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AG2 Endocrine

Total questions: 20

Worksheet time: 19mins

Name
Class
Date
1.

Which of the following assessment findings characterize thyroid storm?

a)

increased body temperature, decreased pulse, and increased blood pressure

b)

increased body temperature, increased pulse, and increased blood pressure

c)

increased body temperature, decreased pulse, and decreased blood pressure

d)

increased body temperature, increased pulse, and decreased blood pressure

2.

The nurse is planning care for a client with hyperthyroidism. Which of the following nursing interventions are appropriate? Select all that apply

a)

instill isotonic eye drops as necessary

b)

provide several, small, well-balanced meals

c)

provide rest periods

d)

keep environment warm

e)

weigh the client daily

3.

After thyroidectomy, which of the following is the priority assessment to observe laryngeal nerve damage?

a)

hoarseness of voice

b)

difficulty in swallowing

c)

tetany

d)

fever

4.

When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:

a)

furosemide (Lasix)

b)

regular insulin

c)

vasopressin

d)

10% dextrose

5.

Nurse Ronn 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

6.

For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client for Chvostek's sign and Trousseau's sign because they indicate which of the following?

a)

Hypocalcemia

b)

Hypercalcemia

c)

Hypokalemia

d)

Hyperkalemia

7.

Nurse Oliver should expect a client with hypothyroidism to report which health concerns?

a)

Increased appetite and weight loss

b)

Nervousness and tremors

c)

Thyroid gland swelling

d)

Puffiness of the face and hands

8.

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)

Thyroid crisis

c)

Hypoglycemia

d)

Tetany

9.

A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?

a)

Infusing I.V. fluids rapidly as ordered

b)

Encouraging increased oral intake

c)

Restricting fluids

d)

Administering glucose-containing I.V. fluids as ordered

10.

Nurse Troy is aware that the most appropriate for a client with Addison's disease?

a)

Risk for infection

b)

Excessive fluid volume

c)

Urinary retention

d)

Hypothermia

11.

Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications?

a)

Tetanic contractions

b)

Neck vein distention

c)

Weight loss

d)

Polyuria

12.

A client presents to the emergency room with a history of Graves' disease. The client reports having symptoms for a few days, but has not previously sought or received any additional treatment. The client also reports having had a cold a few days back. Which of the following interventions would be appropriate to implement for this client, based on the history and current symptoms? Select all that apply.

a)

Administer aspirin

b)

Replace intravenous fluids

c)

Induce shivering

d)

Relieve respiratory distress

e)

Administer a cooling blanket

13.

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.

14.

The diabetic educator is teaching a class on diabetes type 1 and is discussing sick-day rules. Which interventions should the diabetes educator include in the discussion? Select all that apply.

a)

Take diabetic medication even if unable to eat the client's normal diabetic diet.

b)

If unable to eat, drink liquids equal to the client's normal caloric intake.

c)

It is not necessary to notify the health-care provider if ketones are in the urine.

d)

Test blood glucose levels and test urine ketones once a day and keep a record.

e)

Call the health-care provider if glucose levels are higher than 180 mg/dL.

15.

A patient with newly diagnosed type 2 diabetes mellitus asks the nurse what ""type 2"" means in relation to diabetes. The nurse explains to the patient that type 2 diabetes differs from type 1 diabetes primarily in that with type 2 diabetes

a)

the pt is totally dependent on an outside source of insulin

b)

there is a decreased insulin secretion and cellular resistance to insulin that is produced

c)

the immune system destroys the pancreatic insulin-producing cells

d)

the insulin precurosr that is secreted by the pancreas is not activated by the liver

16.

Which electrolyte replacement should the nurse anticipate being ordered by thehealth-care provider in the client diagnosed with DKA who has just been admitted tothe ICU?

a)

Glucose

b)

Potassium

c)

Calcium

d)

Sodium

17.

A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperglycemic hyperosmolar state (HHS) is made. The nurse would immediately prepare to initiate which anticipated health care provider's prescription

a)

Endotracheal intubation

b)

100 units of NPH insulin

c)

Intravenous infusion of normal saline

d)

Intravenous infusion of sodium bicarbonate

18.

A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. Which findings would the nurse expect to note as confirming this diagnosis? Select all that apply.

a)

Increase in pH

b)

Deep, rapid breathing

c)

Decreased urine output

d)

Elevated blood glucose level

e)

Low plasma bicarbonate level

19.

A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level was 950 mg/dL. A continuous intravenous infusion of short-acting insulin is initiated, along with intravenous rehydration with normal saline. The serum glucose level is now 240 mg/dL. The nurse would next prepare to administer which item?

a)

Ampule of 50% dextrose

b)

NPH insulin subcutaneously

c)

Intravenous fluids containing dextrose

d)

Phenytoin (Dilantin) for the prevention of seizures

20.

The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose should be taken if which symptoms develop? Select all that apply

a)

Shakiness

b)

Palpitations

c)

Blurred Vision

d)

Lightheadedness

e)

Fruity Breath Odor