NCLEX-PN Exam Metabolism

Which manifestation is associated with Cushing syndrome? 1. Moon face 2. Weight loss 3. Short stature 4. Skin hyperpigmentation

1. Moon face

Following a thyroidectomy, which problem would the nurse suspect when providing care for a client who has numbness in mouth, fingers, and toes, as well as muscle tingling and twitching? 1. Tetany 2. Hypotension 3. Hyperthyroidism 4. Laryngeal nerve damage

1. Tetany

Which statement is true regarding the pharmacokinetic changes observed in infants? (SATA) 1. Fat content is higher 2. Gastric pH is less acidic 3. Gastric emptying is slow 4. First pass metabolism is slow 5. Transdermal absorption is rapid

2. Gastric pH is less acidic 3. Gastric emptying is slow 4. First-pass metabolism is slow

For which complication would the nurse use Chvostek's sign and Trousseau's sign to assess during the first 72 hours after a client has had a thyroidectomy? 1. Hypokalemia 2. Hypocalcemia 3. Hyperkalemia 4. Hypercalcemia

2. Hypocalcemia

Which factor would the nurse expect to decline when treatment is successful for a female client with Cushings syndrome? 1. Hair loss 2. Serum glucose 3. Menstrual flow 4. Serum cholesterol

2. Serum glucose

Which hormone would the nurse include when planning a teaching session for a client diagnosed with diabetes insipidus? 1. Insulin 2. Antidiuretic hormone 3. Follicle-stimulating hormone 4. Thyroid-stimulating hormone

Anti-diuretic hormone

Which hormonal disorder may be suspected when positive Chvostek and Trosseaus signs are assessed? 1. Diabetes mellitus 2. Addisonian crisis 3. Hypoparathyroidism 4. Pheochromocytoma

3. Hypoparathyroidism

Which condition would require the nurse to administer levothyroxine? 1. Thyrotoxicosis 2. Graves disease 3.Hypothyroidism 4. Addison disease

3. Hypothyroidism

Which is a clinical manifestation of metabolic alkalosis? 1. Atrial tachycardia 2. Occipital headache 3. Kassmaul respirations 4. Warm and flushed skin.

1. Atrial tachycardia

Which clinical manifestation is present in a client with hypothyroidism? (SATA) 1. Bradycardia 2. Diarrhea 3. Depression 4. Weight loss 5. Cold intolerance

1. Bradycardia 3. Depression 5. Cold intolerance

The nurse is assessing a client with hyperthyroidism. Which clinical finding is consistent with this diagnosis? (SATA) 1. Emotional lability 2. Dyspnea on exertion 3. Abdominal distention 4. Decreased bowel sounds 5. Hyperactive deep tendon reflexes

1. Emotional lability 2. Dyspnea on exertion 5. Hyperactive deep tendon reflexes

Which carcinoma is the most common type of thyroid cancer and is most often found in younger women? 1. Papillary carcinoma 2. Follicular carcinoma 3. Medullary carcinoma 4. Anaplastic carcinoma

1. Papillary carcinoma

Which condition would the nurse suspect when a health assessment reveal a positive Chbostek's sign in a client? 1. Hypokalemia 2. Hypocalcemia 3. Hypernatremia 4. Hypermagnesemia

2. Hypocalcemia

Which crucial instruction would be included by the nurse doing preoperative teaching for a client scheduled for a subtotal thyroidectomy? 1. "you will need to lie flat for 48 hours after surgery." 2. "You will not be able to swallow for the first 24 hours." 3. "You should not hyperextend your neck after surgery." 4. "You can not get out of bed for the first 24 hours after surgery."

3. "You should not hyperextend your neck after surgery."

Which metabolic condition is characterized by polyuria and polydipsia? 1. Dwarfism 2. Gigantism 3. Myxedema 4. Diabetes insipidus

4. Diabetes insipidus

Which hormone regulates the amount of phosphorous in the blood? 1. Insulin 2. Melatonin 3. Antidiuretic hormone 4. Parathyroid hormone

4. Parathyroid hormone

Which information about a new client would indicate to the nurse that screening for hepatitis C is appropriate? 1. Frequently eats in fast-food restaurants 2. Has a blood transfusion after surgery in 2001 3. Traveled to an underdeveloped country a month ago 4. Reports a one-time use of IV drugs 20 years ago

4. Reports a one time use of IV drugs 20 years ago.

Which is true regarding blood buffers? 1. they are known as strong acid-base buffers. 2. they consist of strong acids and their base salts. 3. they take 1 to 2 minutes to adjust the acid-base balance to a normal range. 4. they neutralize excess acids or bases by contributing or accepting hydrogen ions.

4. They neutralize excess acids or bases by contributing or accepting hydrogen ions.

Which hormonal imbalance causes acromegaly? 1. Insulin 2. Thyroxine 3. Somatotropin 4. Parathyroid hormone

Somatotropin

Which hormone is secreted by the pancreas? glucagon thymosin melatonin testosterone

glucagon