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NSG 4100 quiz

Total questions: 22

Worksheet time: 12mins

Name
Class
Date
1.

Michael visits his doctor with symptoms suggesting a disorder related to adrenal cortex hormones. Which disease might Michael be experiencing?

a)

Congenital adrenal hyperplasia

b)

Diabetes mellitus

c)

Thyroid cancer

d)

Neuropathy

2.

Shortly after birth, Lily was found to have symptoms that led doctors to diagnose her with congenital adrenal hyperplasia. What is the main cause of this condition?

a)

Genetic defect

b)

Environmental pollution

c)

Viral infection

d)

Nutritional deficiency

3.

Sophia visits her doctor complaining of fatigue and dizziness. After some tests, her doctor suspects hypoaldosteronism. What symptoms might Sophia experience due to this condition?

a)

Low blood pressure

b)

High blood pressure

c)

High blood sugar

d)

Vision impairment

4.

Mason visits his doctor because he has been experiencing excessive thirst and frequent urination. Tests reveal that his urine is very dilute, and he is losing a lot of fluids. Which hormone is primarily involved in the regulation affected in diabetes insipidus?

a)

Antidiuretic hormone

b)

Insulin

c)

Aldosterone

d)

Cortisol

5.

Abigail visits her doctor after experiencing high blood pressure and headaches. The doctor suspects a chromaffin cell tumor. Which organ is primarily affected by this type of tumor?

a)

Heart

b)

Lung

c)

Liver

d)

Adrenal gland

6.

A 72-year-old patient with type 2 diabetes presents with confusion, dry mucous membranes, and a blood glucose of 920 mg/dL. Arterial blood gases show a pH of 7.38, and serum ketones are negative.

Which condition is the patient most likely experiencing?

a)

A. Diabetic ketoacidosis (DKA)

b)

B. Hypoglycemia unawareness

c)

C. Hyperglycemic-Hyperosmolar State (HHS)

d)

D. Metabolic acidosis related to renal failure

7.

A patient with type 1 diabetes is admitted with DKA. Assessment findings include Kussmaul respirations, fruity breath odor, blood glucose of 460 mg/dL, potassium of 5.8 mEq/L, and pH of 7.22.

What is the priority nursing intervention?

a)

A. Administer IV insulin infusion

b)

B. Administer sodium bicarbonate

c)

C. Begin aggressive IV fluid replacement

d)

D. Administer potassium supplementation

8.

James has been living with diabetes for several years. His doctor explains that chronic hyperglycemia can cause damage to small blood vessels. Which complication might James develop as a result?

a)

A. Coronary artery disease

b)

B. Peripheral arterial disease

c)

C. Diabetic retinopathy

d)

D. Cerebrovascular accident

9.

Mason, a patient with long-standing diabetes, visits the clinic and reports numbness and tingling in both feet. The nurse understands this complication occurs primarily due to:

a)

A. Insulin resistance in skeletal muscle

b)

B. Chronic hyperglycemia causing nerve ischemia

c)

C. Autoimmune destruction of beta cells

d)

D. Acute hypoglycemic episode

10.

Ava, a patient with diabetic neuropathy, is being cared for in a clinical setting. As her nurse, which interventions should be included in her care plan to promote safety and prevent complications?
(Select all that apply.)

a)

A. Daily foot inspection

b)

B. Encourage walking barefoot at home

c)

C. Assess for loss of protective sensation

d)

D. Provide education on proper footwear

e)

E. Apply heating pads to numb extremities

11.

During a diabetes education session, Mason says, “I only need eye exams if my vision changes.” Daniel responds, “Controlling my blood sugar can help protect my eyesight.” Which statement indicates an understanding of diabetic retinopathy prevention?

a)

A. “I only need eye exams if my vision changes.”

b)

B. “Controlling my blood sugar can help protect my eyesight.”

c)

C. “Retinopathy only occurs in type 1 diabetes.”

d)

D. “Once retinopathy starts, it cannot be slowed.”

12.

