MSN Endocrine Quiz 2

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| By Catherine Halcomb

Catherine Halcomb

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Quizzes Created: 1443 | Total Attempts: 6,686,485

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1/15 Questions

A female client is being treated with radioactive iodine (RAI) therapy for an enlarged thyroid gland. The client asks if there are any precautions that are needed during RAI therapy. Which is the nurse’s best response?
- “No precautions are necessary. You receive radiation in the form of a capsule that will target and destroy the thyroid tissue only.”
- “Though a pregnancy test has confirmed that you are not pregnant, use contraceptives or abstain from sexual intercourse to avoid conceiving during treatment.”
- “Because maximum effects may not be seen for 6 months, you will need to continue taking the antithyroid medication and propranolol until the effects of radiation become apparent.”
- “Although RAI is usually effective, a few individuals will need life-long thyroid hormone replacement due to posttreatment hypothyroidism.”

2.

A nurse is teaching a client experiencing hypoparathyroidism resulting from a lack of parathyroid hormone (PTH) about foods to consume. Which should be included on a list of appropriate foods for a client experiencing hypoparathyroidism?
- Dark green vegetables, soybeans, and tofu
- Spinach, strawberries, and yogurt
- Whole grain bread, milk, and liver
- Rhubarb, yellow vegetables, and fish
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3.

A nurse’s assessment of a client diagnosed with Cushing’s syndrome includes the following findings: 4+ pitting leg edema, blood glucose 140 mg/dL, irregular heart rate, and ecchymosis on the right arm. Which action should be taken by the nurse first?
- Weigh the client.
- Administer insulin.
- Notify the physician.
- Measure the client’s abdominal girth.
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4.

Which medication should a nurse plan to administer to a client admitted in Addisonian crisis?
- Regular insulin
- Ketoconazole (Nizoral®)
- Sodium nitroprusside (Nipride®)
- Hydrocortisone (Solu-Cortef®)
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5.

A nurse is caring for a client who is hospitalized with adrenocortical insufficiency. The nurse reviews the client’s serum laboratory values and immediately notifies the physician. Which serum laboratory value most likely prompted the nurse to notify the physician?
- WBC 11.0 K/μL
- Glucose 138 mg/dL
- Sodium 148 mEq/L
- Potassium 6.2 mEq/L
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6.

Which clinical change should indicate to a nurse that the therapy for a client with Addisonian crisis is effective?
- An increase of 25 mm Hg in the client’s systolic blood pressure
- A decrease of 25 mm Hg in the client’s systolic blood pressure
- An increase in the client’s serum potassium level from 3.4 to 4.8 mEq/dL
- An increase in the client’s total serum calcium level from 8.6 to 10.0 mg/dL
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7.

What should be a nurse’s priority when admitting a client with suspected hyperaldosteronism?
- Preparing the client for a computed tomography (CT) scan
- Administering medications to treat headache
- Obtaining an electrocardiogram (ECG) to assess for cardiac dysrhythmias
- Protecting the client from falls due to muscle weakness
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8.

A nurse is preparing to discharge a client following a unilateral adrenalectomy to treat hyperaldosteronism caused by an adenoma. Which instruction should be included in this client’s discharge teaching?
- Avoid foods high in potassium.
- Self-monitor the blood pressure.
- Discontinue medications taken prior to the adrenalectomy.
- Carry an emergency kit that includes epinephrine.
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9.

A nurse is caring for a client who is experiencing symptoms associated with pheochromocytoma. Which intervention should be included in the care of this client?
- Offer distractions such as television or music.
- Encourage frequent intake of oral fluids.
- Assist with ambulation at least three times a day.
- Administer nicardipine (Cardene®) to control hypertension.
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10.

A nurse understands that to modify the risk for early cardiovascular disease in children diagnosed with type 1 diabetes mellitus a child should:
- Exercise at least 30 minutes every day.
- Eat a diet that is low in fat and high in protein.
- Maintain optimal management of blood sugar levels.
- Have a cardiac workup at each visit for the diabetes.
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11.

A 9-year-old child with a history of type 1 diabetes mellitus for the past 6 years is admitted with a diagnosis of diabetic ketoacidosis (DKA). In preparing for the child’s arrival to the nursing unit, the nurse should prepare to:
- Add sodium bicarbonate to the current IV fluids.
- Add potassium chloride to the current IV fluids.
- Use either 0.9% or 0.45% saline for the base IV fluid.
- Administer insulin by subcutaneous injection.
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12.

