Endocrine And Metabolic Disorders (Part 2)

102 Questions | Total Attempts: 696

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Endocrine And Metabolic Disorders (Part 2) - Quiz

Endocrine and metabolic diseases span a vast range of conditions. Together, they affect many millions of Americans and can profoundly decrease the quality of life. The disorders can result in hormone overproduction or underproduction. At the end of studying part two, take the quiz below to test what you have understood so far. All the best!


Questions and Answers
  • 1. 
    A client who was diagnosed with type 1 diabetes14 years ago is admitted to the medical-surgical unit with abdominal pain. On admission, the client's blood glucose level is 470 mg/dl. Which finding is most likely to accompany this blood glucose level?
    • A. 

      Cool, moist skin

    • B. 

      Rapid, thready pulse

    • C. 

      Arm and leg trembling

    • D. 

      Slow, shallow respirations

  • 2. 
    A nurse should expect to administer which medication to a client with gout?
    • A. 

      Aspirin

    • B. 

      Furosemide (Lasix)

    • C. 

      Colchicine

    • D. 

      Calcium gluconate (Kalcinate)

  • 3. 
    A nurse administered neutral protamine Hagedorn (NPH) insulin to a client with diabetes mellitusat 7 a.m. At what time should the nurse expect the client to be most at risk forhypoglycemia?
    • A. 

      10 a.m.

    • B. 

      Noon

    • C. 

      4 p.m.

    • D. 

      10 p.m.

  • 4. 
    A client with long-standing type 1 diabetesis admitted to the hospital with unstableangina pectoris. After the client's condition stabilizes, the nurse evaluates the diabetes management regimen. The nurse learns that the client sees the physician every 4 weeks, injects insulin after breakfast and dinner, and measures blood glucose before breakfast and at bedtime. Consequently, the nurse should formulate a nursing diagnosis of:
    • A. 

      Impaired adjustment.

    • B. 

      Defensive coping.

    • C. 

      Deficient knowledge (treatment regimen).

    • D. 

      Health-seeking behaviors (diabetes control).

  • 5. 
    A nurse is teaching a client with diabetes mellitusabout self-management of his condition. The nurse should instruct the client to administer 1 unit of insulin for every:
    • A. 

      10 g of carbohydrates.

    • B. 

      15 g of carbohydrates.

    • C. 

      20 g of carbohydrates.

    • D. 

      25 g of carbohydrates.

  • 6. 
    When caring for a client with diabetes insipidus, the nurse expects to administer:
    • A. 

      Vasopressin (Pitressin).

    • B. 

      Furosemide (Lasix).

    • C. 

      Regular insulin.

    • D. 

      10% dextrose.

  • 7. 
    A client with type 1 diabeteshas been on a regimen of multiple daily injection therapy. He's being converted to continuous subcutaneous insulin therapy. While teaching the client about continuous subcutaneous insulin therapy, the nurse should tell him that the regimen includes the use of:
    • A. 

      Intermediate- and long-acting insulins.

    • B. 

      Short- and long-acting insulins.

    • C. 

      Short-acting insulin only.

    • D. 

      Short- and intermediate-acting insulins.

  • 8. 
    A client with type 1 diabetesmust undergo bowel resection in the morning. How should the nurse proceed while caring for him on the morning of surgery?
    • A. 

      Administer half of the client's typical morning insulin dose as ordered.

    • B. 

      Administer an oral antidiabetic agent as ordered.

    • C. 

      Administer an I.V. insulin infusion as ordered.

    • D. 

      Administer the client's normal daily dose of insulin as ordered.

  • 9. 
    Which condition should a nurse expect to find in a client diagnosed with hyperparathyroidism?
    • A. 

      Hypocalcemia

    • B. 

      Hypercalcemia

    • C. 

      Hyperphosphatemia

    • D. 

      Hypophosphaturia

  • 10. 
    A client with type 1 diabetesis scheduled to receive 30 units of 70/30 insulin. There is no 70/30 insulin available. As a substitution, the nurse may give the client:
    • A. 

      9 units regular insulin and 21 units neutral protamine Hagedorn (NPH).

    • B. 

      21 units regular insulin and 9 units NPH.

    • C. 

      10 units regular insulin and 20 units NPH.

    • D. 

      20 units regular insulin and 10 units NPH.

  • 11. 
    After a 3-month trial of dietary therapy, a client with type 2 diabetesstill has blood glucose levels above 180 mg/dl. The physician adds glyburide (DiaBeta), 2.5 mg P.O. daily, to the treatment regimen. The nurse should instruct the client to take the glyburide:
    • A. 

      30 minutes before breakfast.

    • B. 

      In mid-morning.

    • C. 

      30 minutes after dinner.

    • D. 

      At bedtime.

  • 12. 
    A nurse has just been trained in how to use and care for a new blood glucose monitor. Which nursing intervention demonstrates proper use of a blood glucose monitor?
    • A. 

      Ungloving the hands when removing the test strip

    • B. 

      Smearing the drop of blood onto the reagent pad

    • C. 

      Calibrating the machine after installing a new battery

    • D. 

