NURSING REVIEW

1. 1
ENDOCRINE
POST –TEST NLE (JUNE 2016)
1. The client, an 18-year-old female, 5_4 tall, weighing 113 kg,
comes to the clinic for a wound on her lower leg that has not
healed for the last two (2) weeks. Which disease process would
the nurse suspect that the client has developed?
a. Type 1 diabetes c. Gestational diabetes.
b. Type 2 diabetes d. Acanthosis nigricans.
2. The client diagnosed with Type 1 diabetes has a glycosylated
hemoglobin (A1c) of 8.1%. Which interpretation should the
nurse make based on this result?
a. This result is below normal levels.
b. This result is within acceptable levels.
c. This result is above recommended levels.
d. This result is dangerously high.
3. The nurse is developing a care plan for the client diagnosed
with Type 1 diabetes. The nurse identifies the problem “high
risk for hyperglycemia related to noncompliance with the
medication regimen.” Which statement would be an
appropriate short-term goal for the client?
a. The client will have a blood glucose level between 90 and
140 mg/dL.
b. The client will demonstrate appropriate insulin injection
technique.
c. The nurse will monitor the client’s blood glucose levels four
times a day.
d. The client will maintain normal kidney function with 30
mL/hr urine output.
4. The elderly client is admitted to the intensive care department
diagnosed with severe HHS. Which collaborative intervention
should the nurse include in the plan of care?
a. Infuse 0.9% normal saline intravenously.
b. Administer intermediate-acting insulin.
c. Perform blood glucometer checks daily.
d. Monitor arterial blood gas results.
5. Which electrolyte replacement should the nurse anticipate
being ordered by the health-care provider in the client
diagnosed with DKA who has just been admitted to the ICD?
a. Glucose b. Potassium c. Calcium d. Sodium
6. The client diagnosed with HHS was admitted yesterday with a
blood glucose level of 780 mg/dL. The client’s blood glucose
level is now 300 mg/dL. Which intervention should the nurse
implement?
a. Increase the regular insulin IV drip.
b. Check the client’s urine for urinary ketones.
c. Provide the client with a therapeutic diabetic meal.
d. Notify the physician to obtain an order to decrease insulin
therapy.
7. The nursing assistant on the medical floor tells the primary
nurse that the client diagnosed with DKA wants something else
to eat for lunch. What action should the nurse implement?
a. Instruct the assistant to get the client additional food.
b. Notify the dietician about the client’s request.
c. Ask the assistant to obtain a glucometer reading.
d. Tell the assistant that the client cannot have anything else.
8. The client diagnosed with Type 2 diabetes comes to the
emergency department. The client’s blood glucose is 680
mg/dL and the client is diagnosed with HHS. Which question
should the nurse ask the client to determine the cause of this
acute complication?
a. When is the last time you took your insulin?
b. When did you have your last meal?
c. Have you had some type of infection lately?
d. How long have you had diabetes?
9. Which arterial blood gas would the nurse expect in the client
diagnosed with diabetic ketoacidosis?
a. pH 7.34, PaO2 99, PaCO2 48, HCO3 24.
b. pH 7.38, PaO2 95, PaCO2 40, HCO3 22.
c. pH 7.46, PaO2 85, PaCO2 30, HCO3 26.
d. pH 7.30, PaO2 90, PaCO2 30, HCO3 18.
10. The client is admitted to the hospital diagnosed with DKA.
Which interventions should the nurse implement? Select all
that apply.
1. Maintain adequate ventilation.
2. Assess fluid volume status.
3. Administer intravenous potassium.
4. Check for urinary ketones.
5. Monitor intake and output.
a. all of these b. 1,2,3, c. 2,3,4,5 d. 2,3,5
11. The nurse is admitting a client diagnosed with primary adrenal
cortex insufficiency (Addison’s disease). When assessing the
client, which clinical manifestations would the nurse expect to
find?
a. Moon face, buffalo hump, and hyperglycemia.
b. Hirsutism, fever, and irritability.
c. Bronze pigmentation, hypotension, and anorexia.
d. Tachycardia, bulging eyes, and goiter.
