Font size
WorksheetsNUR112 Exam 3- Endocrine Disorders
Total questions: 128
Worksheet time: 1hrs 11mins
What Type of Diabetes is Preventable?
Type 1
Type 2
What type of diabetes requires insulin?
Type 1
Type 2
Both
Neither
The hormone produced by the pancreas is called (a) .
Addison's disease is caused by a decreased production of adrenal hormones. Symptoms include salt cravings (due to imbalance of sodium & potassium), hyperpigmentation and gastrointestinal distress. Which hormones would be involved in this disorder?
Gastrin and thyroxine
Prolactin and oxytocin
Aldosterone and cortisol
Adrenaline and Insulin
Graves' disease impacts your metabolism. Symptoms include goiter, excessive sweating, intolerance to heat, anxiety, increased heart rate and bulging eyes. What endocrine gland is effected by it?
Pituitary Gland
Thyroid Gland
Pineal Gland
Adrenal Glands
Hashimoto's disease is an autoimmune disorder where the body's own defenses attack the thyroid, causing hypothyroidism. What would be a side effect of Hashimoto's disease?
An increase in the production of thyroid hormones
A decrease in the production of thyroid hormones
An increase in the production of parathyroid hormones
A decrease in the production of parathyroid hormones
Cushing's disease causes issues with blood pressure and blood sugar regulation and can cause obesity. This disease is caused by the excessive production of cortisol by the glands that are found on top of the kidneys. What are those glands called?
Pineal Gland
Thymus
Pituitary Gland
Adrenal Glands
Which of the following is caused by a lack of iodine:
tetany
goiter
diabetes insipidus
Parkinson's disease
This hormone produced by your adrenal glands is responsible for your ability to react to long term stress.
epinephrine
cortisol
prolactin
aldosterone
An increased level of thyroxine would cause which of the following:
myxedema
Grave's disease
Addison's disease
Cretinism
A young patient begins to lose weight and complains of constantly being thirsty. When assessed, the nurse completes a blood glucose analysis with a glucometer. The result is 329 mg/dL (elevated):
diabetes insipidus
diabetes mellitus
Addison’s disease
hyperaldosteronism
A middle aged female presents with a rounded face and a diffuse fatty deposit located on her upper back. The change occurred over the past two years and she had stated that she had not changed her diet or decreased her activity at all.
Addison’s disease
Cushing’s syndrome
hyperaldosteronism
Grave’s disease
A middle aged male presents with a complaint of feeling “burnt out”. He states he no longer has motivation or energy and gets lightheaded at times. He has hyperpigmentation (see photo). While checking his blood pressure the nurse determines that the patient has hypotension (low blood pressure).
Addison’s disease
tetany
diabetes insipidus
cretinism
Which of the following is a glucocorticoid:
aldosterone
cortisol
PTH
ADH
The beta cells of the pancreas are stimulated during hyperglycemia to produce:
glucagon
insulin
calcitonin
PTH
Which of the following terms means excessive hair growth:
exophthalmos
myxedema
hirsutism
diuresis
Which of the following terms means to break down glycogen into glucose:
glucosuria
glucagon
gluconeogenesis
glycogenolysis
Polyuria, polydipsia, and polyphagia are symptoms of:
Addisons disease
microangiopathy
ovarian tumor
Diabetes Mellitus
Graves Disease is also known as
hyperthyroidism
hypothyroidism
Addisons disease
calcitriol
Type I diabetes is caused by:
tumor on the adrenal gland
increased parathyroid hormone
decreased calcitonin
autoimmune reaction
Increased amounts of glucocorticoids will cause symptoms of:
Microcephaly
Hypoglycemia
Cushings syndrome
Addisons disease
Moon face, trunkal obesity and a "buffalo hump" are signs of
Cushings syndrome
gestational diabetes
gigantism
syndrome of inapprpriate antidiuretic hormone
The Nurse is interviewing a client during admission to the hospital and the client gives information that is unclear to the nurse. What statement made by the nurse best demonstrates "seeking clarification"?
"I don't know what you are talking about."
"What did you say?"
"We can move on to something else."
"Would you please explain what you meant?"
The nurse is caring for a young child who appears frightened. What activity can the nurse perform with the child to determine what the child is feeling?
play dominoes
draw pictures
read a story
watch a movie
The nurse is assessing a client at the healthcare facility. Which therapeutic communication technique helps to communicate to the client that the nurse has understood the client's problem?
clarification
reflection
summarization
paraphrasing
What are the verbal barriers to communication?
