NCLEX-PN Review Module 6 Endocrine System Quiz

39. A four-year-old is prescribed one dose of Rocephin 300 mg, IM. The label on the vial says Rocephin 500 mg/2.5 mL. You will administer ________ mL.

1.5

38. The provider's prescription reads: Piperacillin solution (Pipracil) 650 mg intravenously every 6 hours. The medication label reads: Reconstitute with 4.8 mL of bacteriostatic water to yield piperacillin sodium 2 grams in 5 mL. How much piperacillin sodium should the nurse withdraw from the vial for one dose? ________ mL (Round answer to the nearest tenth)

1.6

37. You have been asked to give 15 U of Humulin R insulin and 24 U of U-100 NPH. How many units will you give? _______ Units

15units +24units=39units 39

10. Muscular twitching and cramps in the muscles following thyroidectomy may indicate? A. Damage to the parathyroid glands during surgery B. Early signs of epilepsy C. Damage to the cervical nerves D. Potassium depletion

A. Damage to the parathyroid glands during surgery

40. The patient is to receive 2 grams of amoxicillin (Amoxil) every 24 hours for 10 days. The medication is given every 6 hours. The patient would receive ________ milligrams for each dose

500mg

20. The client with a suspected pituitary tumor will most likely exhibit symptoms of: A. Alteration in visual acuity B. Frequent diarrhea C. Alterations in blood glucose D. Urticaria

A. Alteration in visual acuity

28. A client with acromegaly will most likely experience which symptom? A. Bone pain B. Frequent infections C. Fatigue D. Weight loss

A. Bone pain

11. The nurse is caring for a client during the immediate postoperative period following a thyroidectomy. What symptoms would be anticipated as indicative of a serious complication occurring from damage to the parathyroid gland during surgery? A. Difficulty breathing secondary to spasms of the larynx. B. Increased weight, decreased urine output, wet respirations. C. Slow heart rate with the development of a heart block. D. Decreased renal perfusion, resulting in a decrease in urine output.

A. Difficulty breathing secondary to spasms of the larynx.

22. The nurse is caring for a client who has Addison's disease. How will the nurse evaluate the client for complications associated with this condition? A. Evaluate the client for the presence of fluctuating blood pressure readings B. Assess for the development of fever and purulent drainage. C. Perform frequent respiratory checks for decreased movement of air. D. Maintain strict intake and output records to determine compromised renal function.

A. Evaluate the client for the presence of fluctuating blood pressure readings.

7. A client is receiving 20 units of NPH insulin at 7:00 am daily. At 3:00 pm the nurse finds the client apparently asleep. How would the nurse know if the client was having a hypoglycemic reaction? A. Feel the client and the bed for dampness. B. Observe the client for deep, regular respirations. C. Smell the client's breath for acetone odor. D. Check the client's pupils for dilation.

A. Feel the client and the bed for dampness.

dietary considerations for the nurse to explain to the hyperthyroid client? The client will need to: A. Increase carbohydrates, protein, and fiber. B. Decrease calories as well as carbohydrates and fiber. C. Increase dietary fat along with decreasing calories and fiber. D. Maintain an increase in minerals, calories, and B complex vitamins

A. Increase carbohydrates, protein, and fiber.

26. A diabetic client has been maintained on Glucophage (metformin) for regulation of his blood glucose levels. Which teaching should be included in the plan of care? A. Report changes in urinary pattern B. Allow six weeks for optimal effects C. Increase the amount of carbohydrates in your diet. D. Use lotions to treat itching

A. Report changes in urinary pattern

6. The nurse is caring for a patient with Graves' disease. Which finding would indicate a complication of this patient's disease process? A. Shortness of breath B. Extreme fatigue C. Tachycardia D. Urinary frequency

A. Shortness of breath

13. A client is admitted for removal of a goiter. Which nursing intervention should receive priority during the post-operative period? A. Maintaining fluid and electrolyte balance B. Assessing the client's airway for patency C. Providing needed nutrition and fluids D. Providing pain relief with narcotic analgesics.

