WorksheetsRX - Clinical MS Endo
Total questions: 30
Worksheet time: 20mins
Trinity visits her doctor because she has been experiencing excessive thirst and frequent urination. The doctor explains that this is due to a decrease in antidiuretic hormone (ADH). What is the condition called?
Diabetes insipidus
Diabetes mellitus
Syndrome of inappropriate diuretic hormone
Cushing syndrome
During a biology class, Trinity and Kait are discussing thyroid disorders. Trinity asks, "What happens in primary hypothyroidism when the thyroid does not release enough of a certain hormone?" What hormone is she referring to?
TH (T3 and T4)
TSH
TRH
THR
Chrissy visits her doctor with symptoms related to decreased levels of cortisol, aldosterone, or both. What is the condition she might be experiencing?
Adrenocortical Insufficiency
Cushing syndrome
Growth hormone disorder
Hyperparathyroidism
During a biology class, Yvonda and Hunter are discussing the syndrome of inappropriate diuretic hormone. What effect does this syndrome have?
Causes excess water to be retained in the blood
Prevents reabsorption of water, leading to diuresis
Causes an overproduction of growth hormone
Leads to a decrease in production of TSH
Chrissy, a student, drinks large amounts of water, urinates frequently, and has trouble sleeping. She may be experiencing:
Diabetes insipidus
SIADH
Diabetes mellitus
Hyperparathyroidism
Chrissy has been experiencing lethargy, weight gain, constipation, and always feels cold. She may have:
Hypothyroidism
Hyperthyroidism
Hypoparathyroidism
Hyperparathyroidism
Yvonda is advised by her doctor to follow a high-calcium diet as the only long term treatment for her condition. What is Yvonda most likely diagnosed with?
Hypoparathyroidism
Hyperparathyroidism
Cushing syndrome
Hypothyroidism
Yvonda is caring for a patient with GH deficiency. What should she do?
Assess for signs of cardiovascular disease
Monitor calcium levels
Monitor blood pressure
Assess for dysphagia
Chrissy is caring for a patient with a noticeable degree of exophthalmos. Monitoring the degree of exophthalmos to prevent eye injury is necessary for patients with:
Hyperthyroidism
Hypothyroidism
Addison Disease
Hyperparathyroidism
Trinity is a nurse teaching Yvonda, a patient, about post-op care and potential complications after a hypophysectomy. What condition does Yvonda have?
Acromegaly
Growth hormone deficiency
SIADH
Diabetes insipidus
Chrissy is a patient diagnosed with hypothyroidism and has been following her treatment plan. What is a sign that Chrissy is improving?
Weight loss
Denies palpitations
Normoactive bowel sounds
Denies anxiety
A partial thyroidectomy is performed after a nodule is found on Chrissy's thyroid gland. What intervention will you add to her care plan?
Maintain the patient in a semi-Fowler position
Maintain the patient in a prone position
Maintain the patient in a supine position
Maintain the patient in a side-lying position
Chrissy, a patient who 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?
Cushing syndrome
Hyperparathyroidism
Addison disease
SIADH
Trinity, a patient with SIADH, is admitted to the hospital experiencing confusion and seizures. Which intervention should the nurse prioritize for Trinity?
Restrict oral fluids
Administer hypotonic IV fluids
Encourage salt-free diet
Administer potassium chloride
Trinity, a patient with Addison’s disease, is experiencing nausea, vomiting, and abdominal pain. Which action should the nurse take first?
Administer antiemetic medication
Notify the healthcare provider
Encourage oral fluids
Monitor blood glucose
Jadyn, a patient with diabetes insipidus, is receiving desmopressin. Which assessment finding should the nurse prioritize as evidence the medication is effective?
Increased urine output
Decreased thirst
Decreased urine specific gravity
Increased serum sodium
Chrissy, who has been diagnosed with hyperpituitarism, is scheduled for a transsphenoidal hypophysectomy. Which preoperative instruction should the nurse prioritize when preparing Chrissy for surgery?