12. The nurse is developing a plan of care for the client diagnosed
with acquired immunodeficiency syndrome (AIDS) who has
developed an infection in the adrenal gland. Which problem
would have the highest priority?
a. Altered body image c. Impaired coping.
b. Activity intolerance d. Fluid volume deficit
13. The nurse is planning the care of a client diagnosed with
Addison’s disease. Which interventions should be included?
a. Administer steroid medications.
b. Place the client on fluid restriction.
c. Provide frequent stimulation.
d. Consult physical therapy for gait training.
14. The client is admitted to rule out Cushing’s syndrome. Which
laboratory tests would the nurse anticipate being ordered?
a. Plasma drug levels of quinidine, digoxin, and hydralazine.
b. Plasma levels of ACTH and cortisol.
c. 24-hour urine for metanephrine and catecholamine.
d. Spot urine for creatinine and white blood cells.
15. The client has developed iatrogenic Cushing’s disease. Which is
a scientific rationale for the development of this problem?
a. The client has an autoimmune problem that causes the
destruction of the adrenal cortex.
b. The client has been taking steroid medications for an
extended period for another disease process.
c. The client has a pituitary gland tumor that causes the
adrenal glands to produce too much cortisol.
d. The client has developed an adrenal gland problem for
which the health-care provider does not have an
explanation.
16. The client diagnosed with a pituitary tumor has developed
syndrome of inappropriate antidiuretic hormone (SIADH).
Which interventions would the nurse implement?
a. Assess for dehydration and monitor blood glucose levels.
b. Assess for nausea and vomiting and weigh daily.
c. Monitor potassium levels and encourage fluid intake.
d. Administer vasopressin IV and conduct a fluid deprivation
test.
17. The nurse is planning the care of a client diagnosed with
syndrome of inappropriate antidiuretic hormone (SIADH).
Which interventions should be implemented? Select all that
apply.
1. Restrict fluids per health-care provider order.
2. Assess level of consciousness every two (2) hours.
3. Provide atmosphere of stimulation.
4. Monitor urine and serum osmolality.
5. Weigh the client every three (3) days.
a. 1,2,4, b. 2,3,5 c. 2,4,5 d. All of the above

2. 2
18. The nurse is caring for a client diagnosed with diabetes
insipidus (DI). Which nursing intervention should be
implemented?
a. Monitor blood glucoses before meals and at bedtime.
b. Restrict caffeinated beverages.
c. Check urine ketones if blood glucose is > 250.
d. Assess tissue turgor every four (4) hours.
19. The client is diagnosed with hypothyroidism. Which
signs/symptoms would the nurse expect the client to exhibit?
a. Complaints of extreme fatigue and hair loss.
b. Exophthalmos and complaints of nervousness.
c. Complaints of profuse sweating and flushed skin.
d. Tetany and complaints of stiffness of the hands.
1. Endocrine
20. The nurse identifies the client problem “risk for imbalanced
body temperature” for the client diagnosed with
hypothyroidism. Which intervention would be included in the
client problem?
a. Encourage the use of an electric blanket.
b. Protect from exposure to cold and drafts.
c. Keep the room temperature cool.
d. Space activities to promote rest.
21. The client diagnosed with hypothyroidism is prescribed the
thyroid hormone levothyroxine (Synthroid). Which assessment
data indicate the medication has been effective?
a. The client has a three (3)-pound weight gain.
b. The client has a decreased pulse rate.
c. The client’s temperature is WNL.
d. The client denies any diaphoresis.
22. Which nursing intervention should be included in the plan of
care for the client diagnosed with hyperthyroidism?
a. Increase the amount of fiber in the diet.
b. Encourage a low-calorie, low-protein diet.
c. Decrease the client’s fluid intake to 1000 mL day.
d. Provide six (6) small, well-balanced meals a day.
23. The client with hypothyroidism is admitted to the intensive
care department diagnosed with myxedema coma. Which
assessment data would warrant immediate intervention by the
nurse?
a. Serum blood glucose level of 74 mg/dL.
b. Pulse oximeter reading of 90%.
c. Telemetry reading showing sinus bradycardia.
d. The client is lethargic and sleeps all the time.
24. Which medication order would the nurse question in the client
diagnosed with untreated hypothyroidism?
a. Thyroid hormones b. Oxygen c. Sedatives d. Laxatives
25. Which statement made by the client would make the nurse
suspect that the client is experiencing hyperthyroidism?
a. “I just don’t seem to have any appetite anymore.”
b. “I have a bowel movement about every 3 to 4 days.”
c. “My skin is really becoming dry and coarse.”
d. “I have noticed that all my collars are getting tighter.”
