Question 1

Which test will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control?

Accepted Answer

A)  Fasting blood sugar (FBS) 
B)  Glycosylated hemoglobin (HgbA1c) 
C)  Oral glucose tolerance test (OGTT) 
D)  Clinitest 
A)  Fasting blood sugar (FBS) 
B)  Glycosylated hemoglobin (HgbA1c) 
C)  Oral glucose tolerance test (OGTT) 
D)  Clinitest A

Question 2

The nurse discovers the type 1 diabetic (IDDM)patient drowsy and tremulous,the skin is cool and moist,and the respirations are 32 and shallow.These are signs of:

Accepted Answer

A)  hypoglycemic reaction;give 6 oz of orange juice. 
B)  hyperglycemic reaction;give ordered regular insulin. 
C)  hyperglycemic hyperosmolar nonketotic reaction;squeeze glucagon gel in buccal cavity. 
D)  hypoglycemic reaction;give ordered insulin. 
A)  hypoglycemic reaction;give 6 oz of orange juice. 
B)  hyperglycemic reaction;give ordered regular insulin. 
C)  hyperglycemic hyperosmolar nonketotic reaction;squeeze glucagon gel in buccal cavity. 
D)  hypoglycemic reaction;give ordered insulin. A

Question 3

Arrange the steps of the negative feedback system in the control of blood glucose in chronologic order.(Separate letters by a comma and space as follows: A,B,C,D):
A) Elevation of blood glucose
B) Decrease in blood glucose
C) Beta cells repressed
D) Beta cells of pancreas stimulated to excrete insulin
E) Intake of nutrients

Accepted Answer

E,A,D,B,C
After the intake of food the blood glucose increases,which stimulates the beta cells of the pancreas to excrete insulin.Insulin decreases the blood glucose and the negative feedback system represses the beta cells of the pancreas.

Question 4

When the nurse inflates the sphygmomanometer cuff exceeding the systolic blood pressure and observes a carpal spasm,this is a(n)__________ ____________.

Accepted Answer

Trousseau sign
Trousseau sign

Question 5

As the nurse is shaving a patient who is 2 days postoperative from a thyroidectomy,the patient has a spasm of the facial muscles.What should the nurse recognize this as?

Accepted Answer

A)  Chvostek sign 
B)  Montgomery sign 
C)  Trousseau sign 
D)  Homans sign 
A)  Chvostek sign 
B)  Montgomery sign 
C)  Trousseau sign 
D)  Homans sign

Question 6

What information should be obtained from the patient before an iodine-131 test?

Accepted Answer

A)  Presence of metal in the body 
B)  Allergy to sulfa drugs 
C)  Status of possible pregnancy 
D)  Use of prescription drugs for hypertension 
A)  Presence of metal in the body 
B)  Allergy to sulfa drugs 
C)  Status of possible pregnancy 
D)  Use of prescription drugs for hypertension

Question 7

The nurse is administering long-acting insulin once a day,which provides insulin coverage for 24 hours.This insulin is _________________.

Accepted Answer

Lantus
Lantus is a long-acting

Question 8

Which precaution(s)should the nurse take when caring for a patient who is being treated with radioactive iodine 131 (RAIU)?

Accepted Answer

A)  Initiate radioactive safety precautions 
B)  Avoid assigning any young woman to the patient 
C)  Wait three days after dose before assigning a pregnant nurse to care for this patient 
D)  Advise visitors to sit at least 10 feet away from the patient 
A)  Initiate radioactive safety precautions 
B)  Avoid assigning any young woman to the patient 
C)  Wait three days after dose before assigning a pregnant nurse to care for this patient 
D)  Advise visitors to sit at least 10 feet away from the patient

Question 9

The physician orders an 1800-calorie diabetic diet and 40 units of (Humulin N)insulin U-100 subcutaneously daily for a patient with diabetes mellitus.Why would a mid-afternoon snack of milk and crackers be given?