      Starting the timer on the machine while gathering supplies

  • 13. 
    During preoperative teaching for a client who will undergo subtotal thyroidectomy, the nurse should include which statement?
    • A. 

      "The head of your bed must remain flat for 24 hours after surgery."

    • B. 

      "You should avoid deep breathing and coughing after surgery."

    • C. 

      "You won't be able to swallow for the first day or two."

    • D. 

      "You must avoid hyperextending your neck after surgery."

  • 14. 
    A nurse is preparing the daily care plan for a client with newly diagnosed diabetes mellitus. The priority nursing concern for this client should be:
    • A. 

      Monitoring blood glucose every 4 hours and as needed.

    • B. 

      Checking for the presence of ketones with each void.

    • C. 

      Providing client education at every opportunity.

    • D. 

      Administering insulin routinely and as needed via a sliding scale.

  • 15. 
    A nurse is assessing a client with hyperthyroidism. What findings should the nurse expect?
    • A. 

      Weight gain, constipation, and lethargy

    • B. 

      Weight loss, nervousness, and tachycardia

    • C. 

      Exophthalmos, diarrhea, and cold intolerance

    • D. 

      Diaphoresis, fever, and decreased sweating

  • 16. 
    A physician orders acarbose (Precose), an alpha-glucosidase inhibitor, for a client with type 2 diabetes. Which statement by the client indicates a need for additional teaching?
    • A. 

      "If I have hypoglycemia, I should eat some sugar, not dextrose."

    • B. 

      "The drug makes my pancreas release more insulin."

    • C. 

      "I can take insulin while I'm taking this drug."

    • D. 

      "It's best if I take the drug with the first bite of a meal."

  • 17. 
    A client with hypothyroidismis afraid of needles and doesn't want to have his blood drawn. What should the nurse say to help alleviate his concerns?
    • A. 

      "When your thyroid levels are stable, we won't have to draw your blood as often."

    • B. 

      "It's only a little stick. It'll be over before you know it."

    • C. 

      "The physician has ordered this test so you can get better sooner."

    • D. 

      "I'll stay here with you while the technician draws your blood."

  • 18. 
    A nurse is caring for a client in acute addisonian crisis. Which test result does the nurse expect to see?
    • A. 

      Serum potassium level of 6.8 mEq/L

    • B. 

      Blood urea nitrogen (BUN) level of 2.3 mg/dl

    • C. 

      Serum sodium level of 156 mEq/L

    • D. 

      Serum glucose level of 236 mg/dl

  • 19. 
    A nurse expects to find which signs and symptoms in a client experiencing hypoglycemia?
    • A. 

      Polyuria, headache, and fatigue

    • B. 

      Polyphagia and flushed, dry skin

    • C. 

      Polydipsia, pallor, and irritability

    • D. 

      Nervousness, diaphoresis, and confusion

  • 20. 
    A client is diagnosed with syndrome of inappropriate antidiuretic hormone(SIADH). Laboratory results reveal serum sodium level 130 mEq/L and urine specific gravity 1.030. Which nursing intervention helps prevent complications associated with SIADH?
    • A. 

      Restricting fluids to 800 ml/day

    • B. 

      Administering vasopressin as ordered

    • C. 

      Elevating the head of the client's bed to 90 degrees

    • D. 

      Restricting sodium intake to 1 gm/day

  • 21. 
    A nurse is preparing a client with type 1 diabetesfor discharge. The client can care for himself; however, he's had a problem with unstable blood glucose levels in the past. Based on the client's history, he should be referred to which health care worker?
    • A. 

      Home health nurse

    • B. 

      Dietitian

    • C. 

      Psychiatrist

    • D. 

      Social worker

  • 22. 
    A nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should:
    • A. 

      Use commercial preparations to remove corns.

    • B. 

      Cut the toenails by rounding edges.

    • C. 

      Wash and inspect the feet daily.

    • D. 

      Walk barefoot at least once each day.

  • 23. 
    A 35-year-old female client who complains of weight gain, facial hair, absent menstruation, frequent bruising, and acne is diagnosed with Cushing's syndrome. Cushing's syndrome is most likely caused by:
    • A. 

      An ectopic corticotropin-secreting tumor.

    • B. 

      Adrenal carcinoma.

    • C. 

      A corticotropin-secreting pituitary adenoma.

    • D. 

      An inborn error of metabolism.

  • 24. 
    A client is diagnosed with diabetes mellitus. Which assessment finding best supports a nursing diagnosis ofIneffective coping related to diabetes mellitus?
    • A. 

      Recent weight gain of 20 lb (9.1 kg)

    • B. 

      Failure to monitor blood glucose levels

    • C. 

      Skipping insulin doses during illness

    • D. 

      Crying whenever diabetes is mentioned

  • 25. 
    A physician orders an isotonic I.V. solution for a client. Which solution should the nurse plan to administer?
    • A. 

      5% dextrose and normal saline solution

    • B. 

      Lactated Ringer's solution

    • C. 

      Half-normal saline solution

    • D. 

      10% dextrose in water

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