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WorksheetsEndocrine disorders recall quiz
Total questions: 27
Worksheet time: 41mins
A client presents with polyuria, polydipsia, and extreme dehydration. Which lab finding is most consistent with DI?
Low serum sodium
High urine specific gravity
Low urine osmolality
High urine sodium
Which are nursing interventions for Diabetes Insipidus? Select all that apply.
Monitor I&O
Encourage fluids
Restrict sodium intake
Administer desmopressin
The priority nursing diagnosis for a client with Diabetes Insipidus is:
Risk for injury
Fluid volume deficit
Impaired skin integrity
Risk for infection
A client with SIADH (syndrome of inappropriate antidiuretic hormone) may present with:
Polyuria, polydipsia
Confusion, weight gain, low serum sodium
Hypernatremia, dry mucous membranes
Hypotension, tachycardia
Nursing interventions for SIADH include Select all that apply:
Fluid restriction
Daily weight monitoring
Hypertonic saline administration
Desmopressin administration
A client presents with fatigue, weight gain, bradycardia, and cold intolerance. The nurse suspects:
Hyperthyroidism
Hypothyroidism
Addison’s disease
Cushing’s syndrome
Expected labs in hypothyroidism. Select all that apply:
Increased TSH
Decreased TSH
Decreased T3/T4
Increased T3/T4
Hyponatremia
Priority nursing diagnosis for severe hypothyroidism:
Ineffective airway
Decreased cardiac output
Risk for falls
Activity intolerance
What medication is used for hypothyroidism?
Methimazole
Levothyroxine
Radioactive iodine
Hydrocortisone
What are medical and nursing interventions for hyperthyroidism? Select all that apply
Administer antithyroid medications (methimazole)
Administer beta-blockers
Encourage high-calorie diet
Fluid restriction
Monitor cardiac rhythm
A client presents with fatigue, hypotension, hyperpigmentation, hyponatremia, and hyperkalemia. Labs show low cortisol. Which is priority nursing diagnosis?
Risk for injury
Fluid volume deficit
Imbalanced nutrition
Activity intolerance
What are nursing interventions for Cushing’s? Select all that apply
Monitor BP and glucose
Restrict sodium intake
Encourage potassium-rich foods
A client with SIADH has seizures and serum sodium 118 mEq/L. The nurse anticipates:
Rapid correction with hypertonic saline
Fluid restriction only
Administer desmopressin
Administer diuretics
A client with DI has urine output 500 mL/hr and serum sodium 150 mEq/L. Which nursing intervention is priority?
Administer IV hypotonic fluids
Restrict fluids
Administer desmopressin
Monitor blood glucose
A client with hyperthyroidism is admitted with palpitations, tremors, and a temperature of 102°F. Which intervention should the nurse implement first?
Administer antithyroid medication
Apply cooling measures
Administer beta-blocker
Encourage oral fluids
A client with pheochromocytoma is admitted with BP 220/120 mmHg, severe headache, and diaphoresis. What is the priority nursing action?
Administer IV labetalol
Place the client supine
Encourage oral hydration
Obtain a 24-hour urine collection
A nurse is caring for a client 8 hours after a total thyroidectomy. Which of the following findings requires the nurse’s immediate intervention?
Hoarseness when speaking
Difficulty swallowing water
Small amount of serosanguinous drainage on the dressing
Tingling in the fingers
The nurse is reinforcing teaching with a client newly diagnosed with hypothyroidism. Which of the following are appropriate components of treatment for this condition? Select all that apply.
Lifelong therapy with levothyroxine
Take levothyroxine every morning on an empty stomach
Monitor for hyperthyroidism as a sign of overtreatment
Avoid stopping the medication abruptly
A nurse is providing teaching to a client diagnosed with hyperthyroidism. Which of the following may be included in the treatment plan? Select all that apply.
Administration of propylthiouracil (PTU) or methimazole
Beta-adrenergic blockers such as propranolol
Low-calorie, high-protein diet
Levothyroxine replacement therapy as first-line treatment
The nurse is assessing a client with primary hyperparathyroidism. Which of the following findings is most consistent with this condition?
Chvostek’s sign
Bone pain and pathologic fractures
Muscle spasms and tetany
Perioral numbness and tingling
The nurse is caring for a client with hypoparathyroidism. Which assessment finding should the nurse expect?
Hypertension and flushed skin
Constipation and bone pain
Positive Trousseau’s sign
Polyuria and kidney stones
The nurse is assessing a client with suspected adrenal insufficiency. Which finding is most consistent with this condition?
Moon face and truncal obesity
Hypotension and hyperpigmentation of the skin
Hypertension and hypokalemia
Weight gain and edema
The nurse is evaluating a client receiving hydrocortisone therapy for adrenal insufficiency. Which finding indicates that the treatment has been effective?
A. Blood pressure 110/70 mm Hg and improved serum sodium
B. Weight gain of 6 pounds in 1 week with facial puffiness
C. Blood glucose 55 mg/dL with increased fatigue
D. Serum potassium 6.0 mEq/L and muscle weakness
The nurse is teaching a client about long-term corticosteroid therapy. Which complication is the greatest risk if the client stops taking steroids abruptly?
Cushing’s syndrome
Addisonian crisis
Hyperglycemia
Hypertension
The nurse is assessing a client with suspected diabetes insipidus. Which finding is most characteristic of this condition?
Oliguria and weight gain
Polyuria and excessive thirst
Hypertension and edema
Decreased serum sodium and concentrated urine
The nurse is reviewing a meal plan for a client with hyperthyroidism. Which menu choice is most appropriate?
Grilled chicken breast, mashed potatoes, broccoli, and a milkshake
Bacon cheeseburger, french fries, and cola
Spicy chili with beans, cornbread, and coffee
Low-calorie salad with fat-free dressing and iced tea
The nurse is caring for a client immediately after a unilateral adrenalectomy. Which assessment is the highest priority?
Monitor for signs of infection at the incision site
Assess blood pressure
Encourage early ambulation to prevent DVT
Provide teaching about lifelong steroid replacement