Select all that apply
offering empty reassurances
changing the subject
disapproving of or judging the client
voicing personal experiences
(a) communication is that which stops the communication process or is perceived as a threat by the client.
Is the one decodes the message.
Sender
Receiver
Encoder
Talker
Is the one who delivers the message.
Sender
Receiver
Decoder
Listener
Insulin is produced by the _________ in the ____________.
alpha cells, pancreas
beta cells, pancreas
alpha cells, liver
beta cells, liver
[SELECT ALL THAT APPLY] Which of the following are examples of rapid acting insulin?
Humalog
Apidra
Novolog
Humulin NPH
Humulin R
Mixed insulins such as Humulin 70/30 contain which of the following ingredients?
70% insulin, 30% protamine
70% NPH, 30% regular
70% regular, 30% NPH
70% protamine, 30% insulin
This insulin is cloudy in the vial. (Select all that apply.)
NPH insulin
Insulin glargine
Insulin detemir
Insulin degludec
This is the mealtime (bolus) insulin with the longest onset time.
Insulin Aspart
Insulin Lispro
Insulin Glulisine
NPH insulin
Regular human insulin
The short acting human insulins have
Onset of action in 30-60 mins
Duration of action of 10-12 hours
Onset of action in 60-90 mins
Duration of action of 7-8 hours
Normal fasting blood glucose levels are
100 - 126 mg/dl
70 - 100 mg/dl
126 mg/dl and over
less than 70 mg/dl
First line treatment for diabetes with an A1C of less than 7.5 on diagnosis.
Insulin
Pioglitazone (Actos)
Metformin
Glimepiride (Micronase)
A1C goal for treatment is
6.5
Under 7..
8.0-8.5
Under 9
Which of the following has the longest duration of action?
Humalog
Novolog
70/30
Lantus (Glargine)
The most common form of diabetes. It is a progressive condition in which the cells becomes resistant to normal function of insulin. Pancreas gradually loses the capacity to produce enough insulin.
Type 1 Diabetes
Type 2 Diabetes
Which is/are the symptoms of Type 2 Diabetes Mellitus?
Blurred vision
Being excessively thirsty
Having cuts that heal slowly
Always feel hungry
All of the above
............. reflects the average level of blood glucose over the previous 1-2 months
Serum fructosamine
Serum glycated hemoglobin
Insulin
Blood glucose level
Late systemic complications of DM
Hypoglyceima
Ketoacidosis
Nephropathy
Hyperomolar nonketotic coma
Blood glucose comes mostly from the _________ that we eat
carbohydrates
proteins
fats
fibers
Which of the following guidelines are NOT true for diabetic people?
They must consume more simple carbohydrates than complex carbohydrates
They should divide their carbohydrates throughout their meals
They should eat carbohydrates as part of a complete meal
They include exercise in their daily life
True or False: Artificial sweeteners (like aspartame & sucralose) increase blood sugar
True
False
Which of the following is NOT a source of complex carbohydrates?
Pasta
Rice
Potato
Banana
True or False: Hypoglycaemia can happen in diabetics if they exercise too hard
True
False
Blood glucose levels respond to food, particularly carbohydrates. What other factors can affect blood glucose levels?
Physical activity
Illness
Stress
All of the above
Which is/are the symptoms of Type 2 Diabetes Mellitus?
Blurred vision
Being excessively thirsty
Having cuts that heal slowly
Always feel hungry
All of the above
All people that have diabetes are overweight
True
False
Which of the following is an injectable medication for type 2 diabetes?
Exenatide (Byetta)
Sitagliptin (Januvia)
Dapagliflozin (Farxiga)
Glimepiride (Amaryl)
What medication is used to treat pregnant women with diabetes?
Regular Insulin
Lantus
Exenatide (Byetta)
Sitagliptin (Januvia)
Which of the following has the longest duration of action?
