Question 1

What should the nurse caution a type I diabetic about excessive exercise?

Accepted Answer

A)  It can increase the need for insulin and may result in hyperglycemia. 
B)  It can decrease the need for insulin and may result in hypoglycemia. 
C)  It can increase muscle bulk and may result in malabsorption of insulin. 
D)  It can decrease metabolic demand and may result in metabolic acidosis. 
A)  It can increase the need for insulin and may result in hyperglycemia. 
B)  It can decrease the need for insulin and may result in hypoglycemia. 
C)  It can increase muscle bulk and may result in malabsorption of insulin. 
D)  It can decrease metabolic demand and may result in metabolic acidosis. B

Question 2

The nurse is caring for a patient who is receiving calcium gluconate for treatment of hypoparathyroid tetany.Which assessment would indicate an adverse reaction to the drug?

Accepted Answer

A)  Increase in heart rate 
B)  Flushing of face and neck 
C)  Drop in blood pressure 
D)  Urticaria 
A)  Increase in heart rate 
B)  Flushing of face and neck 
C)  Drop in blood pressure 
D)  Urticaria C

Question 3

The nurse is administering long-acting insulin once a day,which provides insulin coverage for 24 hours.This insulin is _________________.

Accepted Answer

Lantus

Question 4

What do the Chvostek sign and the Trousseau sign indicate?

Accepted Answer

A)  Low levels of serum calcium 
B)  High levels of blood sugar 
C)  Low levels of serum sodium 
D)  High levels of serum aldosterone 
A)  Low levels of serum calcium 
B)  High levels of blood sugar 
C)  Low levels of serum sodium 
D)  High levels of serum aldosterone

Question 5

Why would a patient with hyperthyroidism be prescribed the drug methimazole (Tapa-zole)?

Accepted Answer

A)  To limit the effect of the pituitary on the thyroid. 
B)  To destroy part of the hyperactive thyroid tissue. 
C)  To stimulate the pineal gland. 
D)  To block the production of thyroid hormones. 
A)  To limit the effect of the pituitary on the thyroid. 
B)  To destroy part of the hyperactive thyroid tissue. 
C)  To stimulate the pineal gland. 
D)  To block the production of thyroid hormones.

Question 6

What is a long-term complication of diabetes mellitus?

Accepted Answer

A)  Diverticulitis 
B)  Renal failure 
C)  Hypothyroidism 
D)  Hyperglycemia 
A)  Diverticulitis 
B)  Renal failure 
C)  Hypothyroidism 
D)  Hyperglycemia

Question 7

In diabetes insipidus,a deficiency of which hormone causes clinical manifestations?

Accepted Answer

A)  Antidiuretic hormone (ADH) 
B)  Follicle-stimulating hormone (FSH) 
C)  Thyroid-stimulating hormone (TSH) 
D)  Adrenocorticotropic hormone (ACTH) 
A)  Antidiuretic hormone (ADH) 
B)  Follicle-stimulating hormone (FSH) 
C)  Thyroid-stimulating hormone (TSH) 
D)  Adrenocorticotropic hormone (ACTH)

Question 8

Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks?

Accepted Answer

A)  Fasting blood sugar (FBS) 
B)  Oral glucose tolerance test (OGT) 
C)  Glycosylated hemoglobin (HbA1c) 
D)  Postprandial glucose test (PPBG) 
A)  Fasting blood sugar (FBS) 
B)  Oral glucose tolerance test (OGT) 
C)  Glycosylated hemoglobin (HbA1c) 
D)  Postprandial glucose test (PPBG)

Question 9

What instructions should be included in the discharge instructions for a 47-year-old patient with hypothyroidism?

Accepted Answer

A)  Taking medication whenever symptoms cause discomfort 
B)  Decreasing fluid and fiber intake 
C)  Consuming foods rich in iron 
D)  Seeing the health care provider regularly for follow-up care 
A)  Taking medication whenever symptoms cause discomfort 
B)  Decreasing fluid and fiber intake 
C)  Consuming foods rich in iron 
D)  Seeing the health care provider regularly for follow-up care

Question 10

The nurse teaching a patient with type 1 diabetes mellitus (IDDM)about early signs of insulin reaction would include information about:

Accepted Answer

A)  abdominal pain and nausea. 
B)  dyspnea and pallor. 
C)  flushing of the skin and headache. 
D)  hunger and a trembling sensation. 
A)  abdominal pain and nausea. 
B)  dyspnea and pallor. 
C)  flushing of the skin and headache. 
D)  hunger and a trembling sensation.

Question 11

A 27-year-old patient with hypothyroidism is referred to the dietitian for dietary consultation.What should nutritional interventions include?

Accepted Answer

A)  Frequent small meals high in carbohydrates 
B)  Calorie-restricted meals 
C)  Caffeine-rich beverages 
D)  Fluid restrictions 
A)  Frequent small meals high in carbohydrates 
B)  Calorie-restricted meals 
C)  Caffeine-rich beverages 
D)  Fluid restrictions

Question 12

The adrenal cortex secretes glucocorticoids.The most important is cortisol.What is it involved in? (Select all that apply. )

Accepted Answer

A)  Glucose metabolism 
B)  Releasing androgens and estrogens 
C)  Providing extra reserve energy during stress 
D)  Decreasing the level of potassium in the bloodstream 
E)  Increasing retention of sodium in the bloodstream 
A)  Glucose metabolism 
B)  Releasing androgens and estrogens 
C)  Providing extra reserve energy during stress 
D)  Decreasing the level of potassium in the bloodstream 
E)  Increasing retention of sodium in the bloodstream

Question 13

The health care provider prescribes glyburide (Micronase,DiaBeta,Glynase)for a patient,age 57,when diet and exercise have not been able to control type 2 diabetes.What should the nurse include in the teaching plan about this medication?