B. Assessing the client's airway for patency

8. A diabetic client is taking Lantus insulin for regulation of his blood glucose levels. The nurse should know that this insulin will most likely be administered? A. Prior to each meal B. At night C. Midday D. Prior to the evening meal

B. At night

15. A client with Addison's disease will most likely exhibit which symptom? A. Hypertension B. Bronze pigmentation C. Hirsutism D. Purple striae

B. Bronze pigmentation

1. A client is admitted with a diagnosis of Cushing's syndrome. What is an important consideration for the nurse to make in caring for this client? A. The client is going to be intolerant of heat. Pulse rate and blood pressure will be increased. B. Due to decreased inflammatory response, the client will be at increased risk for infection. C. It is important to maintain strict intake and output due to hypovolemia. D. Due to activity intolerance, the client will be kept on bed rest, a high-sodium diet will be prescribed.

B. Due to decreased inflammatory response, the client will be at increased risk for infection.

35. In the postoperative period, the nurse should observe a patient who has had a thyroidectomy for evidence of a thyroid crisis. Two common signs of thyroid crisis are: A. Twitching of muscles and severe convulsions B. Extreme temperature elevation and rapid pulse rate C. Respiratory depression and hoarseness D. Depression and fatigue

B. Extreme temperature elevation and rapid pulse rate

30. A client with polyuria, polydipsia, and polyphagia is diagnosed with diabetes mellitus. The nurse would expect that these symptoms are related to: A. Hypoglycemia B. Hyperglycemia C. Hyperparathyroidism D. Hyperthyroidism

B. Hyperglycemia

32. A client with Cushing's syndrome should be instructed to: A. Avoid alcoholic beverages B. Limit the sodium in her diet C. Increase servings of dark green vegetables. D. Limit the amount of protein in her diet

B. Limit the sodium in her diet

23. The client is directed by the nurse to use intrasite rotation for insulin injection sites. In the client teaching, the nurse explains the purpose of this rotation is to: A. Prevent convulsions from a hypoglycemic reaction. B. Maintain an equal rate of absorption of insulin. C. Prevent anaphylactic reaction from insulin. D. Decrease confusion in remembering injection site location.

B. Maintain an equal rate of absorption of insulin.

16. The nurse is caring for a client who is 8-hours post-thyroidectomy. What is an important nursing intervention for this client? A. Provide a high-calcium diet to replace calcium lost during the procedure. B. Maintain client in a semi-Fowler's position with head, back and neck supported by pillows. C. Assist client to perform range-of-motion neck exercises to prevent contractures. D. Maintain client in a supine position, so client can rest more easily

B. Maintain client in a semi-Fowler's position with head, back and neck supported by pillows

3. A client is placed on insulin sliding scale. The nurse would anticipate which medication needing to be administered? A. Ultralente insulin B. Regular insulin C. NPH insulin D. Novolin L

B. Regular insulin

12. A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. Which information should the nurse teach when carrying out plans for discharge? A. Keep insulin vials refrigerated at all times B. Rotate the insulin injection sites systematically C. Increase the amount of insulin before unusual exercise D. Monitor the urine acetone level to determine the insulin dosage

B. Rotate the insulin injection sites systematically

14. A client experiences a "thyroid storm" after the removal of his thyroid gland. The nurse understands that the cause of this complication is: A. Release of calcium from the parathyroid glands. B. Thyroid hormones moving into the bloodstream during thyroid surgery. C. Sudden increase of parathyroid hormone into the endocrine system. D. Calcification of the thyroid gland and related structures.

B. Thyroid hormones moving into the bloodstream during thyroid surgery.

4. Clients with hyperthyroidism may experience a problem with bulging eyes. What nursing intervention is important in caring for this problem? A. Assess daily for the development of infection. B. Use eye drops frequently and apply ointment to eyes at night. C. Perform eye irrigations with normal saline every 6 hours. D. Check the visual acuity every 4 hours.

