Endocrine Practice Questions

The nurse is assessing a client who has Cushing's disease. which of the following manifestations is the priority for the nurse to report ? A. peripheral edema B. fatigue C. fragile skin D. joint pain

A. peripheral edema

A nurse is providing teaching for a client who will undergo a thyroidectomy. how should the nurse advise a client considering the Lugol solution prescribed before surgery ? A. take the medication with juice B. take the medication before going to bed C. avoid exposure to sunlight when taking the medication D. take propylthiouracil (PTU)l after taking Lugol solution

A. take the medication with juice

The nurse is caring for a client who has returned to the unit after subtotal thyroidectomy. which of the following does the nurse know to monitor for signs of laryngeal nerve damage ? A. tetany B. hoarseness C. tachypnea D. facial paralysis

B. hoarseness

A nurse is providing discharge teaching to a client was been diagnosed with primary adrenal insufficiency and has a new prescription for hydro cortisone to be taken three times a day. which of the following should the nurse instruct this client ? A. only report fever if temperature is greater than 102 degrees Fahrenheit B. report any polyuria, polydipsia or polyphasia that may indicate hyperglycemia C. if you become ill decrease your dosage by half D. discontinue the medication if you begin to gain weight

B. report any polyurea polydipsia or polyphasia that may indicate hyperglycemia

The nurse is instructing a college student with Addison's disease how to adjust the dose of glucocorticoids. The nurse should explain the patient needs to increase the dosage in which situation? A. Completing final exams B. Gaining 5 pounds C. Seasonal allergies D. Wisdom teeth extraction

D. Wisdom teeth extraction

A nurse is performing a complete physical assessment of the endocrine system. which endocrine gland will the nurse be able to palpate ? A. the pituitary gland B. the hypothalamus C. the parathyroid gland D. the Thyroid gland

D. the Thyroid gland

The client presents to outpatient clinic reporting fatigue and weight gain despite no changes in her diet which of the following symptoms should the nurse ask about (select all that apply) ? A. Constipation B. Forgetfulness C. tachycardia D. cold intolerance E. fever

A. Constipation B. Forgetfulness D. cold intolerance

A nurse is assessing a client with Graves' disease. which sign or symptom would the nurse expect to see in a client with longstanding Graves' disease ? A. Exophthalmos B. Bradycardia C. Constipation D. dry pale skin

A. Exophthalmos

Which of the following should the nurse include in a plan of care for a patient with Exophthalmos resulting from Graves' disease (select all that apply) ? A. Raise the head of the bed to facilitate fluid drainage from the periorbital region B. tape eyelids at night to prevent corneal drying C. restrict salt intake D. avoid use of artificial tears E. avoid eye movements

A. Raise the head of the bed to facilitate fluid drainage from the periorbital region B. tape eyelids at night to prevent corneal drying C. restrict salt intake

A nurse is caring for a client with syndrome of inappropriate anti diuretic hormone (SIADH). which of the following is a common clinical manifestation of disorder ? A. decrease sodium level B. increased serum osmolality C. decreased blood pressure D. increased urine output

A. decrease sodium level

A nurse is reviewing the medical record of a client with syndrome of inappropriate anti diuretic hormone SIADH. which of the following findings should the nurse expect ? (select a that apply) A. decreased serum sodium B. decrease your specific gravity C. decrease serum osmolarity D. increased urine output E. decreased temperature

A. decreased serum sodium C. decrease serum osmolarity E. decreased temperature

A nurse is caring for a client with Addison's disease who has the following results on complete metabolic profile: sodium 128 mEq/L, potassium 3.8 mEq/L, calcium 10 mg/dL. HCO3 22 mEq/L, BUN 18 mg/dL, creatinine 1.0 mg/dL. which of the following conditions does this client have ? A. hyponatremia B. hypokalemia C. hypercalcemia D. metabolic acidosis

A. hyponatremia

Nurse is reviewing the medical history of a client who has cushing's disease. the nurse should identify that clients who have Cushing disease are at increased risk for which of the following conditions ? select all that apply A. infection B. gastric ulcer C. nephrolithiasis D. bone fractures E. dysphasia

