Nclex-Rn Practice Questions-Care Of Adult - Endocrine Disorders Part 4
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Question 1 |
The nurse is caring for a client who is diagnosed with a unilateral pheochromocytoma and is scheduled for surgery to remove the left adrenal gland. The nurse is aware that the main manifestation of this disease process is which of the following?
A | Hypertension |
B | Renal failure |
C | Hyponatremia |
D | Heart failure |
Question 2 |
The nurse is caring for a client with an adrenal medulla tumor. Which of the following symptoms would the nurse expect to assess?
A | Carpopedal spasm |
B | Hyperglycemia |
C | Hypertension |
D | “Moon face” |
Question 3 |
The nurse is administering corticosteroid therapy to a client. The nurse should be alert for which of the following adverse effects of this therapy?
A | Hyponatremia |
B | Hypoglycemia |
C | Change in metabolism |
D | Heart failure |
Question 4 |
The nurse is caring for a client who is diagnosed with hyperparathyroidism. The client asks what conditions may contribute to the development of hyperparathyroidism. What is the most appropriate response by the nurse?
A | Chronic renal failure |
B | Thyroidectomy |
C | Elevated serum calcium level |
D | Steroid use |
Question 5 |
The nurse is providing education for a client newly diagnosed with Addison’s disease who is receiving a maintenance dose of steroids. What is the most important information for the nurse to include?
A | Importance of restricting fluids |
B | Watching for signs of hypoglycemia |
C | Taking steroids exactly as prescribed |
D | Adjusting steroid doses based on dietary intake and exercise |
Question 6 |
A client is being treated for adrenal crisis (addisonian crisis). Which laboratory values are most important for the nurse to monitor?
A | Serum bicarbonate and sodium |
B | Serum glucose and ketones |
C | Serum sodium and potassium |
D | Serum calcium and magnesium |
Question 7 |
A client is admitted to the medical floor with a diagnosis of pancreatitis. Which of the following nursing interventions is the priority?
A | Maintain oral intake and avoid analgesics. |
B | Control pain and maintain NPO status. |
C | Allow client to dictate food and alcohol servings. |
D | Support surgical management interventions. |
Question 8 |
Which statement indicates to the nurse that a client with diabetes understands proper foot care?
A | “I’ll call for a physician’s appointment if my feet start to ache.” |
B | “I’ll rotate insulin injection sites from my left foot to my right foot.” |
C | “I’ll go barefoot around the house to avoid pressure areas on my feet.” |
D | “I’ll wear cotton socks with well-fitting shoes.” |
Question 9 |
When teaching a diabetic client about nutritional planning, which food selection would be considered one healthy serving of carbohydrate?
A | One small orange |
B | ½ cup of vanilla ice cream |
C | 2 slices of white bread |
D | 2 cups of whole-grain rice |
Question 10 |
A client with newly diagnosed diabetes mellitus is ready for discharge. What is the most important information for the nurse to include?
A | Foot care and the need for a high-calorie diet |
B | How to balance diet, exercise, and medication |
C | Fasting before health care maintenance visits |
D | Avoiding all carbohydrates and drinking 2 qt (2 L) of water daily |
Question 11 |
The nurse is providing education for a client diagnosed with Cushing’s disease. Which statement indicates that he understands his disease?
A | “My blood sugar is low, so I don’t need to watch my diet.” |
B | “I should increase my fluid intake to 3 L a day.” |
C | “I will weigh myself daily and report any gain.” |
D | “With this disease process, it is okay to increase my sodium intake.” |
Question 12 |
A 17-year-old client with diabetes has a decreased level of consciousness, with a fingerstick glucose level of 45. Her family reports that she has been skipping meals in an effort to lose weight. Which nursing intervention is most appropriate?
A | Placing a Salem sump tube and providing tube feedings |
B | Administering a 500-ml bolus of normal saline solution |
C | Administering 1 mg of glucagon intramuscularly or subcutaneously |
D | Calling the physician for orders |
Question 13 |
A physician prescribes an oral antidiabetic medication and weekly glucose monitoring for a 42-year-old male client recently diagnosed with type 2 diabetes. The client is moderately overweight and has a poor diet and a stressful job. He asks how his diagnosis will affect his life. What is the best response by the nurse?
A | “The medication will help maintain a steady glucose level, but you need to cut back on snacking.” |
B | “Type 2 diabetes is common and easily treated. You don’t have to make changes.” |
C | “I’ll refer you to a diabetes nurse educator. She’ll help you develop a plan.” |
D | “You may want to change careers because your job is so stressful.” |
Question 14 |
A previously healthy 70-year-old male client has a serum glucose level of 1,200 mg/dl, a normal serum bicarbonate level, and urine free from acetone. The nurse should suspect which condition?
A | Diabetic ketoacidosis (DKA) |
B | Diabetes insipidus |
C | Hyperglycemic hyperosmolar state (HHS) |
D | Syndrome of inappropriate antidiuretic hormone (SIADH) |
Question 15 |
An unemployed client with no health insurance hasn’t filled his prescriptions for some time. According to his roommate, the client has been “getting sicker by the day.” Which problem suggests the client isn’t taking his prescribed levothyroxine (Synthroid)?
A | Diarrhea and vomiting |
B | Rapid heart rate |
C | Warm, dry, flushed skin |
D | Temperature of 94° F (34.4° C) |
Question 16 |
A nonpregnant client tells the nurse that two recent fasting blood glucose results were 132 mg/dl and 146 mg/dl. The nurse should expect which of the following actions to occur?
A | These are normal results; no further action is needed. |
B | These results indicate diabetes mellitus; further follow-up is needed. |
C | The fasting blood glucose tests should be repeated two more times. |
D | The client should be scheduled for an HbA1C test. |
Question 17 |
A client newly diagnosed with diabetic ketoacidosis has a serum glucose level of 485 mg/dl. After treatment, the serum glucose level drops to 185 mg/dl, and the cardiac monitor starts to show ventricular ectopic beats. Which factor is the most probable cause of the arrhythmia?
A | Decreased serum chloride level |
B | Decreased serum potassium level |
C | Elevated serum glucose level |
D | Elevated serum sodium level |
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