B. Use eye drops frequently and apply ointment to eyes at night.

5. Which vitamin is directly involved in metabolism of hormones secreted by the parathyroid? A. Vitamin C B. Vitamin D C. Vitamin K D. Vitamin B9

B. Vitamin D

34. A nurse administers 30 units of NPH insulin at 0700 to a client with a blood glucose level of 200 mg/dL. The nurse monitors the client for a hypoglycemic reaction, knowing that NPH insulin peaks in approximately how many hours following administration? A. 2 hours B. 3 to 4 hours C. 6 to 14 hours D. 16 to 24 hours

C. 6 to 14 hours

24. A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis, the nurse would anticipate an order for: A. Potassium B. Magnesium C. Calcium D. Iron

C. Calcium

33. Which laboratory test conducted on the client with diabetes mellitus indicates compliance? A. Fasting blood glucose B. Two-hour post-prandial C. Hemoglobin A-1C D. Dextrostix

C. Hemoglobin A-1C

36. A client who has been newly diagnosed with diabetes mellitus has a nursing diagnosis of Ineffective health maintenance related to anxiety regarding the self-administration of insulin. Initially the nurse should plan to: A. Teach a family member to give the client the insulin. B. Use an orange for the client to inject into until the client is less anxious. C. Insert the needle and have the client push in the plunger and remove the needle. D. Give the injection until the client feels confident enough to do so by himself or herself.

C. Insert the needle and have the client push in the plunger and remove the needle.

17. While gathering information on a diabetic client, the nurse smells a sweet, fruity odor. What would be important for the nurse to check? A. Serum blood glucose level B. Blood urea nitrogen level C. Ketones in the urine D. Urinary output

C. Ketones in the urine

25. Which client would be most likely to be able to control their diabetes through diet/exercise? A. A 10-year-old child. B. A 30-year-old woman with onset at age 11 years. C. A 1-year-old child. D. A 60-year-old woman with onset at age 45 years.

D. A 60-year-old woman with onset at age 45 years.

27. Which item should be kept at the bedside of a client who has just returned from having a thyroidectomy? A. An airway B. An endotracheal tube C. A ventilator D. A tracheostomy set

D. A tracheostomy set

2. A client is scheduled for a glycosylated hemoglobin test. What is important for the nurse to tell the client about this test? A. Drink only water after midnight and come to the clinic early in the morning. B. Eat a normal breakfast and be at the clinic within 2 hours of eating. C. Plan on being at the clinic for about 4 hours for multiple blood draws. D. Come to the clinic at the earliest convenience to have the blood drawn.

D. Come to the clinic at the earliest convenience to have the blood drawn.

18. A client with diabetes experiences Somogyi's effect. To prevent this complication, the nurse should instruct the client to: A. Take his insulin each day at 1400 hours B. Engage in physical activity daily C. Increase the amount of regular insulin D. Eat a protein and carbohydrate snack at bedtime.

D. Eat a protein and carbohydrate snack at bedtime.

29. A client in the emergency department is diagnosed with insulin shock. The nurse would anticipate which medication to be ordered? A. NPH insulin. B. Metformin (Glucophage). C. Regular insulin. D. Glucagon.

D. Glucagon.

21. The nurse is admitting a client with a diagnosis of acute pancreatitis. What is important nursing care for this client? A. Assess for edema and weight gain. B. Initiate measures to control temperature. C. Control hypertension and tachycardia. D. Implement measures to control vomiting.

D. Implement measures to control vomiting.

31. What would be noted on the assessment of a client with hyperthyroidism? A. Dry skin, bradycardia, and hypertension. B. Difficulty staying awake, increased appetite, and weight gain. C. Marked weight gain, hypertension, and tachycardia. D. Increased activity, difficulty sleeping, and weight loss.

D. Increased activity, difficulty sleeping, and weight loss.

9. A diabetic client comes into the emergency department with a diagnosis of diabetic ketoacidosis. The nurse would anticipate what symptoms with this client? A. Shallow respirations, bradycardia, confusion B. Pallor, diaphoresis, tachycardia. C. Low blood pressure, diaphoresis, nausea and vomiting. D. Rapid and deep respirations, tachycardia, confusion.

D. Rapid and deep respirations, tachycardia, confusion.