26. The nurse is teaching the client diagnosed with
hyperthyroidism. Which information should be taught to the
client? Select all that apply.
1. Notify the physician if a three (3)-pound weight loss
occurs in two (2) days.
2. Discuss ways to cope with the emotional lability.
3. Notify the physician if taking over-the-counter
medication.
4. Carry a medical identification card or bracelet.
5. Teach how to take antithyroid medications correctly.
a. 1,2,4 b. 2,3,4,5 c. 1,2,3,4,5 d. 3,4,5
27. Which signs/symptoms would make the nurse suspect that the
client is experiencing a thyroid storm?
a. Obstipation and hypoactive bowel sounds.
b. Hyperpyrexia and extreme tachycardia.
c. Hypotension and bradycardia.
d. Decreased respirations and hypoxia.
28. Which sign/symptom would indicate to the nurse that the
client is experiencing hyperparathyroidism?
a. A negative Trousseau’s sign.
b. A positive Chvostek’s sign.
c. Nocturnal muscle cramps.
d. Tented skin turgor.
29. Which laboratory data would make the nurse suspect that the
client with primary hyperparathyroidism is experiencing a
complication?
a. A serum creatinine level of 2.8 mg/dL.
b. A calcium level of 9.2 mg/dL.
c. A serum triglyceride level of 130 mg/dL.
d. A sodium level of 135 mEq/L.
30. Which information is a risk factor for developing
pheochromocytoma?
a. A history of skin cancer.
b. A history of high blood pressure.
c. A family history of adrenal tumors.
d. A family history of migraine headaches.
31. The nurse is admitting a client to rule out aldosteronism.
Which assessment data should the nurse monitor that
supports the client’s diagnosis?
a. Temperature c. Respirations.
b. Pulse d. Blood pressure.
32. Which client history would be most significant in the
development of symptoms for a client who has iatrogenic
Cushing’s disease?
a. Long-term use of anabolic steroids.
b. Extended use of inhaled steroids for asthma.
c. History of long-term glucocorticoid use.
d. Family history of increased cortisol production.
33. The client is one (1) hour postoperative thyroidectomy. Which
intervention should the nurse implement?
a. Check the posterior neck for bleeding.
b. Assess the client for the Chvostek’s sign.
c. Monitor the client’s serum calcium level.
d. Change the client’s surgical dressing.
34. The fuel glucose is delivered to the cells by the blood for
production of energy. The hormone controlling use of glucose
by the cell is:
a. Insulin c. Adrenal Steriods
b. Thyroxine d. Growth Hormone
35. The primary use of glucagon is to treat
a. Diabetic acidosis
b. hyperinsulin secretion
c. Insulin – induced hypoglycemia
d. Idiosyncratic reaction to insulin
36. An independent nursing action that should be included in the
plan of care for a client after an episode of ketoacidosis is:
a. observing for signs of hypoglycemia as a result of treatment
b. Withholding glucose in any form until the ketoacidosis is
corrected
c. Regulating insulin dosage according to the amount of
ketones found in the urine
d. Giving fruit juices, broth, and milk as soon as the client is
able to take fluids orally
37. To understand diabetes insipidus, the nurse must be aware
that an antidiuretic substance important for maintaining fluid
balance is released by the:
a. adrenal cortex c. anterior pituitary
b. adrenal medulla d. posterior pituitary
38. Normally the antidiuretic hormone (ADH) influences kidney
function by stimulating the:
a. Nephron tubules to reabsorb water
b. nephron tubules to reabsorb glucose
c. glomerulus to withhold the protein from the urine
d. glomerulus to control the quantity of fluids passing through
it
39. The nurse should be aware that glucocorticoids and
mineralocorticoids are secreted by the:

3. 3
a. Gonads c. adrenal glands
b. pancreas d. anterior pituitary
40. A client on fludrocortisone therapy for adrenal insufficiency
should be taught to consult the physician in the event of:
a. The gland that regulates the rate of oxygenation
b. increase frequency of urination
c. fatigue, particularly in the afternoon
d. rapid weight gain and dependent edema
41. The two interbalanced regulatory agents that control overall
calcium balance in the body are:
a. Phosphorus and ACTH
b. Vitamin A and thyroid hormone
c. Ascorbic acid and growth hormone
d. Vitamin D and parathyroid hormone
42. The hormone that tends to decrease calcium concentration in
the blood is:
a. Calcitonin c. thyroid hormone
b. aldosterone d. parathyroid hormone
43. The nursing action that should be included in Mr. Jackson’s
plan of care is the:
a. Provision of a high – calcium diet
b. assurance of a large fluid intake
c. institution of seizure precaution
d. maintenance of absolute bed rest
Julia McNeer has been diagnosed as having Graves’ disease.