A pediatric nurse is administering metformin (Glucophage®) to a child at risk for developing type 2 diabetes mellitus. The nurse understands that an important use of metformin in children is to:
- Delay the development of type 2 diabetes mellitus in high-risk children.
- Restore fertility in adolescent females.
- Reduce blood sugars in children who have type 1 diabetes mellitus.
- Restore renal function in children who have type 1 diabetes mellitus.
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13.

The parents of a 7-year-old child diagnosed with type 1 diabetes mellitus are planning to drive 1,200 miles for a vacation at the beach. They question the nurse about insulin storage for the trip. Which response by the nurse is most accurate?
- “Because insulin must be refrigerated, you will need to obtain the medication from a pharmacy at your destination.”
- “Freeze the insulin before you leave home and take it in a cooler; it should be thawed by the time you get to the beach.”
- Keep the insulin in a cooler with an ice pack and out of direct heat and sunlight for the trip. Store unopened insulin in the refrigerator at your destination.”
- “Because it is illegal to transport needles and syringes across most state lines, you will need to obtain a prescription from your doctor and purchase the insulin and the syringes at your destination.”
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14.

A nurse explains to a parent who has a child with type 1 diabetes mellitus that the most important reason for counting the child’s grams of carbohydrate intake is to:
- Lower blood glucose levels.
- Supply energy for growth and development.
- Provide consistent glucose to prevent hypoglycemia.
- Attain metabolic control of glucose and lipid levels.
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15.

An adolescent client is taught how to use a continuous subcutaneous insulin infusion pump for tight glucose control of type 1 diabetes mellitus. Which statement by the client indicates the need for additional teaching?
- “I can put in the number of carbohydrates that I consume, and the insulin pump will calculate the bolus insulin dose that I will receive.”
- “I must still check my blood glucose levels with meals and snacks and calculate the amount of carbohydrates I consume to ensure I get the correct bolus dose of insulin.”
- “As my blood glucose control improves with the use of the insulin pump, I should see a drop in the weight that I have gained.”
- “Every 2 to 4 days, I will need to change the syringe, catheter, and site moving the site away at least 1 inch from the last site.”
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Apr 08, 2025

Quiz Edited by
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Apr 08, 2025

Quiz Created by
Catherine Halcomb

MSN Endocrine Quiz 2

A female client is being treated with radioactive iodine (RAI) therapy for an enlarged thyroid gland. The client asks if there are any precautions that are needed during RAI therapy. Which is the nurse’s best response?

Quiz Preview

A nurse is teaching a client experiencing hypoparathyroidism resulting from a lack of parathyroid hormone (PTH) about foods to consume. Which should be included on a list of appropriate foods for a client experiencing hypoparathyroidism?

A nurse’s assessment of a client diagnosed with Cushing’s syndrome includes the following findings: 4+ pitting leg edema, blood glucose 140 mg/dL, irregular heart rate, and ecchymosis on the right arm. Which action should be taken by the nurse first?

Which medication should a nurse plan to administer to a client admitted in Addisonian crisis?

A nurse is caring for a client who is hospitalized with adrenocortical insufficiency. The nurse reviews the client’s serum laboratory values and immediately notifies the physician. Which serum laboratory value most likely prompted the nurse to notify the physician?

Which clinical change should indicate to a nurse that the therapy for a client with Addisonian crisis is effective?

What should be a nurse’s priority when admitting a client with suspected hyperaldosteronism?

A nurse is preparing to discharge a client following a unilateral adrenalectomy to treat hyperaldosteronism caused by an adenoma. Which instruction should be included in this client’s discharge teaching?

A nurse is caring for a client who is experiencing symptoms associated with pheochromocytoma. Which intervention should be included in the care of this client?

A nurse understands that to modify the risk for early cardiovascular disease in children diagnosed with type 1 diabetes mellitus a child should:

A 9-year-old child with a history of type 1 diabetes mellitus for the past 6 years is admitted with a diagnosis of diabetic ketoacidosis (DKA). In preparing for the child’s arrival to the nursing unit, the nurse should prepare to:

A pediatric nurse is administering metformin (Glucophage®) to a child at risk for developing type 2 diabetes mellitus. The nurse understands that an important use of metformin in children is to:

The parents of a 7-year-old child diagnosed with type 1 diabetes mellitus are planning to drive 1,200 miles for a vacation at the beach. They question the nurse about insulin storage for the trip. Which response by the nurse is most accurate?

A nurse explains to a parent who has a child with type 1 diabetes mellitus that the most important reason for counting the child’s grams of carbohydrate intake is to:

An adolescent client is taught how to use a continuous subcutaneous insulin infusion pump for tight glucose control of type 1 diabetes mellitus. Which statement by the client indicates the need for additional teaching?