Endocrine NCLEX Practice Questions

ENDOCRINE NCLEX PRACTICE QUESTIONS ENDOCRINE NCLEX PRACTICE QUESTIONS  1. W

 1. Which of the following assessment findings characterize thyroid storm?hich of the following assessment findings characterize thyroid storm? a) Increased body temperature,

a) Increased body temperature, decreased pulse, and increased blood pressuredecreased pulse, and increased blood pressure b) increased body temperatre! increased p"se! and

b) increased body temperatre! increased p"se! and increased b"ood pressreincreased b"ood pressre c) increased body temperature,

c) increased body temperature, decreased pulse, and decreased blood pressuredecreased pulse, and decreased blood pressure d) increased body temperature,

d) increased body temperature, increased pulse, and decreased blood pressureincreased pulse, and decreased blood pressure 2. The nurse is planning care for

2. The nurse is planning care for a client with hyperthyroidism. Which of a client with hyperthyroidism. Which of the followingthe following nursing interentions are appropriate? !elect all that apply

nursing interentions are appropriate? !elect all that apply a) in sti""

a) in sti"" isotonic eye drops as necessaryisotonic eye drops as necessary b) pro#ide se#era"! sma""! $e""%ba"anced mea"s b) pro#ide se#era"! sma""! $e""%ba"anced mea"s c) pro#ide rest periods

c) pro#ide rest periods d) "eep enironment warm d) "eep enironment warm

e) encourage fre#uent isitors and conersation e) encourage fre#uent isitors and conersation f 

f ) $ei&' t'e c"ient dai"y) $ei&' t'e c"ient dai"y ( A*ter t'yroidectomy! $'

( A*ter t'yroidectomy! $'ic' o* tic' o* t'e *o""o$in& is 'e *o""o$in& is t'e priority assessment tot'e priority assessment to obser#e "aryn&ea" ner#e dama&e+

obser#e "aryn&ea" ner#e dama&e+ a) 'oarseness o* #oice a) 'oarseness o* #oice b) difficulty in swallowing b) difficulty in swallowing c) tetany c) tetany d) feer  d) feer 

$. When caring for a

$. When caring for a male client with diabetes insipidus, nurse %uliet male client with diabetes insipidus, nurse %uliet e&pects toe&pects to administer'

administer'

a #asopressin ,Pitressin Synt'etic) a #asopressin ,Pitressin Synt'etic) b. furosemide (asi&). b. furosemide (asi&). c. regular insulin. c. regular insulin. d. 1*+ de&trose. d. 1*+ de&trose.

. -urse onn is assessing a client

. -urse onn is assessing a client with possible /ushing0s syndrome. In a clientwith possible /ushing0s syndrome. In a client with /ushing0s syndrome, the nurse would e&pect to find'

with /ushing0s syndrome, the nurse would e&pect to find' a. ypotension.

a. ypotension.

b. Thic", coarse s"in. b. Thic", coarse s"in.

c Deposits o* adipose tisse in

c Deposits o* adipose tisse in t'e trn- and dorsocer#ica" areat'e trn- and dorsocer#ica" area d. Weight gain in arms

d. Weight gain in arms and legs.and legs. . 3or the fir

. 3or the first 42 hours after st 42 hours after thyroidectomy surgerythyroidectomy surgery, nurse %amie would assess the, nurse %amie would assess the female client for

female client for /hoste"0s sign and Trousseau0s sign because they indicate which/hoste"0s sign and Trousseau0s sign because they indicate which of the following? of the following? a .ypoca"cemia a .ypoca"cemia b. ypercalcemia b. ypercalcemia

c. ypo"alemia d. yper"alemia

4. 5n incoherent female client with a history of hypothyroidism is brought to the

emergency department by the rescue s#uad. 6hysical and laboratory findings reeal hypothermia, hypoentilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area. 7nowing that these findings suggest seere hypothyroidism, nurse ibby prepares to ta"e emergency action to preent the potential complication of'

a. Thyroid storm. b. /retinism.

c /y0edema coma d. ashimoto0s thyroiditis.

8. In a 29:year:old female client who is being successfully treated for /ushing0s syndrome, nurse yzette would e&pect a decline in'

a Serm &"cose "e#e" b. air loss.

c. ;one mineralization. d. <enstrual flow.