Humalog
Novolog
70/30
Lantus (Glargine)
Metformin works by
Improving insulin sensitivity
Help pancreas to release more insulin
Slow digestion and release glucose slowly
Prevent kidneys from reabsorbing sugar
Sulfonylurea works by
Improving insulin sensitivity
Help pancreas to release more insulin
Slow digestion and release glucose slowly
Prevent kidneys from reabsorbing sugar
GLP-1 receptor agonists works by
Improving insulin sensitivity
Help pancreas to release more insulin
Slow digestion and release glucose slowly
Prevent kidneys from reabsorbing sugar
SGLT2 inhibitors work by
Improving insulin sensitivity
Help pancreas to release more insulin
Slow digestion and release glucose slowly
Prevent kidneys from reabsorbing sugar
Pre-diabetes patients are classified as having a HgbA1c of
4.9 - 5.6%
5.7-6.4%
6.5-7.5%
Patients who are meeting treatment goals should be tested
Every 3 months
Quarterly
Once per year
2 times per year
What is the preferred treatment for unconscious hypoglycemic patients
Glucose tablets
4oz regular soda
Hard Candies
Glucagon
Glucagon can be administered IM or IN in what dose?
1g
1mEq
1mg
1L
DKA patients ultimately need
multiple fluid bolus
antibiotic
no treatment
insulin therapy and often require an insulin drip
Which of the following acid base abnormality is seen in DKA?
Respiratory Alkalosis
Respiratory Acidosis
Metabolic Acidosis
Metabolic Alkalosis
Which of the following tests are needed to confirm a diagnosis of DKA
Blood gas analysis
Serum or capillary ketones
Blood sugar level
All of above
Treatment of DKA involves:
Insulin infusion
Fluids
Potassium replacement
All of above
Risk factors for Diabetes Mellitus?
Being overweight/ obese
Prediabetes condition
Gestational diabetes (Diabetes semasa mengandung)
Family history with diabetes
Always consume sweet food
Choose foods that contain simple carbohydrate
Traditional kuih
Bakery and pastry
Dessert
Wholegrain bread
Choose another name of sugar in the food label
Maltose
Dextrose
Mannitol
High Fructose Corn Syrup
Tamarind
I Dry Skin
II Foot Ulcers
III Gangrene
IV Nerve Damage
The nurse is caring for a 54–year–old client who is hospitalized with diabetes mellitus. Which laboratory test results would provide info related to the client’s past glucose control?
Prealbumin level
Urine ketone level
Fasting glucose level
Glycosylated hemoglobin level
The nurse is evaluating a client diagnosed with type 2 diabetes mellitus. Which of the following symptoms reported by the client is considered one of the classic clinical manifestations of diabetes?
Excessive thirst
Gradual weight gain
Overwhelming fatigue
Recurrent blurred vision
The nurse is caring for a client with diabetes mellitus who has a glucose level of 21.1 mmol/L and a moderate level of ketones in the urine. As the nurse assesses for signs of ketoacidosis, which of the following respiratory patterns would the nurse expect to find?
Central apnea
Hypoventilation
Kussmaul’s respirations
Cheyne-Stokes respirations
The nurse has taught a client admitted with diabetes, cellulitis, and osteomyelitis about the principles of foot care. The nurse evaluates that the client understands the principles of foot care if the client makes which of the following statements?
“I should walk barefoot only in nice dry weather.”
“I should look at the condition of my feet every day.”
“I am lucky my shoes fit so nice and tight because they give me firm support.”
“When I am allowed up out of bed, I should check the shower water with my toes.”
An extreme fear of being in an open, public place is called what?
Acrophobia
Claustrophobia
Monophobia
Agoraphobia
A person who has generalized anxiety disorder would have which of the following?
Vague feeling of being in danger
Muscle tension
Poor appetite
Difficulty sleeping
Apprehension of danger and dread accompanied by restlessness, tension, tachycardia, and dyspnea unattached to a clearly identifiable stimulus.
phobia
fear
anxiety
frustration
This anxiety disorder Includes short, sudden attacks of fear, fear of losing control, or terrors.
generalized anxiety disorder
social anxiety disorder
agoraphobia
panic disorder
This anxiety disorder is characterized by Irrational fears that lead individuals often to avoid certain objects and specific situations all together.Irrational fears that lead individuals often to avoid certain objects and specific situations all together.
general anxiety disorder
agoraphobia
phobia
social anxiety disorder
This anxiety disorder is diagnosed if an individual l has excessive worry and anxiety which occurs more often than not for at least 6 months.
generalized anxiety disorder
phobia
panic disorder
social anxiety disorder
What is anxiety?
a) When a person is happy and excited
b) Is your body's natural response to stress
c) when you speak to your friend
d) a time period that we have when we start to cry
1. A type of anxiety disorder wherein the individual worries too much, and unable to control this focus on worry, with clinical manifestations such as, uneasiness, fatigue, irritability and restlessness.
