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RX - Clinical MS Endo

Total questions: 30

Worksheet time: 20mins

Name
Class
Date
1.

When a person experiences a decrease in antidiuretic hormone (ADH), what is the condition called?

a)

Diabetes insipidus

b)

Diabetes mellitus

c)

Syndrome of inappropriate diuretic hormone

d)

Cushing syndrome

2.

Primary hypothyroidism occurs when the thyroid does not release enough:

a)

TH (T3 and T4)

b)

TSH

c)

TRH

d)

THR

3.

A condition associated with decreased levels of cortisol, aldosterone, or both:

a)

Adrenocortical Insufficiency

b)

Cushing syndrome

c)

Growth hormone disorder

d)

Hyperparathyroidism

4.

Syndrome of inappropriate diuretic hormone:

a)

Causes excess water to be retained in the blood

b)

Prevents reabsorption of water, leading to diuresis

c)

Causes an overproduction of growth hormone

d)

Leads to a decrease in production of TSH

5.

A patient who drinks large amounts of water, urinates frequently, and has trouble sleeping may be experiencing:

a)

Diabetes insipidus

b)

SIADH

c)

Diabetes mellitus

d)

Hyperparathyroidism

6.

A patient who is experiencing lethargy, weight gain, constipation, and always feels cold may have:

a)

Hypothyroidism

b)

Hyperthyroidism

c)

Hypoparathyroidism

d)

Hyperparathyroidism

7.

A high-calcium diet is the only long term treatment for:

a)

Hypoparathyroidism

b)

Hyperparathyroidism

c)

Cushing syndrome

d)

Hypothyroidism

8.

In caring for a patient with GH deficiency, you should:

a)

Assess for signs of cardiovascular disease

b)

Monitor calcium levels

c)

Monitor blood pressure

d)

Assess for dysphagia

9.

Monitoring degree of exopthalmos to prevent eye injury is necessary for patients with:

a)

Hyperthyroidism

b)

Hypothyroidism

c)

Addison Disease

d)

Hyperparathyroidism

10.

The nurse is teaching a patient post-op care and potential complications after a hypophysectomy. What condition does this patient have?

a)

Acromegaly

b)

Growth hormone deficiency

c)

SIADH

d)

Diabetes insipidus

11.

What is a sign that a patient with hypothyroidism is improving?

a)

Weight loss

b)

Denies palpitations

c)

Normoactive bowel sounds

d)

Denies anxiety

12.

A partial thyroidectomy is performed after a nodule is found on your patient's thyroid gland. What intervention will you add to her care plan?

a)

Maintain the patient in a semi-Fowler position

b)

Maintain the patient in a prone position

c)

Maintain the patient in a supine position

d)

Maintain the patient in a side-lying position

13.

A patient that has been in your facility for two weeks is given a new diagnosis of pneumonia. What primary condition would make this patient susceptible to infection?

a)

Cushing syndrome

b)

Hyperparathyroidism

c)

Addison disease

d)

SIADH

14.

Kai, a patient with SIADH, is admitted to the hospital experiencing confusion and seizures. Which intervention should the nurse prioritize for Kai?

a)

Restrict oral fluids

b)

Administer hypotonic IV fluids

c)

Encourage salt-free diet

d)

Administer potassium chloride

15.

Charlotte, a patient with Addison’s disease, is experiencing nausea, vomiting, and abdominal pain. Which action should the nurse take first?

a)

Administer antiemetic medication

b)

Notify the healthcare provider

c)

Encourage oral fluids

d)

Monitor blood glucose

16.

Henry, a patient with diabetes insipidus, is receiving desmopressin. Which assessment finding should the nurse prioritize as evidence the medication is effective?

a)

Increased urine output

b)

Decreased thirst

c)

Decreased urine specific gravity

d)

Increased serum sodium

17.

Grace, who has been diagnosed with hyperpituitarism, is scheduled for a transsphenoidal hypophysectomy. Which preoperative instruction should the nurse prioritize when preparing Grace for surgery?

a)

Avoid brushing teeth for 2 weeks after surgery

b)

Increase fluid intake before surgery

c)

Take all medications with water

d)

Begin a high-protein diet

18.

Jackson, a patient with Addison’s disease, is prescribed hydrocortisone. He calls the clinic to ask what he should do with his medication if he becomes ill. Which instruction should the nurse prioritize regarding medication administration during illness?

a)

Decrease the dose

b)

Double the dose

c)

Skip the dose

d)

Take the dose at bedtime only

19.