9. -urse =lier should e&pect a client with hypothyroidism to report which health concerns?

a. Increased appetite and weight loss b P**iness o* t'e *ace and 'ands c. -erousness and tremors

d. Thyroid gland swelling

1*. Which nursing diagnosis ta"es highest priority for a female client with hyperthyroidism?

a. is" for imbalanced nutrition' <ore than body re#uirements related to th yroid hormone e&cess

b. is" for impaired s"in integrity related to edema, s"in fragility, and poor wound healing

c. ;ody image disturbance related to weight gain and edema

d Imba"anced ntrition1 Less t'an body re2irements re"ated to t'yroid 'ormone e0cess

11. >arly this morning, a female client had a subtotal thyroidectomy. uring eening rounds, nurse Tina assesses the client, who now has nausea, a temperature of 1*@ 3 ($*.@ /), tachycardia, and e&treme restlessness. What is the most li"ely cause of

these signs?

a. iabetic "etoacidosis b T'yroid crisis

c. ypoglycemia d. Tetany

12. -urse ouie is deeloping a teaching plan for a male client diagnosed with diabetes insipidus. The nurse should include information about which hormone lac"ing in clients with diabetes insipidus?

a antidiretic 'ormone ,AD.) b. thyroid:stimulating hormone (T!). c. follicle:stimulating hormone (3!). d. luteinizing hormone ().

1A. 5 male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (!I5). Which nursing interention is appropriate? a. Infusing I.B. fluids rapidly as ordered

b. >ncouraging increased oral inta"e c Restrictin& *"ids

d. 5dministering glucose:containing I.B. fluids as ordered

1$. -urse Troy is aware that the most appropriate for a client with 5ddison0s disease?

a Ris- *or in*ection b. >&cessie fluid olume c. Crinary retention

d. ypothermia

1. 5 female client with hypothyroidism (my&edema) is receiing leothyro&ine (!ynthroid), 2 mcg 6.=. daily. Which finding should nurse ans recognize as an aderse drug effect?

a. ysuria b. eg cramps c Tac'ycardia d. ;lurred ision

1. 5 female client with /ushing0s syndrome is admitted to the medical:surgical unit. uring the admission assessment, nurse Tyzz notes that the client is agitated and irritable, has poor memory, reports loss of appetite, and appears disheeled. These findings are consistent with which problem?

a Depression b. -europathy c. ypoglycemia d. yperthyroidism

14. Which of these signs suggests that a male client with the syndrome of

inappropriate antidiuretic hormone (!I5) secretion is e&periencing complications? a. Tetanic contractions

b Nec- #ein distention c. Weight loss

d. 6olyuria

18. Which outcome indicates that treatment of a male client with diabetes insipidus has been effectie?

a 3"id inta-e is "ess t'an 4!566 m"7day

b. Crine output measures more than 2** mlDhour. c. ;lood pressure is 9*D* mm g.

d. The heart rate is 12 beatsDminute.

19. In the administration of a drug such as leothyro&ine (!ynthroid), the nurse should teach the client'

 5) That therapy typically lasts about  months.

;) That wee"ly laboratory tests for T$ leels will be re#uired. C) To report $ei&'t "oss! an0iety! insomnia! and pa"pitations ) That the drug may be ta"en eery other day if diarrhea occurs.

2*. 5 patient with hyperthyroidism is ta"ing propylthiouracil (6TC). The nurse will monitor the patient for'

 5) gingial hyperplasia and lycopenemia. ;) dyspnea and a dry cough.

/) blurred ision and nystagmus. D) *e#er and sore t'roat

21. 5 physician has prescribed propylthiouracil (6TC) for a client with

hyperthyroidism and the nurse deelops a plan of care for the client. 5 priority

nursing assessment to be included in the plan regarding this medication is to assess for'

a) relief of pain

b) signs of renal to&icity

c) signs and symptoms of hyperglycemia d) si&ns and symptoms o* 'ypot'yroidism

22. 5 physician prescribes leothyro&ine sodium (!ynthroid), *.1 mg orally daily, for a client with hypothyroidism. The nurse will prepare to administer this medication' a) in t'e mornin& to pre#ent insomnia

b) only when the client complains of fatigue and cold intolerance c) at arious times during the day to preent tolerance from occurring

d) three times daily in e#ual doses of *. mg each to ensure consistent serum drug leels

2A. =f what precautions should a client receiing radioactie iodine:1A1 be made aware?

a.) rin" plenty of fluids, especially those high in calcium.

b) A#oid c"ose contact $it' c'i"dren or pre&nant $omen *or one $ee- a*ter administration o* dr&

c.) ;e aware of the symptoms of tachycardia, increased metabolic rate, and an&iety. d.) Wear a mas" if around children or pregnant women.

