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Endocrine NRSG 3440

Total questions: 23

Worksheet time: 17mins

Name
Class
Date
1.

A client is admitted to the ED with decreased respirations, severe bradycardia, and is not arousable. A diagnosis of myxedema coma is made. Which action should the nurse prepared to carry out initially?

a)

Warm the patient

b)

Maintain a patent airway

c)

Administer thyroid replacement

d)

Administer fluid replacement

2.

A female adult client with a history of chronic hyperparathyroidism admits to being noncompliant. 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 decreased calcium

3.

The nurse should expect a client with hypothyroidism to report which health concerns?

a)

Increased appetite and weight loss

b)

Nervousness and tremors

c)

Puffiness of the face and hands

d)

Thyroid gland swelling

4.

What signs and symptoms are associated with SIADH? SATA

a)

Hypernatremia

b)

Generalized edema

c)

Hyponatremia

d)

Hypotension

5.

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)

Diabetic ketoacidosis

b)

Hypoglycemia

c)

Thyroid crisis

d)

Tetany

6.

When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, the nurse is most likely to detect:

a)

BP of 130/70 mm Hg

b)

BG level of 130 mg/dL

c)

Bradycardia

d)

BP of 176/88 mm Hg

7.

A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which orders should the nurse question?

a)

Infusing 1000 mL bag of NS at 125 mL/hr

b)

Fluid restriction

c)

Place the patient on a regular diet

d)

Infusing a 500 mL bag of D50

8.

The nurse 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

9.

A patient presents to the emergency department with months long symptoms of polyuria, pale urine, extreme thirst, dehydration, and nocturia. A random PP BG level is drawn, and it is 135 mg/dL. Their blood pressure is taken, and it is 100/75 mm Hg. What medication should the nurse expect to administer?

a)

Vasopressin

b)

Furosemide (Lasix)

c)

Regular Insulin Drip

d)

10% Dextrose

10.

What is the most important finding in a patient who had a total thyroidectomy for thyroid cancer today?

a)

Pain rated 8/10

b)

Calcium level: 9 mg/dL

c)

White blood cell count: 11,500

d)

Positive Chvostek's sign

11.

Which is a characteristic diagnostic study finding in a patient with hyperthyroidism?

a)

Elevated thyroid stimulating hormone (TSH) level

b)

Elevated level of free thyroxine (T4)

c)

Decreased cortisol levels

d)

Decreased iodine levels

12.

A patient undergoes a clonidine suppression test due to complaints of hypertension and hyperglycemia. The test comes back (a)   , meaning the patient does not have pheochromocytoma

13.

The patient had pituitary surgery yesterday. Which symptom is most important for you to monitor?

a)

Urine specific gravity of 1.01

b)

Crackles in lungs

c)

Voids 10L/day

d)

Temperature of 100.4 F

14.

A patient with hyperthyroidism would have (a)   TSH levels

15.

Following a unilateral adrenalectomy, nurse Betty would assess for hyperkalemia shown by which of the following?

a)

Muscle weakness

b)

Diaphoresis

c)

Tremors

d)

Constipation

16.

TRUE OR FALSE: the anterior pituitary gland works on a POSITIVE feedback loop with the body systems

a)

TRUE

b)

FALSE

17.

What is the nurse's priority intervention prior to a patient undergoing a radioactive iodine scan for hyperthyroidism?

a)

Place a 22 G IV

b)

Assess of allergies

c)

Take vital signs

d)

Get a family history

18.

A patient undergoes a thyroid screening panel and their T3 resin uptake is 20%. This patient most likely has

a)

Hyperthyroidism

b)

Hypoparathyroidism

c)

Hypothyroidism

d)

Hyperparathryoidism

19.

What medications ordered would the nurse question for a patient admitted for myxedema coma? SATA

a)

Labetalol

b)

Levothyroxine (Synthroid)

c)

Amiodarone

d)

Adenosine

20.

A patient presents to the ED with symptomatic hypocalcemia due to hypoparathyroidism. The nurse would expect to give these medications EXCEPT

a)

Hydrochlorothiazide (HCTZ)

b)

Magnesium sulfate (Mg)

c)

Calcitonin

d)

Calcium gluconate

21.

What medication would you expect to give to patient in a hypercalcemic crisis?

a)

Fosmax IV

b)

Vitamin D3

c)

Magnesium sulfate

d)

3% Normal Saline

22.

What signs and symptoms would you expect to see in a patient with Addison's disease? SATA

a)

Hypoglycemia

b)

Elevated cortisol and aldosterone levels

c)

Generalized weakness

d)

Hyponatremia

e)

Weight gain

23.

A patient presents to the ED via EMS after being found unconscious at home in the morning. The patient's family reports she has adrenal insufficiency, recent complaints of fatigue and weakness, and developed a fever last night. The patient's blood pressure is 100/75 mm Hg, their heart rate is 140 bpm, and her fever has risen to 102 F. What medications would you expect to give the patient initially? SATA

a)

IV Glucocorticosteroids

b)

Epinephrine

c)

Vasopressin (Levophed)

d)

Broad spectrum antibiotics

e)

IV Potassium