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Quiz #1: 25 Questions Endocrine System Disorders Nclex
Practice Solution 2024
1. Question
An agitated, confused female client arrives in the emergency department. Her history includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting: A. 2 to 5 g of a simple carbohydrate. B. 10 to 15 g of a simple carbohydrate. C. 18 to 20 g of a simple carbohydrate. D. 25 to 30 g of a simple carbohydrate.
2. Question
A female adult client with a history of chronic hyperparathyroidism admits to being non- compliant. Based on initial assessment findings, the nurse formulates the nursing diagnosis of Risk for injury. To complete the nursing diagnosis statement for this client, which “related-to” phrase should the nurse add? A. Related to bone demineralization resulting in pathologic fractures. B. Related to exhaustion secondary to an accelerated metabolic rate. C. Related to edema and dry skin secondary to fluid infiltration into the interstitial spaces. D. Related to tetany secondary to a decreased serum calcium level.
3. Question
Nurse Joey is assigned to care for a postoperative male client who has diabetes mellitus. During the assessment interview, the client reports that he’s impotent and says he’s concerned about its effect on his marriage. In planning this client’s care, the most appropriate intervention would be to: A. Encourage the client to ask questions about personal sexuality. B. Provide time for privacy. C. Provide support for the spouse or significant other. D. Suggest referral to a sex counselor or other appropriate professional.
4. Question
During a class on exercise for diabetic clients, a female client asks the nurse educator how often to exercise. The nurse educator advises the clients to exercise how often to meet the goals of planned exercise? A. At least once a week B. At least three times a week C. At least five times a week D. Every day
5. Question
Nurse Oliver should expect a client with hypothyroidism to report which health concerns? A. Increased appetite and weight loss B. Puffiness of the face and hands
A. vasopressin (Pitressin Synthetic). B. furosemide (Lasix). C. Regular insulin. D. 10% dextrose.
9. Question
The nurse is aware that the following is the most common cause of hyperaldosteronism? A. Excessive sodium intake B. A pituitary adenoma C. Deficient potassium intake D. An adrenal adenoma
10. Question
A male client with type 1 diabetes mellitus has a highly elevated glycosylated hemoglobin (Hb) test result. In discussing the result with the client, nurse Sharmaine would be most accurate in stating: A. “The test needs to be repeated following a 12-hour fast.” B. “It looks like you aren’t following the prescribed diabetic diet.” C. “It tells us about your sugar control for the last 3 months.” D. “Your insulin regimen needs to be altered significantly.”
11. Question
Following a unilateral adrenalectomy, nurse Betty would assess for hyperkalemia shown by which of the following?
A. Muscle weakness B. Tremors C. Diaphoresis D. Constipation
12. Question
Nurse Louie 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).
13. Question
Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, nurse Tina 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. Infusing I.V. fluids rapidly as ordered. B. Encouraging increased oral intake. C. Restricting fluids. D. Administering glucose-containing I.V. fluids as ordered.
17. Question
A female client has a serum calcium level of 7.2 mg/dl. During the physical examination, nurse Noah expects to assess: A. Trousseau’s sign. B. Homans’ sign. C. Hegar’s sign. D. Goodell’s sign.
18. Question
Which outcome indicates that treatment of a male client with diabetes insipidus has been effective? A. Fluid intake is less than 2,500 ml/day. B. Urine output measures more than 200 ml/hour. C. Blood pressure is 90/50 mm Hg. D. The heart rate is 126 beats/minute.
19. Question
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
20. Question
Nurse Kate is providing dietary instructions to a male client with hypoglycemia. To control hypoglycemic episodes, the nurse should recommend: A. Increasing saturated fat intake and fasting in the afternoon. B. Increasing intake of vitamins B and D and taking iron supplements. C. Eating a candy bar if lightheadedness occurs. D. Consuming a low-carbohydrate, high protein diet and avoiding fasting.
21. Question
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. Prescribe an additional oral antidiabetic agent. D. Restrict carbohydrate intake to less than 30% of the total caloric intake.
25. Question
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.”
Endocrine System Disorders NCLEX Practice | Quiz #2: 25 Questions
1.Question
Nurse Ronn 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.
2. Question
A male client with primary diabetes insipidus is ready for discharge on desmopressin (DDAVP). Which instruction should nurse Lina provide?
A. “Administer desmopressin while the suspension is cold.” B. “Your condition isn’t chronic, so you won’t need to wear a medical identification bracelet.” C. “You may not be able to use desmopressin nasally if you have nasal discharge or blockage.” D. “You won’t need to monitor your fluid intake and output after you start taking desmopressin.”