2$. 5 client presents to the emergency room with a history of Eraes0 disease. The client reports haing symptoms for a few days, but has not preiously sought or receied any additional treatment. The client also reports haing had a cold a few days bac". Which of the following interentions would be appropriate to implement for this client, based on the history and current symptoms? !elect all that apply.

a. 5dminister aspirin

b Rep"ace intra#enos *"ids c Indce s'i#erin&

d Re"ie#e respiratory distress e Administer a coo"in& b"an-et

2. 5 nursing student is studying for a test on care of the client with endocrine

disorders. Which of the following statements demonstrates an understanding of the difference between hyperthyroidism and hypothyroidism?

a. Feficient amounts of T cause abnormalities in lipid metabolism, with decreased serum cholesterol and triglyceride leels.F

b. FEraes0 disease is the most common cause of hypothyroidism.F

c 8Decreased rena" b"ood *"o$ and &"omer"ar *i"tration rate redces t'e -idney9s abi"ity to e0crete $ater! $'ic' may case 'yponatremia8

d. FIncreased amounts of T cause a decrease in cardiac output and peripheral blood flow.F

2. 5 nurse on a general medical:surgical unit is caring for a client with /ushing0s syndrome. Which of the following statements is correct about the medication

regimen for /ushing0s syndrome?

a /itotane is sed to treat metastatic adrena" cancer

b. 5minogluthimide may be administered to clients with ectopic 5/T:secreting tumors before surgery is performed.

c. 7etoconazole increases cortisol synthesis by the adrenal corte&. d. !omatostatin analog increases 5/T secretion in some clients.

24. Which of the following nursing implications is most important in a client being medicated for 5ddison0s disease?

a. 5dminister oral forms of the drug with food to minimize its ulcerogenic effect. b. <onitor capillary blood glucose for hypoglycemia in the diabetic client.

c Instrct t'e c"ient to ne#er abrpt"y discontine t'e medication

d. Teach the client to consume a diet that is high in potassium, low in sodium, and high in protein.

28. The nurse is caring for a client who is about to undergo an adrenalectomy. Which of the following 6reoperatie interentions is most appropriate for this client?

a /aintain care*" se o* medica" and sr&ica" asepsis $'en pro#idin& care and treatments

b. Teach the client about a diet high in sodium to correct any potential sodium imbalances preoperatiely.

c. >&plain to the client that electrolytes and glucose leels will be measured postoperatiely.

d. Teach the client how to effectiely cough and deep breathe once surgery is complete.

29. 5 client newly diagnosed with 5ddison0s disease is giing a return e&planation of teaching done by the primary nurse. Which of the following statements indicates that further teaching is necessary?

a. FI need to increase how much I drin" each day.F

b 8I need to $ei&' myse"* i* I t'in- I am "osin& or &ainin& $ei&'t8 c. FI need to maintain a diet high in sodium and low in potassium.F

d. FI need to ta"e my medications each day.F

A*. 5 patient with !I5 is treated with water restriction and administration of IB fluids. The nurses ealuates that treatment has been effectie when the patient e&periences

a. increased urine output, decreased serum sodium, and increased urine specific graity

b increased rine otpt! increased serm sodim! and decreased rine speci*ic &ra#ity

c. decreased urine output, increased serum sodium, and decreased urine specific graity

d. decreased urine output, decreased serum sodium, and increased urine specific graity

A1. /auses of primary hypothyroidism in adults include a. malignant or benign thyroid nodules

b. surgical remoal or failure of the pituitary gland c. surgical remoal or radiation of thyroid gland d atoimmne%indced atrop'y o* t'e &"and

A2. 5 patient with hypothyroidism is treated with !ynthroid. When teaching the patient about the therapy, the nurse

a. e&plains that caloric inta"e must be reduced when drug therapy is started b pro#ides $ritten instrction *or a"" in*ormation re"ated to t'e medication t'erapy

c. assures the patient that a return to normal function will occur with replacement therapy

d. informs the patient that medications must be ta"en until hormone balance is reestablished

AA. 5 patient is admitted to the hospital with a diagnosis of /ushing syndrome. =n physical assessment of the patient, the nurse would e&pect to find

a .TN! perip'era" edema! and petec'iae

b. weight loss, buffalo hump, and moon face with acne

c. abdominal and buttoc" striae, truncal obesity, and hypotension d. anore&ia, signs of dehydration, and hyper pigmentation of the s"in