Endocrine System Disorders | NCLEX Quiz 94

10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 1048

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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed with diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2 p.m.. the client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin. Nurse Vince should expect the dose’s:
- A.
  
  Onset to be at 2 p.m. and its peak to be at 3 p.m.
- B.
  
  Onset to be at 2:15 p.m. and its peak to be at 3 p.m.
- C.
  
  Onset to be at 2:30 p.m. and its peak to be at 4 p.m.
- D.
  
  Onset to be at 4 p.m. and its peak to be at 6 p.m.
2.

A female client with Cushing’s syndrome is admitted to the medical-surgical unit. During the admission assessment. nurse Tyzz notes that the client is agitated and irritable. has poor memory. reports loss of appetite. and appears disheveled. These findings are consistent with which problem?
- A.
  
  Depression
- B.
  
  Neuropathy
- C.
  
  Hypoglycemia
- D.
  
  Hyperthyroidism
3.

Nurse Ruth is assessing a client after a thyroidectomy. The assessment reveals muscle twitching and tingling. along with numbness in the fingers. toes. and mouth area. The nurse should suspect which complication?
- A.
  
  Tetany
- B.
  
  Hemorrhage
- C.
  
  Thyroid storm
- D.
  
  Laryngeal nerve damage
4.

After undergoing a subtotal thyroidectomy. a female client develops hypothyroidism. Dr. Smith prescribes levothyroxine (Levothroid). 25 mcg P.O. daily. For which condition is levothyroxine the preferred agent?
- A.
  
  Primary hypothyroidism
- B.
  
  Graves’ disease
- C.
  
  Thyrotoxicosis
- D.
  
  Euthyroidism
5.

Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications?
- A.
  
  Tetanic contractions
- B.
  
  Neck vein distention
- C.
  
  Weight loss
- D.
  
  Polyuria
6.

A female client with a history of pheochromocytoma is admitted to the hospital in an acute hypertensive crisis. To reverse hypertensive crisis caused by pheochromocytoma. nurse Lyka expects to administer:
- A.
  
  Phentolamine (Regitine).
- B.
  
  Methyldopa (Aldomet).
- C.
  
  Mannitol (Osmitrol).
- D.
  
  Felodipine (Plendil).
7.

A male client with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client’s hypertension is caused by excessive hormone secretion from which of the following glands?
- A.
  
  Adrenal cortex
- B.
  
  Pancreas
- C.
  
  Adrenal medulla
- D.
  
  Parathyroid
8.

Nurse Troy is aware that the most appropriate for a client with Addison’s disease?
- A.
  
  Risk for infection
- B.
  
  Excessive fluid volume
- C.
  
  Urinary retention
- D.
  
  Hypothermia
9.

Acarbose (Precose). an alpha-glucosidase inhibitor. is prescribed for a female client with type 2 diabetes mellitus. During discharge planning. nurse Pauleen would be aware of the client’s need for additional teaching when the client states:
- A.
  
  “If I have hypoglycemia. I should eat some sugar. not dextrose.”
- B.
  
  “The drug makes my pancreas release more insulin.”
- C.
  
  “I should never take insulin while I’m taking this drug.”
- D.
  
  “It’s best if I take the drug with the first bite of a meal.”
10.

A female client whose physical findings suggest a hyperpituitary condition undergoes an extensive diagnostic workup. Test results reveal a pituitary tumor. which necessitates a transsphenoidal hypophysectomy. The evening before the surgery. nurse Jacob reviews preoperative and postoperative instructions given to the client earlier. Which postoperative instruction should the nurse emphasize?
- A.
  
  “You must lie flat for 24 hours after surgery.”
- B.
  
  “You must avoid coughing. sneezing. and blowing your nose.”
- C.
  
  “You must restrict your fluid intake.”
- D.
  
  “You must report ringing in your ears immediately.”