Accepted Answer

A)  It is a substitute for insulin and acts by directly stimulating glucose uptake into the cell. 
B)  It does not cause the hypoglycemic reactions that may occur with insulin use. 
C)  It is thought to stimulate insulin production and increase sensitivity to insulin at receptor sites. 
D)  It lowers blood sugar by inhibiting glucagon release from the liver,preventing gluconeogenesis. 
A)  It is a substitute for insulin and acts by directly stimulating glucose uptake into the cell. 
B)  It does not cause the hypoglycemic reactions that may occur with insulin use. 
C)  It is thought to stimulate insulin production and increase sensitivity to insulin at receptor sites. 
D)  It lowers blood sugar by inhibiting glucagon release from the liver,preventing gluconeogenesis.

Question 14

A condition with a deficiency in growth hormone is called ________________ dwarfism.

Accepted Answer

The answer of A condition with a deficiency in growth...

Question 15

The nurse explains that the negative feedback inhibition controls hormone release by communication between:

Accepted Answer

A)  the pituitary and the target organ. 
B)  the thymus and the bloodstream. 
C)  lymphatic system and the target organ. 
D)  central nervous system and the bloodstream. 
A)  the pituitary and the target organ. 
B)  the thymus and the bloodstream. 
C)  lymphatic system and the target organ. 
D)  central nervous system and the bloodstream.

Question 16

A patient has returned to his room after a thyroidectomy with signs of thyroid crisis.During thyroid crisis,exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of:

Accepted Answer

A)  severe nausea and vomiting. 
B)  bradycardia. 
C)  delirium with restlessness. 
D)  congestive heart failure. 
A)  severe nausea and vomiting. 
B)  bradycardia. 
C)  delirium with restlessness. 
D)  congestive heart failure.

Question 17

What is the master gland of the endocrine system?

Accepted Answer

A)  Thyroid 
B)  Parathyroid 
C)  Pancreas 
D)  Pituitary 
A)  Thyroid 
B)  Parathyroid 
C)  Pancreas 
D)  Pituitary

Question 18

Another term for hyperglycemic reaction is diabetic ______________.

Accepted Answer

The answer of Another term for hyperglycemic reaction is diabetic...

Question 19

The nurse caring for a 75-year-old man who has developed diabetes insipidus following a head injury will include in the plan of care provisions for:

Accepted Answer

A)  limiting fluids to 1500 mL a day. 
B)  encouraging physical exercise. 
C)  protecting patient from injury. 
D)  discouraging daytime naps. 
A)  limiting fluids to 1500 mL a day. 
B)  encouraging physical exercise. 
C)  protecting patient from injury. 
D)  discouraging daytime naps.

Question 20

The patient being treated for hypothyroidism should be instructed to eat well-balanced meals including intake of iodine.Which of the following foods contains iodine?

Accepted Answer

A)  Eggs 
B)  Pork 
C)  White bread 
D)  Skinless chicken 
A)  Eggs 
B)  Pork 
C)  White bread 
D)  Skinless chicken

Exam 50: Care of the Patient With an Endocrine Disorder

What should the nurse caution a type I diabetic about excessive exercise?

The nurse is caring for a patient who is receiving calcium gluconate for treatment of hypoparathyroid tetany.Which assessment would indicate an adverse reaction to the drug?

The nurse is administering long-acting insulin once a day,which provides insulin coverage for 24 hours.This insulin is _________________.

What do the Chvostek sign and the Trousseau sign indicate?

Why would a patient with hyperthyroidism be prescribed the drug methimazole (Tapa-zole)?

What is a long-term complication of diabetes mellitus?

In diabetes insipidus,a deficiency of which hormone causes clinical manifestations?

Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks?

What instructions should be included in the discharge instructions for a 47-year-old patient with hypothyroidism?

The nurse teaching a patient with type 1 diabetes mellitus (IDDM)about early signs of insulin reaction would include information about:

A 27-year-old patient with hypothyroidism is referred to the dietitian for dietary consultation.What should nutritional interventions include?

The adrenal cortex secretes glucocorticoids.The most important is cortisol.What is it involved in? (Select all that apply. )

The health care provider prescribes glyburide (Micronase,DiaBeta,Glynase)for a patient,age 57,when diet and exercise have not been able to control type 2 diabetes.What should the nurse include in the teaching plan about this medication?

A condition with a deficiency in growth hormone is called ________________ dwarfism.

The nurse explains that the negative feedback inhibition controls hormone release by communication between:

A patient has returned to his room after a thyroidectomy with signs of thyroid crisis.During thyroid crisis,exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of:

What is the master gland of the endocrine system?

Another term for hyperglycemic reaction is diabetic ______________.

The nurse caring for a 75-year-old man who has developed diabetes insipidus following a head injury will include in the plan of care provisions for:

The patient being treated for hypothyroidism should be instructed to eat well-balanced meals including intake of iodine.Which of the following foods contains iodine?

The Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patients Environment

Safety

Admission, transfer, and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management, comfort, rest, and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan Development

Loss, grief, dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, newborn, and Family With Special Needs

Health Promotion for the Infant, child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child With a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient With a Psychiatric Disorder

Care of the Patient With an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient With an Integumentary Disorder

Care of the Patient With a Musculoskeletal Disorder

Care of the Patient With a Gastrointestinal Disorder

Care of the Patient With a Gallbladder, liver, biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient With a Blood or Lymphatic Disorder

Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient With a Respiratory Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With a Reproductive Disorder

Care of the Patient With a Visual or Auditory Disorder

Care of the Patient With a Neurologic Disorder

Care of the Patient With an Immune Disorder

Care of the Patient With Hivaids

Care of the Patient With Cancer

Professional Roles and Leadership

Filters