Endocrine Module Review
This quiz was created with the Endocrine study guide and the ATI Pharmacology book.
- 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
Correct Answer
B. Systematically rotate site of injectionExplanation
Instruct clients to systematically rotate injection sites and to allow 1 inch between injection sites.Rate this question:
-
- 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
Correct Answer
B. Lipohypertrophy -
- 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
Correct Answer
A. Beta blockersExplanation
Sulfonylureas, meglitinides, beta blockers, and alcohol have additive hypoglycemic effects with
concurrent use.Rate this question:
-
- 4.
Pramlintide (Symlin), lasts approximately 3 hours, and peaks in ______ minutes.
- A.
5
- B.
20
- C.
60
- D.
90
Correct Answer
B. 20 -
- 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
Correct Answer
C. Hypoglycemia -
- 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
Correct Answer
B. Oral hypoglycemic -
- 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
Correct Answer
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
Correct Answer
B. Check glucose level -
- 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
Correct Answer
C. Alcohol -
- 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.
Correct Answer
B. Do not take the medication if the meal is skipped. -
- 11.
A patient taking repaglinide/Prandin should limit what?
- A.
Beta blockers
- B.
Grapefruit juice
- C.
Iron rich foods
- D.
Calcium
Correct Answer
B. Grapefruit juice -
- 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
Correct Answer
A. Lactic acidosis -
- 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
Correct Answer
A. Contrast dye -
- 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
Correct Answer(s)
B. Increased serum alanine aminotransferase (ALT)
C. LDL and triglycerides elevations
D. Weight gain -
- 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
Correct Answer
C. Foods rich in iron -
- 16.
An adverse reaction to acarbose/Precase is?
- A.
Hypothyroidism
- B.
Cardiac symptoms
- C.
Rash
- D.
Iron deficiency anemia
Correct Answer
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
Correct Answer
A. CBC -
- 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
Correct Answer
B. Renal disease -
- 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
Correct Answer
C. Upper respiratory infection -
- 20.
Glucagon/Glucogen is used to treat?
- A.
Severe hyperglycemia
- B.
Severe hypoglycemia
- C.
Diabetes mellitus
- D.
Grave's Disease
Correct Answer
B. Severe hypoglycemia -
- 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
Correct Answer
A. Gi upset -
- 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
Correct Answer
C. Lifelong -
- 23.
Side/Adverse effects of propylthiouracil/PTU include:
- A.
Sore throat
- B.
Hypoglycemia
- C.
Muscle pain
- D.
Rash
- E.
Tachycardia
- F.
Bradycardia
Correct Answer(s)
A. Sore throat
C. Muscle pain
D. Rash
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
Correct Answer
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
Correct Answer
B. Overmedication resulting in hypothyroidism -
- 26.
One of the uses of radioactive iodine-131/ Iodotope is to treat:
- A.
Graves Disease
- B.
Diabetes Mellitus
- C.
Hypoglycemia
- D.
Agranulocytosis
Correct Answer
A. Graves Disease -
- 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
Correct Answer(s)
A. Monitor for s/s of hypothyroidism
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
Correct Answer(s)
B. Hyperglycemia
D. Hypercalciuria (excessive calcium in urine) -
- 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
Correct Answer
C. Fluid retention -
- 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
Correct Answer
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
Correct Answer(s)
A. Check weight daily
C. Report muscle weakness
F. Check BP -
- 32.
The side/adverse effects of fludrocortisone/Florinef are:
- A.
Hypokalemia
- B.
Hypotension
- C.
Hypercalcemia
- D.
Hypertension
Correct Answer(s)
A. Hypokalemia
D. Hypertension -
Quiz Review Timeline +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
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Current Version
-
Feb 27, 2013Quiz Edited by
ProProfs Editorial Team -
Sep 22, 2012Quiz Created by
Lab8787
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