Nclex-Rn Practice Questions-Care Of Adult - Endocrine Disorders Part 2
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Question 1 |
The nurse is admitting a client who is suspected of having adrenal insufficiency, or Addison’s disease. An initial serum chemistry test is done. The nurse expects to see which of the following abnormalities?
A | Hyponatremia and hyperkalemia |
B | Hypernatremia and hypokalemia |
C | Hyperglycemia and hypernatremia |
D | Hypercalcemia and hyperglycemia |
Question 2 |
Which of the following would be most important for the nurse to assess in a client with anterior pituitary hypofunction?
A | Date of least menstrual period |
B | Weight gain |
C | Changes in urinary output |
D | Chest pain |
Question 3 |
A client is admitted with a diagnosis of hyperparathyroidism. The nurse anticipates the client to present with which of the following?
A | Exophthalmos |
B | Renal calculi |
C | Weight gain |
D | Weight loss |
Question 4 |
A client with hyperthyroidism develops a high fever, extreme tachycardia, and systolic hypertension. The nurse suspects which of the following?
A | Hepatic coma |
B | Thyroid storm |
C | Myxedema |
D | Laryngeal spasm |
Question 5 |
The nurse is providing education about the thyroid gland and aging to a group of nursing students. Which of the following would be appropriate to include in this discussion?
A | The thyroid gland increases in size with increasing age. |
B | Older adults require higher doses of replacement therapy. |
C | Thyroid hormone secretion increases with age. |
D | The basal metabolic rate decreases with age. |
Question 6 |
The nurse is admitting a client who is diagnosed with hyperthyroidism. The client asks what can be done for this disorder. What is the best response by the nurse?
A | Oral thyroid hormones |
B | Lithotripsy |
C | Radioactive iodine therapy |
D | Laryngectomy |
Question 7 |
The nurse is teaching a client with hypothyroidism about the thyroid gland. Which of the following statements by the nurse would be the most accurate about which gland controls the secretion of thyroid hormone?
A | Adrenal gland |
B | Parathyroid gland |
C | Pituitary gland |
D | Thyroid gland |
Question 8 |
A client with diabetes presents with polyphagia, polydipsia, and oliguria; he also complains of headache, malaise, and some visual changes. Assessment shows signs of dehydration. The nurse determines the client may be experiencing which condition?
A | Diabetes insipidus |
B | Diabetic ketoacidosis |
C | Hypoglycemia |
D | Syndrome of inappropriate antidiuretic hormone (SIADH) |
Question 9 |
The nurse is providing education for a client who is insulin dependent and often skips the ordered dose of insulin at home. The nurse teaches the client that omitting the insulin can result in which of the following?
A | Diabetic ketoacidosis |
B | Hypoglycemia |
C | Pancreatitis |
D | Diabetes insipidus |
Question 10 |
The nurse is providing education for a client with Cushing’s disease. Which of the following information would be important to include?
A | Avoid a low-sodium diet. |
B | Physical changes are disease related. |
C | High fluid intake is important. |
D | Restrict protein intake. |
Question 11 |
The nurse is caring for a client with newly diagnosed Cushing’s disease. Which of the following signs and/or symptoms would the nurse expect to find on initial assessment?
A | Bruising and hypotension |
B | Truncal obesity and petechiae |
C | Hypertension and emaciation |
D | Weight loss and moon face |
Question 12 |
The nurse is caring for a client who is diagnosed with Cushing’s disease. It is most important for the nurse to assess the client for which condition?
A | Diabetes insipidus |
B | Syndrome of inappropriate antidiuretic hormone (SIADH) |
C | Addison’s disease |
D | Diabetes mellitus |
Question 13 |
The nurse is caring for a client who is diagnosed with Addison’s disease. While completing the initial assessment and reviewing serum laboratory test results, the nurse expects to find which of the following signs and symptoms?
A | Weight gain and loss of skin pigment |
B | Fatigue and muscle weakness |
C | Hypertension and hypernatremia |
D | Increased appetite and hypokalemia |
Question 14 |
The nurse is caring for a client who has been admitted with a diagnosis of addisonian crisis. In planning care for this client, which outcome should be priority?
A | Preventing irreversible shock |
B | Preventing infection |
C | Relieving anxiety |
D | Lowering blood pressure |
Question 15 |
Treatment for Cushing’s syndrome may involve removal of one of the adrenal glands, which could cause a temporary state of which condition?
A | Hyperkalemia |
B | Adrenal insufficiency |
C | Excessive adrenal hormone |
D | Syndrome of inappropriate antidiuretic hormone (SIADH) |
Question 16 |
The nurse is planning care for a client with Addison’s disease. What is the most appropriate nursing diagnosis?