Generalized Anxiety Disorder
Obsessive-Compulsive Disorder
Panic Disorder
Phobic Disorder
2. Composed of discrete episodes of attack, that is rapid, intense, escalating anxiety in which the person experiences great emotional fear as well as physiologic discomfort.
Generalized Anxiety Disorder
Obsessive-compulsive Disorder
Panic Disorder
Phobic Disorder
3. It is an illogical, intense, and persistent fear of a specific object or a social situation that causes extreme distress and interferes with normal functioning.
Generalized Anxiety disorder
Obsessive-compulsive disorder
Panic Disorder
Phobic Disorder
what happens when a person suffers from a panic attack?
They feel suffocating
They can dye
They drink coffee
They might experience chest pains
They have a headache
anxiolytics (antianxiety)
ibuprofen
linsinopril
clonidine
lorazepam
True or False: Psychopharmacology is the use of drugs to control or relieve the symptoms of psychological disorders
True
False
These drugs are minor tranquilizers such as Xanax, Ativan, and Valium. They have a sedative effect, and a potential for addiction and abuse.
Antianxiety
Antidepressants
Antipsychotic
Mood Stabilizers
Which nursing statement is a good example of the therapeutic communication technique of focusing?
“I’m having a difficult time understanding what you mean.”
“Describe one of the best things that happened to you this week.”
“You mentioned your relationship with your father. Let’s discuss that further.”
“Your counseling session is in 30 minutes. I’ll stay with you until then.”
After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client swears at the nurse and states, “You are incompetent!” Which is the nurse’s best response?
“Do you believe that I was the cause of your blood test being canceled?”
“I see that you are upset, but I feel uncomfortable when you swear at me.”
“I'll give you some space. Let me know if you need anything.”
“Have you ever thought about ways to express anger appropriately?”
A client on an inpatient psychiatric unit tells the nurse, “I should have died because I am totally worthless.” In order to encourage the client to continue talking about feelings, which should be the nurse’s initial response?
“You've been feeling sad and alone for some time now?”
“You feel worthless now, but that can change with time.”
“How would your family feel if you died?”
“It is great that you have come in for help.”
A client states, “You won’t believe what my husband said to me during visiting hours. He has no right treating me that way.” Which nursing response would best assess the situation that occurred?
“Describe what happened during your time with your husband.”
“Why do you think he behaved like that?”
“What do you think is your role in this relationship?”
“Does your husband treat you like this very often?”
Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?
“I wouldn't worry about these voices. The medication will make them disappear.”
“My sister has the same diagnosis as you and she also hears voices.”
“I understand that the voices seem real to you, but I do not hear any voices.”
“Why not turn up the radio so that the voices are muted.”
The basis for a therapeutic nurse-patient relationship begins with the nurses
acceptance of others.
sincere desire to help others.
self-awareness and understanding.
sound knowledge of psychiatric nursing
Which is a NON-therapeutic technique?
Using silence
Restating
Presenting reality
Agreeing
Which is a therapeutic technique?
Probing
Reflecting
Rejecting
Defending
In which phase of the nurse-patient relationship is active listening the most important?
During the termination phase
During the working phase
During the orientation phase/1
During the planning phase
It is the nurse's responsibility to establish a therapeutic relationship with the client. Which of the following is the appropriate body position for therapeutic communication?
Legs crossed
hands of the side of the body/2
Lack of eye intact
Eye rolling
When interviewing a client, which nonverbal behavior should a nurse employ?
Maintaining indirect eye contact with the client
Providing space by leaning back away from the client
Sitting squarely, facing the client/3
Maintaining open posture with arms and legs crossed
Communication is defined as...
Exchanging information, thought or ideas in written
Exchanging information, thought or ideas by phone
Exchanging information, thought or ideas using speech
Exchanging information, thought or idea using speech, writing or using body languages.
purpose of communication is to...
Develop rapport with client
Explain the procedure
Initiate intervention for plan of care
All above
Goals of effectives communication EXCEPT
Develop trust
Personal interest
Facilitate client understanding
encourage acceptance of responsibility
A parent tells the pediatric nurse practitioner, “I’ve never told anyone this information about my son. ” This is an example of:
Revealing
Building trust
Clarifying roles
Identifying problems and goals
Which of the following actions would the nurse take when using the communication technique of active learning? SATA
Use an open posture
write down what the client says to avoid missing anything
establish and maintain eye contact
nod in agreement with the client the entire time
respond positively when giving feedback