A. infection B. gastric ulcer D. bone fractures

After administering an oral dose of radioactive iodine to a client with grave disease, which of the following precautions should the nurse instruct the client to observe at home for the first 3 to 7 days after administration ? (select all that apply) A. the client should use a separate toilet and flush 2 to 3 times after each use B. personal laundry can be washed with family laundry C. stop all anti thyroid medications D. do not breastfeed E. wash hands before serving food with bare hands

A. the client should use a separate toilet and flush 2 to 3 times after each use D. do not breastfeed

A nurse in a providers office is planning teaching for a client who has a new diagnosis of Graves' disease in a new prescription for methimazole. which of the following information should the nurse include in the teaching clan ? select all that apply A. the medication can increase the risk for infection B. monitoring of triiodothyronine (T3) levels will be required C. increase consumption of shellfish D. take the medication at the same time every day E. an adverse effect of this medication is iodine toxicity

A. the medication can increase the risk for infection B. monitoring of triiodothyronine (T3) levels will be required D. take the medication at the same time every day

A nurse is assigned to care for a client on the Med surg unit who has been diagnosed with Cushing syndrome. which of the following findings does the nurse expect when performing the client's assessment ? (select all that apply) A. truncal obesity B. hyperactivity C. weight loss D. acne E. Hypotension

A. truncal obesity D. acne

A patient with a urinary creatinine clearance of 55 mL/min is prescribed desmopressin [DDAVP]. It is most important for the nurse to assess the patient for what? A. Irritability, muscle weakness, and back pain B. Drowsiness, listlessness, and headache C. Fever, tachycardia, and hypotension D. Decreased skin turgor, weight loss, and dry skin

B. Drowsiness, listlessness, and headache

The nurse is evaluating a patient who is taking PTU for hyperthyroidism. Which patient statement indicates the drug is effective? A. I have excess energy. B. I am able to sleep at night. C. I have lost weight since taking this medication D. I perspire throughout the day

B. I am able to sleep at night.

Following a subtotal thyroidectomy a patient begins to have tingling in the fingers and toes. What should the nurse do first? A. Encourage the patient to flex & extand fingers & toes B. Notify the healthcare provider C. Assess for thrombophlebitis D. Ask the client to speak

B. Notify the healthcare provider

Bone reabsorption is a possible complication of Cushing's Syndrome. To help prevent this complication, the nurse would recommend that the patient: A. Increase potassium in their diet B. Perform weight-bearing exercise regularly C. Limit dietary intact of Vit. D D. Perform isometric exercises

B. Perform weight-bearing exercise regularly

The nurse is completing a health assessment of a patient with suspected hyperthyroidism. What should the nurse assess the client for (priority)? A. Anorexia B. Tachycardia C. Weight gain D. Cold skin

B. Tachycardia

Which client is at greatest risk for hyperparathyroidism ? A. a 50 year old female client B. a 65 year old female client C. a 42 year old male client D. a male client over 60 years old

B. a 65 year old female client

A nurse in a providers office is reviewing the laboratory reports of a client who is being evaluated for Graves' disease. which of the following laboratory results is an indication of Graves' disease ? A. decreased thyrotropin receptor antibodies (TRAb) B. decreased thyroid stimulating hormone (TSH) C. decreased thyroxine (T4) D. decreased triiodothyronine (T3)

B. decreased thyroid stimulating hormone (TSH)

A nurse is providing teaching to a client about manifestations of hyperthyroidism. which of the following manifestations should the nurse include ? (select all that apply) A. anorexia B. heat intolerance C. conservation D. goiter formation E. weight loss F. bradycardia

B. heat intolerance D. goiter formation E. weight loss

A nurse is caring for a client who has a serum calcium level of 11.8 mg/dL. which complication is a client at highest risk for ? A. liver disease B. kidney stone C. irritable bowel syndrome D. respiratory distress

B. kidney stone

A nurse is providing medication teaching to a client who has Addison's disease and has been prescribed hydrocortisone. which of the following instructions should the nurse include ? ( select all that apply ) A. take the medication before meals B. notify the provider of any illness or stress C. report any episodes of weakness or dizziness D. do not discontinue the medication suddenly E. eat a high sodium diet

B. notify the provider of any illness or stress C. report any episodes of weakness or dizziness D. do not discontinue the medication suddenly