Abigail, a nurse, is caring for a patient with diabetes insipidus who is receiving IV fluids. During her assessment, which finding should Abigail prioritize as an indication that the treatment is effective?

a)

Serum sodium increases to 155 mEq/L

b)

Urine output decreases to 100 mL/hr

c)

Urine specific gravity decreases to 1.002

d)

Patient reports increased thirst

20.

Hyperparathyroidism creates problems by releasing too much hormone into the blood. This causes unusually high levels of calcium which can lead to weaker bones and kidney damage. Which hormone(s) would be impacted by this disorder?

a)

Prolactin and testosterone

b)

Parathyroid hormone and calcitonin

c)

ADH and Vitamin D

d)

Androgens and serotonin

21.

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?

a)

An increase in the production of thyroid hormones

b)

A decrease in the production of thyroid hormones

c)

An increase in the production of parathyroid hormones

d)

A decrease in the production of parathyroid hormones

22.
-caused by under secretion of growth hormone -s/s: short stature 
a)
Gigantism
b)
Acromegaly
c)
Growth Hormone Deficiency 
23.

When teaching a patient who has a new prescription for thyroid hormone, the nurse will instruct the patient to notify the prescriber if which adverse effects are noted? (Select all that apply.)

a)

Palpitations

b)

Weight gain

c)

Angina

d)

Fatigue

e)

Cold intolerance

24.

Which is the most appropriate timing regarding the nurse's administration of a rapid-acting insulin to a hospitalized patient?

a)

Give it 15 minutes before the patient begins a meal.

b)

Give it 1 hour before a meal.

c)

Give it 1 hour after a meal.

d)

The timing of the insulin injection does not matter with insulin lispro.

25.

When monitoring for a therapeutic response to prednisone, the nurse will look for which potential outcome?

a)

Increased lymphocyte levels

b)

Decreased inflammation

c)

Increased growth characteristics

d)

Decrease in Cushing’s syndrome characteristics

26.

The patient is being discharged home with insulin aspart (NovoLog) and insulin isophane suspension (NPH). Which information does the nurse include when providing discharge teaching to the patient?

a)

Store the insulins in the refrigerator.

b)

Shake the insulins for 1 full minute before use.

c)

Administer the injection at a 30-degree angle to your skin.

d)

Draw up the insulin aspart (NovoLog) first and then draw up the insulin isophane suspension (NPH) into the same syringe.

27.

A male patient who has a history of type 2 DM is admitted to the medical unit with a diagnosis of pneumonia. The patient has many questions regarding his care and asks the nurse why everyone keeps telling him about HbA1C. The nurse will inform the patient that HbA1C provides information regarding

a)

which type of DM the patient has.

b)

if he has an infection.

c)

patient compliance with treatment regimen for several months previously.

d)

current fasting blood glucose level.

28.

After the 0700 report, the day shift nurse notices that a patient has a 0730 dose of insulin due and goes to the automated dispensing machine to retrieve the insulin. The nurse sees that the night shift nurse had removed the 0730 dose of insulin, but the medication administration record has not been signed by the nurse. The patient is confused and says she “thinks” the night nurse gave her the insulin. The patient’s blood glucose level is 142 mg/dL. What will the day shift nurse do?

a)

Give the insulin because it was not signed off.

b)

Hold the insulin because the patient thinks she received it, and it is recorded in the machine.

c)

.Ask the charge nurse to call the night nurse at home to clarify whether the insulin was given.

.

d)

Report this to the nursing supervisor.

29.

Which information will the nurse include when teaching a patient about thyroid replacement therapy?

a)

“Take the medication before bed.”

b)

“You will experience beneficial effects of the drug after 1 week of treatment.”

c)

“Stop taking the drug if you experience insomnia.”

d)

“Take the medication on an empty stomach.”

30.

The nurse enters the patient’s room to complete the discharge process and finds the patient to be lying in bed unresponsive and breathing. The patient has a blood glucose reading of 48 mg/dL. What is the most appropriate response by the nurse?

a)

Place a packet of table sugar in the patient’s mouth.

b)

Start cardiopulmonary resuscitation (CPR).

c)

Roll the patient to the side and administer the ordered glucagon

d)

Have the patient drink orange juice.