Avoid brushing teeth for 2 weeks after surgery
Increase fluid intake before surgery
Take all medications with water
Begin a high-protein diet
Trinity, a patient with Addison’s disease, is prescribed hydrocortisone. She calls the clinic to ask what she should do with her medication if she becomes ill. Which instruction should the nurse prioritize regarding medication administration during illness?
Decrease the dose
Double the dose
Skip the dose
Take the dose at bedtime only
Trinity, a nurse, is caring for a patient with diabetes insipidus who is receiving IV fluids. During her assessment, which finding should Trinity prioritize as an indication that the treatment is effective?
Serum sodium increases to 155 mEq/L
Urine output decreases to 100 mL/hr
Urine specific gravity decreases to 1.002
Patient reports increased thirst
During a biology class, Trinity and Hunter learn about hyperparathyroidism, a condition that 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?
Prolactin and testosterone
Parathyroid hormone and calcitonin
ADH and Vitamin D
Androgens and serotonin
Chrissy has been diagnosed with Hashimoto's disease, 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
Chrissy, a young student, has been experiencing short stature compared to her peers. After a medical evaluation, it was found that this condition is caused by under secretion of growth hormone. What is the most likely diagnosis?
Gigantism
Acromegaly
Growth Hormone Deficiency
Trinity is 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.)
Palpitations
Weight gain
Angina
Fatigue
Cold intolerance
Hunter, a nurse, is preparing to administer a rapid-acting insulin to Trinity, a hospitalized patient. Which is the most appropriate timing for Hunter to give the insulin?
Give it 15 minutes before the patient begins a meal.
Give it 1 hour before a meal.
Give it 1 hour after a meal.
The timing of the insulin injection does not matter with insulin lispro.
Trinity is a nurse monitoring a patient who has been prescribed prednisone. When assessing for a therapeutic response to the medication, which potential outcome should Trinity look for?
Increased lymphocyte levels
Decreased inflammation
Increased growth characteristics
Decrease in Cushing’s syndrome characteristics
Chrissy is being discharged home with insulin aspart (NovoLog) and insulin isophane suspension (NPH). Which information does the nurse include when providing discharge teaching to Chrissy?
Store the insulins in the refrigerator.
Shake the insulins for 1 full minute before use.
Administer the injection at a 30-degree angle to your skin.
Draw up the insulin aspart (NovoLog) first and then draw up the insulin isophane suspension (NPH) into the same syringe.
Hunter, who has a history of type 2 DM, is admitted to the medical unit with a diagnosis of pneumonia. Hunter has many questions regarding his care and asks the nurse why everyone keeps telling him about HbA1C. The nurse will inform Hunter that HbA1C provides information regarding
which type of DM the patient has.
if he has an infection.
patient compliance with treatment regimen for several months previously.
current fasting blood glucose level.
After the 0700 report, the day shift nurse, Trinity, 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, Hunter, 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 Trinity do?
Give the insulin because it was not signed off.
Hold the insulin because the patient thinks she received it, and it is recorded in the machine.
.Ask the charge nurse to call the night nurse at home to clarify whether the insulin was given.
.
Report this to the nursing supervisor.
During a patient education session, Kait, a nurse, is teaching Chrissy about thyroid replacement therapy. Which information should Kait include in her teaching?
“Take the medication before bed.”
“You will experience beneficial effects of the drug after 1 week of treatment.”
“Stop taking the drug if you experience insomnia.”
“Take the medication on an empty stomach.”
The nurse enters Kait’s room to complete the discharge process and finds Kait to be lying in bed unresponsive and breathing. Kait has a blood glucose reading of 48 mg/dL. What is the most appropriate response by the nurse?
Place a packet of table sugar in Kait’s mouth.
Start cardiopulmonary resuscitation (CPR).
Roll Kait to the side and administer the ordered glucagon
Have Kait drink orange juice.
