Endocrine Problems (Exam Mode) By Rnpedia.Com

6 Questions | Total Attempts: 3944

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Endocrine Problems (Exam Mode) By Rnpedia.Com

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Questions and Answers
  • 1. 
    A patient is admitted to the medical unit with possible Graves’ disease (hyperthyroidism). Which assessment finding supports this diagnosis?  
    • A. 

      Periorbital edema

    • B. 

      Bradycardia

    • C. 

      Exophthalmos

    • D. 

      Hoarse voice

  • 2. 
    Which change in vital signs would you instruct a nursing assistant to report immediately for a patient with hyperthyroidism?  
    • A. 

      Increased and rapid heart rate

    • B. 

      Decrease systolic blood pressure

    • C. 

      Increased respiratory rate

    • D. 

      Decreased oral temperature

  • 3. 
    For the patient with hyperthyroidism, what intervention should you delegate to the experienced certified nursing assistant?  
    • A. 

      Instruct the patient to report palpitations, dyspnea, vertigo, pr chest pain.

    • B. 

      Check the apical pulse, blood pressure, and temperature every 4 hours.

    • C. 

      Draw blood for thyroid-stimulating hormone, T3, and T4 levels.

    • D. 

      Explain the side effects of propylthiouracil (PTU) to the patient.

  • 4. 
     As the shift begins, you are assigned these patients. Which patient should you assess first?  
    • A. 

      A 38-year-old patient with Graves’ disease and a heart rate of 94/minute

    • B. 

      A 63-year-old patient with type 2 diabetes and fingerstick glucose of 137 mg/dL

    • C. 

      A 58-year-old patient with hypothyroidism and heart rate of 48/minute

    • D. 

      A 49-year-old patient with Cushing’s disease and +1 dependent edema

  • 5. 
    A patient is hospitalized with adrenocortical insufficiency. Which nursing activity should you delegate to the nursing assistant?  
    • A. 

      Remind patient to change positions slowly.

    • B. 

      Check the patient for muscle weakness

    • C. 

      Teach the patient how to collect 24-hour urine

    • D. 

      Plan nursing interventions to promote fluid balance

  • 6. 
    You assess a patient with Cushing’s disease. For which finding will you notify the physician immediately?  
    • A. 

      Purple striae present on abdomen and thighs

    • B. 

      Weight gain of 1 pound since the previous day

    • C. 

      +1 dependent edema in ankles and calves

    • D. 

      Crackles bilaterally in lower lobes of lungs