Question 1

Which test will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control?

Accepted Answer

A)  Fasting blood sugar (FBS) 
B)  Glycosylated hemoglobin (HgbA1c) 
C)  Oral glucose tolerance test (OGTT) 
D)  Clinitest 
A)  Fasting blood sugar (FBS) 
B)  Glycosylated hemoglobin (HgbA1c) 
C)  Oral glucose tolerance test (OGTT) 
D)  Clinitest A

Question 2

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. C

Question 3

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

Accepted Answer

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

Question 4

A patient has undergone tests that indicate a deficiency of the parathyroid hormone secretion. She should be informed of which potential complication?

Accepted Answer

A)  Osteoporosis 
B)  Lethargy 
C)  Laryngeal spasms 
D)  Kidney stones 
A)  Osteoporosis 
B)  Lethargy 
C)  Laryngeal spasms 
D)  Kidney stones

Question 5

The physician orders an 1800-calorie diabetic diet and 40 units of (Humulin N) insulin U-100 subcutaneously daily for a patient with diabetes mellitus. Why would a mid-afternoon snack of milk and crackers be given?

Accepted Answer

A)  To improve nutrition 
B)  To improve carbohydrate metabolism 
C)  To prevent an insulin reaction 
D)  To prevent diabetic coma 
A)  To improve nutrition 
B)  To improve carbohydrate metabolism 
C)  To prevent an insulin reaction 
D)  To prevent diabetic coma

Question 6

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 7

The nurse would instruct a patient who is hypocalcemic from hypoparathyroidism about a diet that should include (select all that apply):

Accepted Answer

A)  High phosphorus foods 
B)  Canned fish with the bones 
C)  Cucumbers 
D)  Tofu 
E)  Bananas
F) Vitamin D supplements 
A)  High phosphorus foods 
B)  Canned fish with the bones 
C)  Cucumbers 
D)  Tofu 
E)  Bananas
F) Vitamin D supplements

Question 8

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 9

The human insulin whose onset of action occurs within ____ minutes is lispro (Humalog).

Accepted Answer

A)  30 
B)  60 
C)  15 
D)  45 
A)  30 
B)  60 
C)  15 
D)  45

Question 10

The purpose of the use of radioactive iodine in the treatment of hyperthyroidism is to:

Accepted Answer

A)  stimulate the thyroid gland. 
B)  depress the pituitary. 
C)  destroy some of the thyroid tissue. 
D)  alter the stimulus from the pituitary. 
A)  stimulate the thyroid gland. 
B)  depress the pituitary. 
C)  destroy some of the thyroid tissue. 
D)  alter the stimulus from the pituitary.

Question 11

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 12

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

Accepted Answer

hypopituitary dwarfism
A condition with

Question 13

Which of the following are signs and symptoms of hypoglycemia? (Select all that apply.)

Accepted Answer

A)  Irritability 
B)  Dry mouth 
C)  Tremors 
D)  Diaphoresis 
E)  Fruity breath 
A)  Irritability 
B)  Dry mouth 
C)  Tremors 
D)  Diaphoresis 
E)  Fruity breath

Question 14

As the nurse is shaving a patient who is 2 days postoperative from a thyroidectomy, the patient has a spasm of the facial muscles. What should the nurse recognize this as?

Accepted Answer

A)  Chvostek sign 
B)  Montgomery sign 
C)  Trousseau sign 
D)  Homans sign 
A)  Chvostek sign 
B)  Montgomery sign 
C)  Trousseau sign 
D)  Homans sign

Question 15

Only ________insulin can be administered intravenously.

Accepted Answer

regular
Insulin is given subcu

Question 16

The nurse cautions the patient who is being instructed on self-medication with insulin to be aware that there are 25-, 30-, 50-, and 100-unit syringes. How is the 100-unit syringe marked?

Accepted Answer

A)  1-unit increments 
B)  2-unitt increments 
C)  4-unit increments 
D)  5-unit increments 
A)  1-unit increments 
B)  2-unitt increments 
C)  4-unit increments 
D)  5-unit increments

Question 17

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 18

What extra equipment should the nurse provide at the bedside of a new postoperative thyroidectomy patient?

Accepted Answer

A)  Large bandage scissors 
B)  Tracheotomy tray 
C)  Ventilator 
D)  Water-sealed drainage system 
A)  Large bandage scissors 
B)  Tracheotomy tray 
C)  Ventilator 
D)  Water-sealed drainage system

Question 19

________________is the term that describes a condition of normal thyroid function.

Accepted Answer

Euthyroid
Euthyroid

Question 20

The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made based on this information?

Accepted Answer

A)  Time the morning insulin injection so that the peak action will occur during swimming class. 
B)  Delete normal walks on swimming class days. 
C)  Delay the meal before the swimming class until the session is over. 
D)  Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin. 
A)  Time the morning insulin injection so that the peak action will occur during swimming class. 
B)  Delete normal walks on swimming class days. 
C)  Delay the meal before the swimming class until the session is over. 
D)  Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin.

Exam 50: Care of the Patient with an Endocrine Disorder

Which test will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control?

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

A patient has undergone tests that indicate a deficiency of the parathyroid hormone secretion. She should be informed of which potential complication?

The physician orders an 1800-calorie diabetic diet and 40 units of (Humulin N) insulin U-100 subcutaneously daily for a patient with diabetes mellitus. Why would a mid-afternoon snack of milk and crackers be given?

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

The nurse would instruct a patient who is hypocalcemic from hypoparathyroidism about a diet that should include (select all that apply):

What is the master gland of the endocrine system?

The human insulin whose onset of action occurs within ____ minutes is lispro (Humalog).

The purpose of the use of radioactive iodine in the treatment of hyperthyroidism is to:

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:

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

Which of the following are signs and symptoms of hypoglycemia? (Select all that apply.)

As the nurse is shaving a patient who is 2 days postoperative from a thyroidectomy, the patient has a spasm of the facial muscles. What should the nurse recognize this as?

Only ________insulin can be administered intravenously.

The nurse cautions the patient who is being instructed on self-medication with insulin to be aware that there are 25-, 30-, 50-, and 100-unit syringes. How is the 100-unit syringe marked?

What do the Chvostek sign and the Trousseau sign indicate?

What extra equipment should the nurse provide at the bedside of a new postoperative thyroidectomy patient?

________________is the term that describes a condition of normal thyroid function.

The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made based on this information?

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