. E. Administer a vasopressin antagonist as prescribed.

A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the nurse would anticipate which of the following assessment findings? A. Lethargy B. Skin eruptions C. Heat intolerance D. Diarrhea

A. Lethargy

Acromegaly is most frequently diagnosed in: A. Middle-aged adults B. Newborns C. Children ages 2 to 5 D. Adults age 65 and older

A. Middle-aged adults

Which laboratory value should be monitored by the nurse for the client diagnosed with diabetes insipidus? A. Serum sodium. B. Urine white blood cells. C. Serum calcium. D. Urine glucose.

A. Serum sodium

A female client has a serum calcium level of 7.2 mg/dl. During the physical examination, the nurse expects to assess: A. Trousseau's sign. B. Homans' sign. C. Hegar's sign. D. Goodell's sign.

A. Trousseau's sign

When caring for a male client with diabetes insipidus, the nurse should expect to administer what? A. vasopressin (Pitressin Synthetic). B. furosemide (Lasix). C. Regular insulin. D. 10% dextrose.

A. Vasopressin (Pitressin Synthetic)

Preoperative instructions for the patient scheduled for a subtotal thyroidectomy includes teaching the patient A. how to support the head with the hands when moving B. that coughing should due avoided to prevent pressure on the incision C. that the head and neck will need to remain immobile until the incision heals D. that any tingling around the lips or in the fingers after surgery is expected and temporary

A. how to support the head with the hands when moving

The nurse is planning care for a client with hyperthyroidism. Which of the following nursing interventions are appropriate? Select all that apply: A. instill isotonic eye drops as necessary B. provide several, small, well-balanced meals C. provide rest periods D. keep environment ware E. encourage frequent visitors and conversation F. weigh the client daily

A. instill isotonic eye drops as necessary B. provide several, small, well-balanced meals C. provide rest periods F. Weight the client daily

Which nursing action is most appropriate for a client in ketoacidosis? A. admin of carbs B. admin of IV fluids C. applying cold compress D. giving glucagon IV

B. Admin of IV fluids

An ACTH stimulation test is commonly used to diagnose: A. Grave's disease B. Adrenal insufficiency and Addison's disease C. Cystic fibrosis D. Hashimoto's disease

B. Adrenal insufficiency and Addison's disease

The nurse is monitoring a patient diagnosed with acromegaly who was treated with transsphenoidal hypophysectomy and is recovering in the intensive care unit. Which findings should alert the nurse to the presence of a possible postoperative complication? Select all that apply. A. Anxiety B. Leukocytosis C. Chvostek's sign D. Urinary output of 800 mL/hour E. Clear drainage on nasal dripper pad

B. Leukocytosis D. Urinary output of 800 mL/hour E. Clear drainage on nasal dripper pad

A patient is admitted to an emergency department, and a diagnosis of myxedema coma is made. Which action should the nurse prepare to carry out initially? A. Warm the patient. B. Maintain a patent airway. C. Administer thyroid hormone. D. Administer fluid replacement.

B. Maintain a patent airway

During a follow-up visit to the physician, a patient with hyperparathyroidism asks the nurse to explain the physiology of the parathyroid glands. The nurse states that these glands produce parathyroid hormone (PTH). PTH maintains the balance between calcium and: A. magnesium B. phosphorus C. sodium D. potassium

B. Phosphorus

While assessing a patient with hyperthyroidism, that just had a thyroidectomy, the nurse taps the patient's facial nerve and observes twitching of the mouth and tightening of the jaw. The nurse would document this finding as to which of the following? A. Positive Trousseau's sign B. Positive Chvostek's sign C. Tetany D. Hyperactive deep tendon reflex

B. Positive Chvostek's sign

The nurse should expect a client with hypothyroidism to report which health concerns? a. Increased appetite and weight loss b. Puffiness of the face and hands c. Nervousness and tremors d. Thyroid gland swelling

B. Puffiness of the face and hands

The client is admitted to the intensive care department diagnosed with myxedema coma. Which assessment data warrant immediate intervention by the nurse? A. Telemetry reading showing sinus bradycardia. B. Pulse oximeter reading of 90%. C. The client is lethargic and sleeps all the time. D. Serum blood glucose level of 74 mg/dL.

B. Pulse oximeter reading of 90%

The patient with Cushing's disease needs to modify dietary intake to control symptoms. In addition to increasing protein, which strategy would be most appropriate? A. Increase calories. B. Restrict sodium. C. Restrict potassium. D. Reduce fat to 10%.

B. Restrict sodium

The nurse is caring for a patient after hypophysectomy and notes clear nasal drainage from the patient's nostril. The nurse should take which initial action? A. Lower the head of the bed. B. Test the drainage for glucose. C. Obtain a culture of the drainage. D. Continue to observe the drainage.

B. Test the drainage for glucose.

The nurse is providing discharge instructions to a patient with diabetes insipidus. Which of the following instructions regarding desmopressin acetate (DDAVP) would be most appropriate? A. The patient can expect to experience weight loss resulting from increased diuresis. B. The patient should alternate nostrils during administration to prevent nasal irritation. C. The patient should monitor for symptoms of hypernatremia as a side effect of this drug. D. The patient should report any decrease in urinary elimination to the health careprovider.

