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Endocrine Module Review

32 Questions
Endocrine System Quizzes & Trivia

This quiz was created with the Endocrine study guide and the ATI Pharmacology book.

Questions and Answers
  • 1. 
    A client newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. A nurse prepares a discharge teaching plan regarding the insulin and plans to reinforce which of the following concepts?
    • A. 

      Always keep insulin vials refrigerated

    • B. 

      Systematically rotate site of injection

    • C. 

      Increase the amount of insulin before unusual exercise

  • 2. 
    The nurse knows that an adverse effect from the use of injectable regular insulin/Humulin, resulting from the repeated use of an injection site, which causes the development of fibrous fatty masses is know as:
    • A. 

      Atrophy

    • B. 

      Lipohypertrophy

    • C. 

      Hyperglycemia

    • D. 

      Lipoatrophy

  • 3. 
    When reviewing the medication history of a newly diagnosed client with diabetes mellitus, the nurse knows that before prescribing insulin glargine/Lantus, the Physcian should know if the patient is taking:
    • A. 

      Beta blockers

    • B. 

      Tylenol

    • C. 

      St. john's wort

    • D. 

      Vitamin C

  • 4. 
    Pramlintide (Symlin), lasts approximately 3 hours, and peaks in  ______ minutes.
    • A. 

      5

    • B. 

      20

    • C. 

      60

    • D. 

      90

  • 5. 
    The nurse instructs the patient taking pramlintide/Symlin to monitor for irritability, anxiety, confusion, and dizziness, as these are signs and symptoms of:
    • A. 

      Hyperglycemia

    • B. 

      Hyperkalemia

    • C. 

      Hypoglycemia

    • D. 

      Lipohypertrophy

  • 6. 
    Exenatide/Byetta can be used in conjunction with a(n) ___ ___________ agent, usually metformin or a sulfonylurea.
    • A. 

      Insulin

    • B. 

      Oral hypoglycemic

    • C. 

      Incretin mimetic

    • D. 

      Thyroid hormone

  • 7. 
    The nurse knows that to to help prevent hypoglycemia, the patient should be aware that exenatide/Byetta peaks in about ___ hours.
    • A. 

      1

    • B. 

      4

    • C. 

      3

    • D. 

      2

  • 8. 
    A patient taking glipizide/Glucotrol is showing s/s of  hypoglycemia.  You  take the patients vital signs, 98.6° F (37° C); heart rate, 120 and regular; respirations, 20; SpO2, 98% on room air; and BP, 110/60.  What action should you take next?
    • A. 

      Administer O2

    • B. 

      Check glucose level

    • C. 

      Check vitals signs again

    • D. 

      Notify the physician

  • 9. 
    When teaching a diabetic client prescribed glipizide/Glucotrol, the nurse knows they should advise the client to avoid _______, because it lowers blood sugar and may interfere with diabetes treatment.
    • A. 

      Grapefruit juice

    • B. 

      Sugar

    • C. 

      Alcohol

    • D. 

      Simple carbohydrates

  • 10. 
    You are teaching a client prescribed repaglinide/Prandin about their medication.  The client says they usually have a very busy schedule, and sometimes have to miss meal.  What should you instruct the client to do when taking repaglinide/Prandin if they skip a meal?
    • A. 

      Take the medication as prescribed.

    • B. 

      Do not take the medication if the meal is skipped.

    • C. 

      If they skip a meal, take an extra dose.

    • D. 

      Use a fast acting insulin when skipping meals.

  • 11. 
    A patient taking repaglinide/Prandin should limit what?
    • A. 

      Beta blockers

    • B. 

      Grapefruit juice

    • C. 

      Iron rich foods

    • D. 

      Calcium

  • 12. 
    A patient taking metformin/glucophage should be instructed to report symptoms such as myalgia, sluggishness, somnolence, and hyperventilation.  The nurse knows that these are s/s of?
    • A. 

      Lactic acidosis

    • B. 

      Hypoglycemia

    • C. 

      Diabetes mellitus

    • D. 

      Hyperglycemia

  • 13. 
    Due to the risk of acute renal failure, metformin/glucophage should be temporarily stopped in people undergoing procedures involving __________ _________, which causes temporary damage to the kidneys.
    • A. 

      Contrast dye

    • B. 

      Beta blockers

    • C. 

      Oral hypoglycemics

    • D. 

      Thyroid hormone

  • 14. 
    When caring for a patient taking rosiglitazone/Avandia, the nurse should assess and monitor for: (select all that apply)
    • A. 

      Weight loss

    • B. 

      Increased serum alanine aminotransferase (ALT)

    • C. 

      LDL and triglycerides elevations

    • D. 

      Weight gain

    • E. 

      Alcohol use

  • 15. 
    A patient taking acarbose/Precase should be sure to include what in their diet?
    • A. 

      Foods rich in vitamin C

    • B. 

      Grapefruit

    • C. 

      Foods rich in iron

    • D. 

      Food that is low in starch

  • 16. 
    An adverse reaction to acarbose/Precase is?
    • A. 

      Hypothyroidism

    • B. 