Radioactive iodine is prescribed to decrease the activity of the
thyroid, but this therapy is unsuccessful. She is scheduled for a
thyroidectomy.
44. The nurse knows that after radioactive iodine is administered
to Mrs. McNeer, she is:
a. not radioactive and can be handled as any other individual
b. highly radioactive and should be isolated as much as
possible
c. mildly radioactive and should be treated with routine
safety precautions
d. not radioactive but may still transmit some dangerous
radiations and must be treated with precautions
45. The most appropriate diet for Mrs. McNeer would be:
a. Soft c. low sodium
b. high calorie d. high roughage
46. The nurse, recognizing the need to decrease the size and
vascularity of the thyroid gland prior to a thyroidectomy,
would expect the physician to order:
a. propylthiouracil
b. lugol’s iodine solution
c. potassium permanganate
d. liothyronine sodium (Cytomel)
47. When preparing for Mrs. McNeer’s return after surgery, the
nurse should give priority to having available:
a. Sandbags c. tracheotomy tray
b. haemostats d. nasogastric suction
48. When Mrs. McNeer return from the recovery room following a
subtotal thyroidectomy, the nurse on an hourly basis should:
a. inspect the incision
b. instruct Mrs. McNeer not to speak
c. keep Mrs. McNeer supine for 24hrs
d. place a tracheostomy set at the bedside
49. To evaluate possible laryngeal nerve injury following a
thyroidectomy, the nurse on an hourly basis should:
a. ask Mrs. McNeer to speak
b. ask Mrs. McNeer to swallow
c. have Mrs. McNeer hum a familiar tune
d. swab Mrs. McNeer’s throat to test her gag reflex
50. The nurse suspects an accidental removal of the parathyroid
glands during Mrs. McNeer’s thyroidectomy, which would
cause:
a. Myxedema c. hypovolemic shock
b. tetany and death d. adrenocortical stimulation
51. Which of the following is a function of ADH?
a. Sodium absorption and potassium excretion
b. Water reabsorption and urine concentration
c. Water reabsorption and urine dilution
d. Sodium reabsorption and potassium retention
52. Which of the following disorders is suggested by polydipsia and
polyuria with urine specific gravity of 1.002?
a. Diabetes Mellitus
b. Diabetic Ketoacidosis
c. Diabetes insipidus
d. Syndrome of Inappropriate ADH secretion
53. Which of the following nursing actions would be most
important when caring for patients with diabetes insipidus?
a. CBC
b. Fasting finger-stick blood sugars every morning
c. Passive ROM exercises
d. Hourly urine output measurements
54. Quizea, an 8 year old child, was recently diagnosed with DM
Type 1. A sign that is frequently seen in pediatrics diagnosed
with DM is:
a. Irritability c. Lethargy
b. Bed wetting d. Polyphagia
55. What kind of Insulin can be given intravenously?
a. Regular b. NPH c. Ultralente d. Lente
56. Which of the following is TRUE with regards to Insulin
absorption?
a. The fastest absorption occurs in the subcutaneous tissues
of the arm
b. The nurse should rotate the injection site to prevent
subcutaneous tissue irritation
c. Insulin are administered directly from the refrigerator
d. Insulin injections are carefully spaced apart at least an inch
away from one another
57. The nurse is performing health education activities for Mandy
Lorraine, a 30 year old dentist with Insulin Dependent Diabetes
Mellitus. Mandy complains of nausea, vomiting, diaphoresis
and headache. Which of the following nursing intervention are
you going to carry out first?