Benjamin, a 58-year-old man with a long history of diabetes, visits his doctor for a routine checkup. His doctor discusses the potential macrovascular complications of diabetes that Benjamin should be aware of.
(Select all that apply.)

a)

A. Myocardial infarction

b)

B. Stroke

c)

C. Diabetic neuropathy

d)

D. Peripheral arterial disease

e)

E. Retinopathy

13.

Nora, a 35-year-old woman, presents to the clinic with complaints of persistent high blood pressure and occasional muscle weakness. Based on these findings, which assessment result is most consistent with primary hyperaldosteronism?

a)

A. Hyperkalemia and hypotension

b)

B. Hyponatremia and dehydration

c)

C. Hypertension and muscle weakness

d)

D. Polyuria and polydipsia

14.

William, a patient diagnosed with diabetes insipidus, is admitted to the hospital. During his assessment, the nurse reviews his laboratory results and observes his urine characteristics. Which finding should the nurse anticipate?

a)

A. Concentrated urine with low output

b)

B. Hyponatremia and weight gain

c)

C. High urine output with low specific gravity

d)

D. Decreased thirst

15.

Sophia, a 45-year-old woman, presents to the clinic with confusion and headache. Laboratory tests reveal an abnormality. Which laboratory finding is characteristic of the Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?

a)

A. Hypernatremia

b)

B. High urine output

c)

C. Low urine osmolality

d)

D. Hyponatremia

16.

Grace, a patient with suspected pheochromocytoma, reports episodic headaches, palpitations, and sweating. These symptoms occur due to excessive secretion of:

a)

A. Aldosterone

b)

B. Cortisol

c)

C. Catecholamines

d)

D. Antidiuretic hormone

17.

Oliver, a patient diagnosed with pheochromocytoma, has just been admitted to the unit. As his nurse, which intervention should you prioritize in his care?

a)

A. Encourage vigorous physical activity

b)

B. Monitor blood glucose closely

c)

C. Minimize stress and avoid abdominal palpation

d)

D. Restrict dietary sodium

18.

Ava has recently been diagnosed with thyroid cancer and is discussing her treatment options with her doctor. Which statement by Ava indicates correct understanding of thyroid cancer management?

a)

A. “If it doesn’t hurt, it can’t be cancer.”

b)

B. “Radiation therapy is never used.”

c)

C. “Total thyroidectomy may require lifelong hormone replacement.”

d)

D. “Thyroid cancer rarely spreads.”

19.

Samuel, a newborn, is brought to the hospital with symptoms of vomiting, dehydration, and poor feeding. After evaluation, he is diagnosed with congenital adrenal hyperplasia. Which finding is most likely related to this condition?

a)

A. Hypertension and hypokalemia

b)

B. Excess cortisol production

c)

C. Aldosterone deficiency with electrolyte imbalance

d)

D. Increased antidiuretic hormone secretion

20.

Emily, a 50-year-old woman, presents with persistent hypertension and low potassium levels. Which laboratory finding would most likely support a diagnosis of Conn's syndrome (primary aldosteronism)?

a)

A. Hyponatremia and muscle cramps

b)

B. Hypernatremia and hypokalemia

c)

C. Hyperkalemia and hypotension

d)

D. Low urine output and dehydration

21.

Lucas, a patient with diabetes, reports blurry vision and difficulty seeing at night. Which microvascular complication is most likely responsible for these symptoms?

a)

A. Nephropathy

b)

B. Retinopathy

c)

D. Cardiovascular disease

d)

C. Neuropathy

22.

Olivia, a patient with suspected SIADH, is being evaluated in the hospital. Which clinical feature is most commonly associated with SIADH?

a)

A. Polyuria and hypernatremia

b)

B. Edema and hypertension

c)

C. Hyponatremia and low serum osmolality

d)

D. High urine output and dehydration