A nurse is providing teaching to a client who has Graves' disease an is to add Propranolol to her medication regimen. which of the following information should the nurse include ? A. an adverse effect of this medication is jaundice B. take your pulse before each dose of medication C. the purpose of this medication is to decrease the production of thyroid hormone D. stop taking this medication if you have a fever

B. take your pulse before each dose of medication

A nurse is providing health education to a client with hypercortisolism (Cushing syndrome). which of the following information is relevant for this client ? (select all that apply) A. routine urinalysis B. weighing daily C. complete blood count D. pathological fracture E. delayed wound healing F. tremors

B. weighing daily D. pathological fracture E. delayed wound healing

A nurse is providing instructions to a client who is scheduled for in adrenocorticotropic hormone ACTH simulation test. which of the following information should the nurse include in the teaching ? A. This test measures the response by the kidneys to ACTH B. In the presence of primary adrenal Insufficiency plasma cortisol levels rise in response to administration of ACTH C. ACTH is a hormone produced by the pituitary gland D. A dose of ACtTH is administered the evening before the tests

C. ACTH is a hormone produced by the pituitary gland

A client is diagnosed with hyperthyroidism and the health care provider has scheduled a radioactive iodine uptake test to determine the etiology. which condition would most likely contribute to the development of hyperthyroidism ? A. Insufficient iodine intake B. Hashimoto's thyroiditis C. Autoantibodies to the thyroid stimulating hormone receptors D. Radiation treatment

C. Autoantibodies to the thyroid stimulating hormone receptors

A nurse is caring for a client who has received a new prescription for level thyroxine. which of the following should the nurse include in the teaching this client about the new medication select all that apply ? A. take the tablet each morning with breakfast B. weight gain is common side effect C. Do not discontinue the medication without discussing with the health care provider D. use of iron supplement with this medication is recommended E. A follow up blood test for serum TSH level will be necessary

C. Do not discontinue the medication without discussing with the health care provider E. A follow up blood test for serum TSH level will be necessary

A client in the intensive care unit after head trauma develops diabetes insipidus. which of the following nursing actions is appropriate ? A. monitor glucose in use sliding scale insulin B. place the client in the trendelenburg position C. administer Desmopressin D. ensure fluid restriction

C. administer Desmopressin

A nurse is assigned care of a client who has been diagnosed with Addison's disease. signs of Addison disease that may be evident on assessment include which of the following ? (select all that apply ) A. hypertension B. weight gain C. hyperpigmentation D. fatigue E. osteoporosis

C. hyperpigmentation D. fatigue

A nurse is caring for a client who is 12 hours postoperative following a thyroidectomy. which of the following findings indicate that client might be experiencing thyroid storm ? (select all that apply) A. bradycardia B. hypothermia C. hypertension D. abdominal pain E. mental confusion

C. hypertension D. abdominal pain E. mental confusion

Which of the following is the most appropriate physical assessment technique for identifying hypocalcemia in a client who is being evaluated six months after a parathyroidectomy? A. stimulating the sole of the foot and watching for a reflex action in the big toe B. taping over the wrist and asking the client if taping elicits a sensation in the hand C. inflating a blood pressure cuff on a patient's arm to a greater pressure than systolic pressure and holding it in place for three minutes D. shining a light first in one eye and then in another watching for a pupillary response

C. inflating a blood pressure cuff on a patient's arm to a greater pressure than systolic pressure and holding it in place for three minutes

A nurse is providing teaching for a client who has hypothyroidism and a new prescription for levothyroxine. which of the following information should the nurse include in the teaching ? (select all that apply ) A. weight gain is expected while taking this medication B. treatment with this medication will last for several months C. laboratory testing will be required while taking this medication D. take the medication on an empty stomach E. take with calcium antacid if indigestion occurs

C. laboratory testing will be required while taking this medication D. take the medication on an empty stomach

An adolescent is to receive radioactive iodine for Graves' disease. which statement by the client reflects the need for more teaching ? A. I plan to socialize on Facebook since I have to keep several feet away from my friends for a few days B. taking radioactive iodine will not affect my ability to have children in the future C. the advantage of radioactive iodine is that I will not need medication for my disease D. I should try to use a separate bathroom from the rest of my family for a few days