a. Withhold the client’s next insulin injection
b. Test the client’s blood glucose level
c. Administer Tylenol as ordered
d. Offer fruit juice and gelatin
58. Mandy administered regular insulin at 7am and the nurse
should instruct Mandy to avoid exercising around:
a. 9 to 11 am c. Between 8 am to 9 am
b. After 8 hours d. In the afternoon, after taking lunch
59. In mixing two insulins, one is Semilente and the other is
Humulin N, the nurse should:
a. Draw the insulin first from the Semilente vial then from the
Humulin N vial
b. Draw the insulin first from the Humulin N vial then from
the Semilente vial
c. They are both intermediate insulin therefore, order is not
necessary
d. They are both cloudy insulin therefore, order is not
necessary
60. A nurse provides instructions to the client with diabetes
mellitus about how to prevent diabetic ketoacidosis (DKA) on
days when the client is feeling ill. Which statement, if made by
the client, indicates a need for further education?
a. “I need to stop my insulin if I am vomiting.”
b. “I need to call my physician if I am ill for more than 24
hours.”
c. “I need to eat carbohydrates every 1 to 2 hours.”
d. “I need to drink small quantities of fluid every 15 to 30
minutes.”
61. Lorraine is preparing a mixed dose of insulin. The nurse is
satisfied with her performance when she:
a. Draw insulin from the vial of clear insulin first
b. Draw insulin from the vial of intermediate acting insulin
first.

4. 4
c. Fill both syringes with the prescribed insulin dosage then
shake the bottle vigorously.
d. Withdraw the intermediate acting insulin first before
withdrawing the short acting insulin
62. Lorraine was brought back at the ER after 4 months because
fainted in her clinic. The nurse should monitor which of the
following test to evaluate the overall therapeutic compliance
of a diabetic patient?
a. Glycosylated hemoglobin c. Ketone levels
b. FBS d. Urine glucose levels
63. A nurse is evaluating a client’s understanding about the signs
of hyperglycemia. Which statement, if made by the client, best
reflects accurate understanding?
a. “I may become diaphoretic and faint.”
b. “I need to take an extra diabetic pill if my blood glucose
level is greater than 300.”
c. “I may notice signs of fatigue, dry skin, increased
urination.”
d. “I should restrict my fluid intake if my blood glucose level is
greater than 250mg.”
64. A nurse is reviewing home care instructions with an elderly
client who has type 1 DM and a history of diabetic
ketoacidosis. The client’s spouse is present when the
instructions are given. Which of the following statements, if
made by the spouse, indicates that further teaching is
necessary?
a. “If the grandchildren are sick they probably shouldn’t come
to visit.”
b. “I should call the doctor if he has nausea and/ or abdominal
pain lasting for more than 1 to 2 days.”
c. “If he is vomiting I shouldn’t give him any insulin.”
d. “I should bring him to the physician if he develops cough.”
65. A nurse in an outpatient diabetes clinic is monitoring a client
with type 1 DM. Today’s blood work reveals a glycosylated
hemoglobin (HbA1c) of 10%. The nurse interprets this blood
work as indicating which if the following?
a. A normal value, indicating that the client is managing blood
glucose control well.
b. A low value, indicating that the client is not managing
blood glucose control very well.
c. A high value, indicating that the client is not managing
blood glucose control very well.
d. The value does not offer information regarding client
management of their disease.
66. A client with DM has received instructions about foot care.
Which of the following statements would indicate that the
client needs further instruction?
a. “The best time to cut my nails is after bathing.”
b. “Cotton stocking should be worn to absorb excess
moisture.”
c. “The cuticles of my nails should be cut to prevent
overgrowth.”
d. “My feet should be inspected daily using a mirror.”
67. Which of the following signs and symptoms would be seen in a
client experiencing hypoglycemia?
a. Polyuria, headache, and fatigue
b. Polyphagia and flushed dry skin
c. Polydipsia, pallor and irritability
d. Nervousness, diaphoresis, and confusion
68. A nurse is providing instructions to the client with diabetes
mellitus about hypoglycemia. Which of the following
statements, if made by the client, indicates need for further
education?
a. “Hypoglycemia can occur at any time of the day or night”
b. “If hypoglycemia occurs, I need to take my regular insulin
as prescribed”
c. “If I feel sweaty or shaky, I might be experiencing
hypoglycemia”
d. “I can drink 8ounces of 2% milk if hypoglycemia occurs”
69. Clients with DM should be taught that it is most appropriate to
test urine for acetone:
a. After ingesting a high-fat snack
b. If unable to test blood glucose
c. After unexplanned exercise
d. If experiencing illness
70. A nurse is performing physical assessment on a lethargic client
brought to the ER. The nurse notes a fruity odor to the client’s
breath. The nurse immediately suspects which of the
following?