A | Fatigue |
B | Excess fluid volume |
C | Ineffective thermoregulation |
D | Impaired gas exchange |
Question 17 |
The nurse is planning care for a client who is diagnosed with Cushing’s syndrome. Which of the following nursing diagnoses would be appropriate for this client?
A | Risk for fluid volume deficit |
B | Risk for infection |
C | Impaired gas exchange |
D | Acute pain |
Question 18 |
The nurse is reviewing the diagnoses of her assigned clients and notes that one of the clients has Cushing’s syndrome. The nurse is aware that this client is at risk for which of the following?
A | Hypoglycemia and dehydration |
B | Hypotension and hyperglycemia |
C | Hyponatremia and dehydration |
D | Hypertension and heart failure |
Question 19 |
The nurse is admitting a client with newly diagnosed Cushing’s syndrome. Which of the following serum laboratory results might be expected for this client?
A | Decreased sodium and decreased glucose |
B | Decreased cortisol and increased glucose |
C | Increased cortisol and decreased sodium |
D | Increased cortisol and increased sodium |
Question 20 |
The nurse is admitting a client who is diagnosed with untreated Cushing’s syndrome. While performing the initial assessment, the nurse can expect to see which of the following signs and symptoms?
A | Moon face and truncal obesity |
B | Weight loss and heat intolerance |
C | Changes in skin texture and low body temperature |
D | Polyuria and dehydration |
Question 21 |
The nurse is providing education to a client with Addison’s disease about managing the disease process. What is the most important information for the nurse to include?
A | Eat a low-sodium diet. |
B | Restrict fluids to 1,000 ml/day. |
C | Wear Medic-Alert bracelet. |
D | Take daily cortisone on an empty stomach. |
Question 22 |
The nurse is planning care for a client with Addison’s disease. What is the most appropriate outcome for this client?
A | Taking in less than 1,000 ml of fluid a day |
B | Participating in relaxation techniques |
C | Ambulating in the hall five to six times per day |
D | Knowing which high-sodium foods to avoid |
Question 23 |
A client presents with flushed skin, exophthalmos, and perspiration and states that he has been “irritable” and having palpitations. The nurse interprets these symptoms as indicating which disorder?
A | Hyperthyroidism |
B | Hyperparathyroidism |
C | Hypothyroidism |
D | Type 1 diabetes mellitus |
Question 24 |
The nurse is providing community education about prevention of diabetes mellitus to a group of clients. The nurse realizes that which of the following clients in the group is most at risk for developing type 2 diabetes mellitus?
A | A young adult who regularly plays basketball |
B | An elderly sedentary woman |
C | A middle-age woman who is a postal worker |
D | A middle-age man with a normal weight |
Question 25 |
The nurse is admitting a client who is scheduled for a thyroidectomy. The initial serum laboratory tests indicate high levels of T3 and T4. The nurse expects to see which of the following related to levels of thyroid-stimulating hormone (TSH) for this client?
A | High |
B | Low |
C | Normal |
D | Not important |
Question 26 |
A client exhibiting exophthalmos, weight loss, and tachycardia would be evaluated by checking the levels of which hormones?
A | Amylase, lipase, and trypsin |
B | Triiodothyronine (T3), thyroxine (T4), and thyroid-stimulating hormone (TSH) |
C | Glucocorticoids, mineralocorticoids, and androgens |
D | Vasopressin and oxytocin |
Question 27 |
The nurse is caring for a client who is admitted with untreated hypothyroidism. Which of the following laboratory serum values will the nurse expect to see?
A | High T3 and T4 and low thyroid-stimulating hormone (TSH) |
B | High T3 and T4 and normal TSH |
C | Low T3 and T4 and low TSH |
D | Low T3 and T4 and high TSH |
Question 28 |
The nurse is providing health maintenance education to a group of clients. As the nurse talks about thyroid disorders, one of the clients asks about risk factors for Graves’ disease. Which of the following would be most at risk for developing this disease?
A | A 40-year-old male |
B | A 30-year-old female |
C | A 15-year-old female |
D | A 35-year-old male |
Question 29 |
The nurse is caring for a client with Addison’s disease. Which of the following serum laboratory values indicates that the treatment being given is effective?
A | Sodium of 147 mEq/L |
B | Potassium of 2.9 mEq/L |
C | Sodium of 142 mEq/L |
D | Potassium of 6.0 mEq/L |
Question 30 |
A client is brought into the emergency department with a brain stem contusion. Two days after admission, the client has a large amount of urine and a serum sodium level of 155 mEq/dl. Which condition may be developing?
A | Myxedema coma |
B | Diabetes insipidus |
C | Type 1 diabetes mellitus |
D | Syndrome of inappropriate antidiuretic hormone (SIADH) |
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