C. the advantage of radioactive iodine is that I will not need medication for my disease

Which of the following instructions for the nurse give a 27 year old female client who is undergoing a radioactive iodine uptake test for hyperthyroidism in seven days ? (select all that apply) A. continue thyroid medication until the morning of the test B. stop eating and drinking at midnight on the night before the test C. anesthesia will be administered prior to the test D. a pregnancy test must be obtained before the test E. all jewelry must be removed from the neck before the test

D. a pregnancy test must be obtained before the test E. all jewelry must be removed from the neck before the test

When caring for a client with Graves' disease and pneumonia which of the following assessment finding should the nurse consider a priority intervention ? A. heat intolerance B. atrial fibrillation C. bulging eyeballs D. agitation and confusion

D. agitation and confusion

A nurse has administered the wrong type of insulin to a client with diabetes. the nurse recognizes that she gave the wrong kind as soon as she looks at the medication record for the next client. which of the following is the most appropriate initial response ? A. call the hospital attorney B. notify risk management C. report the error to the nursing supervisor D. assess the client E. complete an incident report

D. assess the client

A nurse is caring for a client diagnosed with hypothyroidism. which of the following is an indication of Myxedema coma ? A. hypocalcemia B. tachycardia C. tachypnea D. decreased body temperature

D. decreased body temperature

The nurse is assessing a client with suspected hypothyroidism. which of the following is aN expected finding in a client with this disorder ?' A. short attention span in weight loss B. weight loss and flush skin C. rapid pulse and heat intolerance D. dry skin and Constipation

D. dry skin and Constipation

A nurse is assessing a claim has hypothyroidism and is receiving thyroid hormone replacement therapy. which of the following findings should indicate to the nurse the need for a decrease in the medication dosage ? A. hand tremors B. bradycardia C. pale skin D. slow speech

A. hand tremors

A nurse is caring for a client with Addison's disease . which of the following does the nurse expect to find when assessing the client ? A. hyperpigmentation of skin B. truncal obesity C. acne D. hirsutism

A. hyperpigmentation of skin

The nurse is providing teaching to a client who has developed diabetes insipidus following a head injury. which of the following statements by the client indicates an understanding of the teaching ? A. I should limit my fluid intake to 32 ounces of water daily B. I will have to use insulin to control my blood glucose levels as a result of this condition C. I should expect to gain weight as a result of this condition D. this condition causes excess urination and increased thirst

D. this condition causes excess urination and increased thirst

Tachycardia and hyperthermia in client with Graves' disease after subtotal thyroidectomy may indicate which of the following potentially fatal complications ? A. hypokalemia B. hypothyroidism C. hypercalcemia D. thyrotoxicosis

D. thyrotoxicosis

A nurse is caring for a patient with Addison's disease. which of the following symptoms is a nurse expect ? (select all that apply) a. Weakness b. Hypopigmentation c. Postural hypotention d. Constipation e. diarrhea f. bradycardia g. Muscle wasting

a. Weakness c. Postural hypotention d. Constipation e. diarrhea g. Muscle wasting

A nurse in a providers office is reviewing the laboratory results of a client who is being evaluated for secondary hypothyroidism. which of the following laboratory findings indicates secondary hypothyroidism ? a. elevated thyroxine (T4) b. decreased triiodothyronine (T3) c. Elevated thyroid stimulating hormone (TSH) d. decrease cholesterol

b. decreased triiodothyronine (T3)

A physician has placed an order for a recently admitted client for level thyroxine 250 mcg orally per day. each tablet contains 0.1 mg. how many tablets should the nurse administer to the client ?

2.5 tabs

Which of the following are symptoms of grave disease or hyperthyroidism ? (select all that apply ) A. Weight gain B. myxedema coma C. palpitations D. bradycardia E. Protruding eyeballs

C. palpitations E. Protruding eyeballs

A nurse is caring for a client with Cushing syndrome. which of the following findings is expected by the nurse when assessing the client ? (select all that apply ) a. moon face b. Mineralocorticoid deficiency c. Hirsutism d. acne e. hyperpigmentation of the skin

a. moon face c. Hirsutism d. acne