a. Hyperglycemia Hyperosmolar Nonketotic Syndrome
b. Diabetic Ketoacidosis
c. Ethanol oxide intoxication
d. Hypoglycemia
71. Mrs. Batumbakal was diagnosed with hyperthyroidism. As her
nurse, you should be able to assess, diagnose, plan, intervene
and evaluate her response to this physiologic alteration. After
thyroidectomy, the nurse notes that calcium gluconate is
prescribed for the client. He knows that this medication is
needed to:
a. Prevent cardiac irritability
b. Treat thyroid storm
c. Stimulate the release of parathyroid hormone
d. Treat hypocalcemic tetany
72. The physician ordered PTU for the patient. A nurse develops
plan of care for the client and included a priority assessment
of:
a. Signs and symptoms of hypothyroidism
b. Relief of pain
c. Signs and symptoms of hyperthyroidism
d. Signs of renal toxicity
73. When providing care for the patient, the nurse should:
a. Provide high-fiber diet
b. Provide small meals
c. Provide a restful environment
d. Provide extra blankets
74. Mrs. Batumbakal is worried because after thyroidectomy, she
developed voice hoarseness. She asked if the hoarseness will
subside. You correctly tell her that hoarseness:
a. Indicates nerve damage
b. Is permanent
c. Is temporary
d. Is a complication and warrants further assessment by the
physician
75. After thyroidectomy, which priority condition warrants your
immediate intervention?
a. Tingling sensation on the mouth
b. Too much bleeding on the operative site
c. Pain at the incision site
d. Worsening edema on the neck
76. After thyroidectomy, the nurse should remember that the
client is positioned:
a. High fowler’s c. Prone
b. Semi fowler’s d. Side lying
77. You were on duty at the medical ward when Zach came in for
admission for tiredness, cold intolerance, constipation, and
weight gain. Upon examination, the doctor’s diagnosis was
hypothyroidism. Your independent nursing care for
hypothyroidism includes:
a. Administer sedative round the clock
b. Administer thyroid hormone replacement
c. Providing a cool, quiet, and comfortable environment
d. Encourage to drink 6-8 glasses of water
78. As the nurse, you should anticipate to administer which of the
following medications to Zach who is diagnosed to be suffering
from hypothyroidism?
a. Levothyroxine b . Lidocaine c.Lipitor d. Levophed
79. Your appropriate nursing diagnosis for Zach who is suffering
from hypothyroidism would probably include which of the
following?

5. 5
a. Activity intolerance related to tiredness associated with
disorder
b. Risk to injury related to incomplete eyelid closure
c. Imbalance nutrition related to hypermetabolism
d. Deficient fluid volume related to diarrhea
80. Myxedema coma is a life threatening complication of long
standing and untreated hypothyroidism with one of the
following characteristics:
a. Hyperglycemis c. Hyperthermia
b. Hypothermia d. Hypoglycemia
81. A client is diagnosed with hypothyroidism and is going to start
taking thyroid supplements. A nurse provides instructions to
the client about the medication. Which of the following
statements, if made by the client, indicates the need for
further education?
a. “I need to take my daily dose every night at bedtime.”
b. “I need to call my physician if I develop any chest pain.”
c. “I need to speak to my physician when I plan to have a
child.”
d. “My appetite may increase because of the medication.”
82. The family of a client with myxedema is extremely distressed
about how the disease is affecting the client’s intellectual
functions such as impaired memory, inattentiveness, and
lethargy. Which of the following statements would be most
appropriate for the nurse to make?
a. “it sounds as though the disease is in the advanced stage
and unfortunately the symptoms are irreversible.”
b. “Try not to worry! I’ve taken care of similar clients before,
and most of them do well.”
c. “I can see that you are concerned, but these symptoms are
normal with myxedema and should improve with therapy.”
d. “Would you like me to let the physician know about this so
a tranquilizer can be prescribed?”