      Cardiac symptoms

    • C. 

      Rash

    • D. 

      Iron deficiency anemia

  • 17. 
    Because of the potential side effects of acarbose/Precase, it's important to monitor:
    • A. 

      CBC

    • B. 

      Thyroid

    • C. 

      Calcium levels

    • D. 

      Cardiac symptoms

  • 18. 
    When prescribing sitagliptin/Januvia to a patient with diabetes mellitus, the nurse knows to use caution with patients who have:
    • A. 

      Cardiac disorders

    • B. 

      Renal disease

    • C. 

      Diabetes

    • D. 

      Lactic acidosis

  • 19. 
    During patient teaching for client's taking sitagliptin/Januvia, the nurse should instruct the patient to report symptoms such as nasal and throat inflammation, as these may be signs of?
    • A. 

      Cardiac dysfunction

    • B. 

      Hyperglycemia

    • C. 

      Upper respiratory infection

    • D. 

      Hypoglycemia

  • 20. 
    Glucagon/Glucogen is used to treat?
    • A. 

      Severe hyperglycemia

    • B. 

      Severe hypoglycemia

    • C. 

      Diabetes mellitus

    • D. 

      Grave's Disease

  • 21. 
    Patient teaching for clients taking glucagon/Glucogen should include monitoring for the adverse effect of:
    • A. 

      Gi upset

    • B. 

      Cardiac symptoms

    • C. 

      Hypoglycemia

    • D. 

      Diabetes

  • 22. 
    The nurse should Inform clients taking levothyroxine/Synthroid that the treatment is considered to be _________, requiring ongoing medical assessment of thyroid function.
    • A. 

      Addictive

    • B. 

      Short term

    • C. 

      Lifelong

    • D. 

      Painful

  • 23. 
    Side/Adverse effects of propylthiouracil/PTU include:
    • A. 

      Sore throat

    • B. 

      Hypoglycemia

    • C. 

      Muscle pain

    • D. 

      Rash

    • E. 

      Tachycardia

    • F. 

      Bradycardia

  • 24. 
    A patient who has was recently prescribed propylthiouracil/PTU has returned for a follow-up exam.  The nurse knows to assess for _____________, which is NOT one of the expected side/adverse effects, and could be a sign of hyperthyroidism.
    • A. 

      Drowsiness

    • B. 

      Hypocalcemia

    • C. 

      Hyperglycemia

    • D. 

      Insomnia

  • 25. 
    In the patient taking propylthiouracil/PTU, the nurse knows to monitor for symptoms such as as drowsiness, depression, weight gain, edema, bradycardia, anorexia, cold intolerance and dry skin.  These symptoms could be a sign of:
    • A. 

      Inadequate medication resulting in hyperthyroidism

    • B. 

      Overmedication resulting in hypothyroidism

    • C. 

      Decreased T4 levels

    • D. 

      Bone marrow depression

  • 26. 
    One of the uses of radioactive iodine-131/ Iodotope is to treat:
    • A. 

      Graves Disease

    • B. 

      Diabetes Mellitus

    • C. 

      Hypoglycemia

    • D. 

      Agranulocytosis

  • 27. 
    What should the nurse include in patient teaching regarding radioactive iodine-131/ Iodotope?
    • A. 

      Monitor for s/s of hypothyroidism

    • B. 

      Report weight loss

    • C. 

      May not interact with other people at any time while taking this medication

    • D. 

      Decrease fluid intake

    • E. 

      Medication takes 2-3 months to reach full effect

  • 28. 
    A nurse is caring for a client who is prescribed somatropin (Genotropin) to stimulate growth. The nurse should plan to monitor the client’s laboratory values for which of the following?
    • A. 

      Anemia

    • B. 

      Hyperglycemia

    • C. 

      Decreased urine specific gravity

    • D. 

      Hypercalciuria (excessive calcium in urine)

    • E. 

      Increased urine amylase

  • 29. 
    The patient taking desmopressin/DDVAP should have urine output monitored because of the side/adverse effect of:
    • A. 

      Weight gain

    • B. 

      Fluid loss

    • C. 

      Fluid retention

    • D. 

      Cardiac arrest

  • 30. 
    The nurse should advise clients taking hydrocortisone/Hydrocortone to report symptoms like coffee-ground emesis, bloody or tarry stools, abdominal pain, which could be signs and symptoms of:
    • A. 

      Cardiac arrest

    • B. 

      Hypoglycemia

    • C. 

      Hyperthyroidism

    • D. 

      Peptic ulcer

  • 31. 
    The nurse should instruct patients taking fludrocortisone/Florinef to do which of the following to monitor for s/s of adverse reactions?
    • A. 

      Check weight daily

    • B. 

      Hypoglycemia

    • C. 

      Report muscle weakness

    • D. 

      GI upset

    • E. 

      Monitor HR

    • F. 

      Check BP

  • 32. 
    The side/adverse effects of fludrocortisone/Florinef are:
    • A. 

      Hypokalemia

    • B. 

      Hypotension

    • C. 

      Hypercalcemia

    • D. 

      Hypertension