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NCLEX Practice Test For Endocrine Disorders 2 (exam Mode) By Rnpedia.com

7 Questions
NCLEX practice test for endocrine disorders 2 (exam mode) by rnpedia.com

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Questions and Answers
  • 1. 
    Nurse Ronn is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s syndrome, the nurse would expect to find:
    • A. 

      Hypotension.

    • B. 

      Thick, coarse skin.

    • C. 

      Deposits of adipose tissue in the trunk and dorsocervical area.

    • D. 

      Weight gain in arms and legs.

  • 2. 
    A male client with primary diabetes insipidus is ready for discharge on desmopressin (DDAVP). Which instruction should nurse Lina provide?
    • A. 

      “Administer desmopressin while the suspension is cold.”

    • B. 

      “Your condition isn’t chronic, so you won’t need to wear a medical identification bracelet.”

    • C. 

      “You may not be able to use desmopressin nasally if you have nasal discharge or blockage.”

    • D. 

      “You won’t need to monitor your fluid intake and output after you start taking desmopressin.”

  • 3. 
    In a 29-year-old female client who is being successfully treated for Cushing’s syndrome, nurse Lyzette would expect a decline in:
    • A. 

      Serum glucose level.

    • B. 

      Hair loss.

    • C. 

      Bone mineralization.

    • D. 

      Menstrual flow.

  • 4. 
    A male client has recently undergone surgical removal of a pituitary tumor. Dr. Wong prescribes corticotropin (Acthar), 20 units I.M. q.i.d. as a replacement therapy. What is the mechanism of action of corticotropin?
    • A. 

      It decreases cyclic adenosine monophosphate (cAMP) production and affects the metabolic rate of target organs.

    • B. 

      It interacts with plasma membrane receptors to inhibit enzymatic actions.

    • C. 

      It interacts with plasma membrane receptors to produce enzymatic actions that affect protein, fat, and carbohydrate metabolism.

    • D. 

      It regulates the threshold for water resorption in the kidneys.

  • 5. 
    Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed with diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2 p.m., the client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin. Nurse Vince should expect the dose’s:
    • A. 

      Onset to be at 2 p.m. and its peak to be at 3 p.m.

    • B. 

      Onset to be at 2:15 p.m. and its peak to be at 3 p.m.

    • C. 

      Onset to be at 2:30 p.m. and its peak to be at 4 p.m.

    • D. 

      Onset to be at 4 p.m. and its peak to be at 6 p.m.

  • 6. 
    A female client with Cushing’s syndrome is admitted to the medical-surgical unit. During the admission assessment, nurse Tyzz notes that the client is agitated and irritable, has poor memory, reports loss of appetite, and appears disheveled. These findings are consistent with which problem?
    • A. 

      Depression

    • B. 

      Neuropathy

    • C. 

      Hypoglycemia

    • D. 

      Hyperthyroidism

  • 7. 
    Nurse Wayne is aware that a positive Chvostek’s sign indicate?
    • A. 

      Hypocalcemia

    • B. 

      Hyponatremia

    • C. 

      Hypokalemia

    • D. 

      Hypermagnesemia