83. As a nurse, you know that the most common type of goiter is
related to a deficiency of:
a. Thyroxine b. Thyrotropin c. Iron d. Iodine
84. Loewy, sought consultation to the hospital because of
fatigability, irritability, jittery, and he has been experiencing
this signs and symptoms for the past 5 months. His diagnosis
was hyperthyroidism, the following are expected symptoms
except:
a. Anorexia c. Fine tremors of the hand
b. Palpitation d. Hyper alertness
85. He has to take drugs to treat her hyperthyroidism. Which of
the following will you NOT expect that the doctor will
prescribe?
a. Colace (Docusate) c. Tapazole (Methimazole)
b. Cytomel (Liothyronine) d. Synthroid (Levothyroxine)
86. The nurse knows that Tapazole has which of the following side
effects that will warrant immediate withholding of the
medication?
a. Death c. Hyperthermia
b. Sore Throat d. Thrombocytosis
87. You are caring for Johnny who is scheduled to undergo total
thyroidectomy because of a diagnosis of thyroid cancer. Prior
to total thyroidectomy, you should instruct Johnny to:
a. Perform ROM exercise on the head and neck
b. Apply gentle pressure against the incision when swallowing
c. Cough and deep breath every 2 hours
d. Support the head with the hands when changing position
88. The physician prescribed Lugol’s solution to be administered
12 days prior to scheduling a client for a thyroidectomy. The
nurse knows, to administer this medication:
a. On an empty stomach
b. Immediately before meals
c. Diluted in juice and taken through a straw
d. With an iodine rich food
89. As Johnny’s nurse, you plan to set up an emergency equipment
at her bedside following thyroidectomy. You should include:
a. An airway and rebreathing tube
b. A tracheostomy set and oxygen
c. A crush cart with bed board
d. 2 ampules of sodium bicarbonate
90. You asked questions as soon as he regained consciousness
from thyroidectomy primarily to assess the evidence of:
a. Thyroid storm
b. Mediastinal shift
c. Damage to the laryngeal nerve
d. Hypocalcemia tetany
91. Should you check for hemorrhage, you will:
a. Slip your hand under the nape of her neck
b. Check for hypotension
c. Apply neck collar to prevent hemorrhage
d. Observe the dressing if it is soaked with blood
92. Which of the following nursing interventions is appropriate
after total thyroidectomy?
a. Place pillows under your patient’s shoulders
b. Raise the knee-gatch to 30 degrees
c. Keep your patient in a High-fowler’s position
d. Support the patient’s head and neck with pillows and
sandbags
93. If there is an accidental injury to the parathyroid gland during a
thyroidectomy, which of the following might develop
postoperatively?
a. Cardiac Arrest c. Respiratory failure
b. Dyspnea d. Tetany
94. After surgery, Johnny develops peripheral numbness, tingling
and muscle twitching and spasm. What would you anticipate
to administer?
a. Magnesium Sulfate c. Potassium Iodide
b. Calcium Gluconate d. Potassium Chloride
95. A nurse assesses the client with a diagnosis of thyroid storm.
Which of the following classic signs and symptoms associated
with thyroid storm would indicate the need for immediate
nursing intervention?
a. Fever, Tachycardia, and systolic hypertension
b. Polyuria, nausea, and severe headaches
c. Profuse diaphoresis, flushing and constipation
d. Hypotension, translucent skin and obesity
96. Hyperphosphatemia and Hypocalcemia are indicative of which
following disorders?
a. Hypoparathyroidism c. Hypothyroidism
b. Cushing’s syndrome d. Grave’s Disease
97. A client is seen in the health care clinic, and a diagnosis of
hypothyroidism is suspected. Which of the following findings
would the nurse expects to note in the client?
a. Bradycardia c. Profuse diaphoresis
b. Exophthalmos d. Hyperactivity
98. A client 42 years old has a tentative diagnosis of
hyperthyroidism. During assessment of the client, the nurse
would expect which of the following complains?
a. Loss of appetite and abnormal pigmentation
b. Insomnia and palpitations
c. Polyuria and excessive thirst
d. Diaphoresis and disorientation
99. The nurse is caring for a client in addisonian crisis. Which
laboratory finding would the nurse expect to find?
a. Hyperkalemia c. Hyperglycemia
b. Hypernatremia d. 80mg/dl blood glucose
100.The adrenal cortex is responsible for producing:
a. Cortisol and aldosterone
b. Glucocorticoids and glucagons
c. Mineralocorticoids and catecholamines
d. Norepinephrine and epinephrine