3. Question
Nurse Wayne is aware that a positive Chvostek’s sign indicates? A. Hypocalcemia B. Hyponatremia C. Hypokalemia D. Hypermagnesemia
4. Question
In a 29-year-old female client who is being successfully treated for Cushing’s syndrome, nurse Lyzette would expect a decline in: A. Serum glucose level B. Hair loss C. Bone mineralization D. Menstrual flow
5. Question
memory, reports loss of appetite, and appears disheveled. These findings are consistent with which problem? A. Depression B. Neuropathy C. Hypoglycemia D. Hyperthyroidism
8. Question
Nurse Ruth is assessing a client after a thyroidectomy. The assessment reveals muscle twitching and tingling, along with numbness in the fingers, toes, and mouth area. The nurse should suspect which complication? A. Tetany B. Hemorrhage C. Thyroid storm D. Laryngeal nerve damage
9. Question
After undergoing a subtotal thyroidectomy, a female client develops hypothyroidism. Dr. Smith prescribes levothyroxine (Levothroid), 25 mcg P.O. daily. For which condition is levothyroxine the preferred agent? A. Euthyroidism B. Graves’ disease C. Thyrotoxicosis
D. Primary hypothyroidism
10. Question
Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications? A. Tetanic contractions B. Neck vein distention C. Weight loss D. Polyuria
11. Question
A female client with a history of pheochromocytoma is admitted to the hospital in an acute hypertensive crisis. To reverse hypertensive crisis caused by pheochromocytoma, nurse Lyka expects to administer: A. mannitol (Osmitrol) B. methyldopa (Aldomet) C. phentolamine (Regitine) D. felodipine (Plendil)
12. Question
A male client with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client’s hypertension is caused by excessive hormone secretion from which of the following glands? A. Adrenal medulla
transsphenoidal hypophysectomy. The evening before the surgery, nurse Jacob reviews preoperative and postoperative instructions given to the client earlier. Which postoperative instruction should the nurse emphasize? A. “You must lie flat for 24 hours after surgery.” B. “You must avoid coughing, sneezing, and blowing your nose.” C. “You must restrict your fluid intake.” D. “You must report ringing in your ears immediately.”
16. Question
Dr. Kennedy prescribes glipizide (Glucotrol), an oral antidiabetic agent, for a male client with type 2 diabetes mellitus who has been having trouble controlling the blood glucose level through diet and exercise. Which medication instruction should the nurse provide? A. “Be sure to take glipizide 30 minutes before meals.” B. “Glipizide may cause a low serum sodium level, so make sure you have your sodium level checked monthly.” C. “You won’t need to check your blood glucose level after you start taking glipizide.” D. “Take glipizide after a meal to prevent heartburn.”
17. Question
For a diabetic male client with a foot ulcer, the physician orders bed rest, a wet-to-dry dressing change every shift, and blood glucose monitoring before meals and bedtime. Why
are wet-to-dry dressings used for this client? A. They contain exudate and provide a moist wound environment. B. They protect the wound from mechanical trauma and promote healing. C. They debride the wound and promote healing by secondary intention. D. They prevent the entrance of microorganisms and minimize wound discomfort.
18. Question
When instructing the female client diagnosed with hyperparathyroidism about diet, nurse Gina should stress the importance of which of the following? A. Restricting fluids B. Restricting sodium C. Forcing fluids D. Restricting potassium
19. Question
Which nursing diagnosis takes highest priority for a female client with hyperthyroidism? A. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess. B. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing. C. Body image disturbance related to weight gain and edema. D. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess.
D. “You’ll need more insulin when you exercise or decrease your food intake.”
22. Question
Nurse Noemi administers glucagon to her diabetic client, then monitors the client for adverse drug reactions and interactions. Which type of drug interacts adversely with glucagon? A. Oral anticoagulants B. Anabolic steroids C. Beta-adrenergic blockers D. Thiazide diuretics
23. Question
Which instruction about insulin administration should nurse Kate give to a client? A. “Always follow the same order when drawing the different insulins into the syringe.” B. “Shake the vials before withdrawing the insulin.” C. “Store unopened vials of insulin in the freezer at temperatures well below freezing.” D. “Discard the intermediate-acting insulin if it appears cloudy.”
24. Question
Nurse Perry is caring for a female client with type 1 diabetes mellitus who exhibits confusion, light-headedness, and aberrant behavior. The client is still conscious. The nurse should first administer:
A. I.M. or subcutaneous glucagon. B. I.V. bolus of dextrose 50%. C. 15 to 20 g of a fast-acting carbohydrate such as orange juice. D. 10 U of fast-acting insulin.
25. Question
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