B. The patient should alternate nostrils during administration to prevent nasal irritation.

Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, the nurse assesses the client, who now has nausea, a temperature of 105° F (40.5° C), tachycardia, and extreme restlessness. What is the most likely cause of these signs? A. Diabetic ketoacidosis B. Thyroid crisis C. Hypoglycemia D. Tetany

B. Thyroid crisis

Before discharge, what should a nurse instruct a patient with Addison's disease to do when exposed to periods of stress? A. Perform capillary blood glucose monitoring four times daily. B. Drink 8 oz of fluids. C. Administer hydrocortisone I.M. D. Continue to take his usual dose of hydrocortisone.

C. Administer hydrocortisone I.M.

A nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find: A. Hypotension. B. Thick, coarse skin C. Deposits of adipose tissue in the trunk and dorsocervical area D. Weight gain in arms and legs.

C. Deposits of adipose tissue in the trunk and dorsocervical area

You are taking care of a 66-year old female who complains of weight gain, lethargy, dry skin, hair loss, constipation, and increased cold sensitivity. Based upon this assessment, you feel that the most likely diagnosis is which of the following? A. Thyroid storm B. Hyperthyroidism C. Hypothyroidism D. Diabetic ketoacidosis E. Diabetes insipidus

C. Hypothyroidism

The nurse smells a sweet fruity odor on the breath of a client admitted with DM. This odor may be associated with? A. alcohol intoxication B. insulin shock C. ketoacidosis D. macrovacular complications

C. Ketoacidosis

An incoherent female client with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area. Knowing that these findings suggest severe hypothyroidism, nurse Libby prepares to take emergency action to prevent the potential complication of: A. Thyroid storm. B. Cretinism. C. Myxedema coma. D. Hashimoto's thyroiditis.

C. Myxedema coma

A patient has been taking oral prednisone for the past several weeks after having a severe reaction to poison ivy. The nurse has explained the procedure for gradual reduction rather than sudden cessation of the drug. What is the rationale for this approach to drug administration? A. Prevention of hypothyroidism B. Prevention of diabetes insipidus C. Prevention of adrenal insufficiency D. Prevention of cardiovascular complications

C. Prevention of adrenal insufficiency

A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate? A. Infusing I.V. fluids rapidly as ordered. B. Encouraging increased oral intake. C. Restricting fluids. D. Administering glucose-containing I.V. fluids as ordered.

C. Restricting fluids

A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid) 25 mcg PO Daily. Which of the following findings should the nurse recognize as an adverse drug effect? A. Dysuria B. Leg cramps C. Tachycardia D. Blurred vision

C. Tachycardia

When instructing a patient regarding a urine study for free cortisol, it is most important for the nurse to tell the patient to A. Save the first voided urine in the am. B. Maintain a high-sodium diet 3 days before collection. C. Try to avoid stressful situations during the collection period. D. Complete at least 30 minutes of strenuous exercise before collecting the urinesample.

C. Try to avoid stressful situations during the collection period.

During preoperative teaching for a female client who will undergo subtotal thyroidectomy, the nurse should include which statement? A. "The head of your bed must remain flat for 24 hours after surgery." B. "You should avoid deep breathing and coughing after surgery." C. "You won't be able to swallow for the first day or two." D. "You must avoid hyperextending your neck after surgery."

D. "You must avoid hyperextending your neck after surgery."

A 50-year-old female client is seen in the clinic for her recent diagnosis of hypothyroidism. Which of the following instructions should be included in the nurse's teaching plan? A. Obtain a hemoglobin A1C test B. Explain the outcomes expected with removal of the thyroid gland C. High protein, low carbohydrate diet and replacement hydrocortisone D. High fiber, low calorie diet, and 5-6 small meals per day E. The use of antiglycemic medications

D. High fiber, low calorie diet, and 5-6 small meals per day

In a patient with central diabetes insipidus, administration of aqueous vasopressin during a water deprivation test will result in a A. decrease in body weight B. increase in urinary output C. decrease in blood pressure D. increase in urine osmolality

D. Increase in urine osmolality

A client is admitted to the hospital with a medical DX of hyperthyroidism. When taking a history which information would be most significant? A. edema, intolerance to cold, lethargy B. peri-orbital edema, lethargy mask like face C. weight loss, intolerance to cold, muscle wasting D. weight loss, intolerance to heat, exophthalmos

D. weight loss, intolerance to heat, exophthalmos

You are the nurse taking care of a patient hospitalized for two months for sepsis. The patient had been receiving 40 mg of prednisone daily for the last two weeks for airway inflammation, and now, for the last three days, given symptomatic improvement, his physician lowers his prednisone dose to 5 mg daily. Today, you assess the patient and he is lethargic and hypotensive, with a serum glucose of 52 and serum sodium of 131. Which of the following is the most likely diagnosis? A. Hyperaldosteronism B. Surreptitious insulin use C. Exogenous testosterone use D. Conn's Syndrome E. Adrenal insufficiency

E. Adrenal insufficiency

A middle-aged female client has just underwent a thyroidectomy for treatment of Graves' disease. The nurse caring for this client is aware she may need to monitor the client for what possible complication? A. Tetanus B. Oliguria C. Goiter D. Bone pain E. Tetany

E. Tetany