NCLEX Pharmacology Quiz 33 Endocrine Medications

1. A nurse provide instructions to a client regarding the administration of the prednisone and instructs the client that the best time to take the medication is during?

Any time of the day.

Early morning.

Lunch.

Before bedtime.

Prednisone is a corticosteroid (glucocorticoids) is administered early in the morning because it helps in reducing adrenal insufficiency and simulate the burst of glucocorticoids released naturally by the adrenal glands each morning.

Explanation

Prednisone is a corticosteroid (glucocorticoids) is administered early in the morning because it helps in reducing adrenal insufficiency and simulate the burst of glucocorticoids released naturally by the adrenal glands each morning.

2. A nurse is giving instructions a patient who is taking levothyroxine (Synthroid). The nurse tells the client that the best time to take this medication is?

During bedtime.

After lunch.

Taken with food.

Taken on an empty stomach.

Levothyroxine is taken on an empty stomach usually before breakfast to enhance the absorption.

Explanation

Levothyroxine is taken on an empty stomach usually before breakfast to enhance the absorption.

3. Desmopressin acetate (DDAVP) is given to a patient with diabetes insipidus. Which of the following therapeutic response should you expect?

Decreased blood pressure.

Decreased attention span.

Decreased urinary output.

Decreased blood sugar.

The therapeutic response of this medication is decreased urine output because it promotes renal conservation of water.Options A. B. and D are unrelated effect to this medication.

Explanation

The therapeutic response of this medication is decreased urine output because it promotes renal conservation of water.Options A. B. and D are unrelated effect to this medication.

4. A nurse is performing an assessment on a newly admit patient who is taking propylthiouracil (PTU) daily. The nurse suspects that the client has a history of?

Addison’s disease.

Cushing’s syndrome.

Grave’s disease.

Myxedema.

Propylthiouracil inhibits the synthesis of thyroid hormone and is used to treat Grave’s disease or hypothyroidism.Options A and B are disorders related to adrenal function.Option D indicates hypothyroidism.

Explanation

Propylthiouracil inhibits the synthesis of thyroid hormone and is used to treat Grave’s disease or hypothyroidism.Options A and B are disorders related to adrenal function.Option D indicates hypothyroidism.

5. A client with diabetes insipidus is taking antidiuretic hormone. Which of the following symptoms would alert the need to decrease the dosage?

Alopecia.

Jaundice.

Diarrhea.

Drowsiness.

One of the side effects of taking antidiuretic hormone is water intoxication which is manifested by a headache. drowsiness. light-headedness. and shortness of breath. This could indicate the need to reduce the dosage.Options A. B. and C are not related signs to this medication.

Explanation

One of the side effects of taking antidiuretic hormone is water intoxication which is manifested by a headache. drowsiness. light-headedness. and shortness of breath. This could indicate the need to reduce the dosage.Options A. B. and C are not related signs to this medication.

6. Prednisone is prescribed for a client with diabetes mellitus who is using Humulin 70/30 daily. Which of the following prescription changes does the nurse expect during the therapy with the prednisone?

An addition of an oral hypoglycemic medication.

Increased dosage of prednisone.

Increased dosage of humulin 70/30.

Decreased dosage of humulin 70/30.

Prednisone a glucocorticoid increases blood glucose level hence people with diabetes needs to increase the dosage of their insulin.Options A. B. and D will not help the cause.

Explanation

Prednisone a glucocorticoid increases blood glucose level hence people with diabetes needs to increase the dosage of their insulin.Options A. B. and D will not help the cause.

7. A nurse is giving discharge instructions a patient who is taking levothyroxine (Synthroid). The nurse instruct the client to notify the physician if which of the following occurs?

Cold intolerance.

Tremors.

Coarse. dry hair.

Muscle cramps.

Excessive doses of levothyroxine can produce signs and symptoms of hyperthyroidism which includes heat tolerance. tremors. nervousness. tachycardia. chest pain. hyperthermia. and insomnia.Options A. C. and D are signs of hypothyroidism.

Explanation

Excessive doses of levothyroxine can produce signs and symptoms of hyperthyroidism which includes heat tolerance. tremors. nervousness. tachycardia. chest pain. hyperthermia. and insomnia.Options A. C. and D are signs of hypothyroidism.

8. Which of the following medications decreases their action while taking thyroid hormone?

Metformin.

Warfarin.

Zoloft.

Epinephrine.

Metformin. an oral hypoglycemic drug when taken with a thyroid hormone decreases their action.Options B (anticoagulant). Option C (antidepressant) and Option D (sympathomimetic) increases their action when taken with a thyroid hormone.

Explanation

Metformin. an oral hypoglycemic drug when taken with a thyroid hormone decreases their action.Options B (anticoagulant). Option C (antidepressant) and Option D (sympathomimetic) increases their action when taken with a thyroid hormone.

9. Somatropin (Humatrope) is being given to a female patient with turner syndrome. Which of the following findings is associated with this medication?

Decreases ALT and AST level.

Mild hyperglycemia.

Hypotension.

Water intoxication.

Somatropin (Humatrope) is a growth hormone. Excess growth hormone causes insulin resistance and hyperglycemia.Option A: Elevated AST and ALT is expected.Option C: Hypertension. not hypotension is a side effect.Option D is not related symptom to this medication.

Explanation

Somatropin (Humatrope) is a growth hormone. Excess growth hormone causes insulin resistance and hyperglycemia.Option A: Elevated AST and ALT is expected.Option C: Hypertension. not hypotension is a side effect.Option D is not related symptom to this medication.

10. A nurse is instructing a client regarding intranasal Vasopressin (Pitressin). The nurse tells the client that which of the following is a side effect specific to the medication?

Runny nose.

Headache.

Flushing.

Nausea.

Vasopressin administered via intranasal route causes nasal congestion/Runny nose.Options B. C. and D are the side effects of the medication administered intravenously.

Explanation

Vasopressin administered via intranasal route causes nasal congestion/Runny nose.Options B. C. and D are the side effects of the medication administered intravenously.