Accepted Answer

A)  To improve nutrition 
B)  To improve carbohydrate metabolism 
C)  To prevent an insulin reaction 
D)  To prevent diabetic coma 
A)  To improve nutrition 
B)  To improve carbohydrate metabolism 
C)  To prevent an insulin reaction 
D)  To prevent diabetic coma

Question 10

Which of the following are signs and symptoms of hypoglycemia? (Select all that apply. )

Accepted Answer

A)  Irritability 
B)  Dry mouth 
C)  Tremors 
D)  Diaphoresis 
E)  Fruity breath
F) Deep respirations 
A)  Irritability 
B)  Dry mouth 
C)  Tremors 
D)  Diaphoresis 
E)  Fruity breath
F) Deep respirations

Question 11

The nurse would instruct a patient with hyperthyroidism (Graves disease)to select which of the following nutritious foods because of the increased metabolism related to the disease.(Select all that apply. )

Accepted Answer

A)  Coffee with cream 
B)  Lean meat 
C)  White bread 
D)  Leafy green vegetables 
E)  Supplemental vitamin D 
A)  Coffee with cream 
B)  Lean meat 
C)  White bread 
D)  Leafy green vegetables 
E)  Supplemental vitamin D

Question 12

In diabetes insipidus,a deficiency of which hormone causes clinical manifestations?

Accepted Answer

A)  antidiuretic hormone (ADH) 
B)  follicle-stimulating hormone (FSH) 
C)  thyroid-stimulating hormone (TSH) 
D)  adrenocorticotropic hormone (ACTH) 
A)  antidiuretic hormone (ADH) 
B)  follicle-stimulating hormone (FSH) 
C)  thyroid-stimulating hormone (TSH) 
D)  adrenocorticotropic hormone (ACTH)

Question 13

What are the three major life-threatening complications postoperatively of a thyroidectomy? (Select all that apply. )

Accepted Answer

A)  Hemorrhaging 
B)  Seizures 
C)  Tetany 
D)  Hypoglycemia 
E)  Thyroid crisis (storm)
F) SIADH 
A)  Hemorrhaging 
B)  Seizures 
C)  Tetany 
D)  Hypoglycemia 
E)  Thyroid crisis (storm)
F) SIADH

Question 14

A condition with a deficiency in growth hormone is called ________________.

Accepted Answer

hypopituitary dwarfism
A condition with

Question 15

Only ________insulin can be administered intravenously.

Accepted Answer

regular
Insulin is given subcu

Question 16

The purpose of the use of radioactive iodine in the treatment of hyperthyroidism is to:

Accepted Answer

A)  stimulate the thyroid gland. 
B)  depress the pituitary. 
C)  destroy some of the thyroid tissue. 
D)  alter the stimulus from the pituitary. 
A)  stimulate the thyroid gland. 
B)  depress the pituitary. 
C)  destroy some of the thyroid tissue. 
D)  alter the stimulus from the pituitary.

Question 17

What instructions should a nurse give to a diabetic patient to prevent injury to the feet?

Accepted Answer

A)  Soak feet in warm water every day. 
B)  Avoid going barefoot and always wear shoes with soles. 
C)  Use of commercial keratolytic agents to remove corns and calluses are preferred to cutting off corns and calluses. 
D)  Use a heating pad to warm feet when they feel cool to the touch. 
A)  Soak feet in warm water every day. 
B)  Avoid going barefoot and always wear shoes with soles. 
C)  Use of commercial keratolytic agents to remove corns and calluses are preferred to cutting off corns and calluses. 
D)  Use a heating pad to warm feet when they feel cool to the touch.

Question 18

The patient being treated for hypothyroidism should be instructed to eat well-balanced meals including intake of iodine.Which of the following foods contains iodine?

Accepted Answer

A)  Eggs 
B)  Pork 
C)  White bread 
D)  Skinless chicken 
A)  Eggs 
B)  Pork 
C)  White bread 
D)  Skinless chicken

Question 19

Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks?

Accepted Answer

A)  Fasting blood sugar (FBS) 
B)  Oral glucose tolerance test (OGT) 
C)  Glycosylated hemoglobin (HbA1c) 
D)  Postprandial glucose test (PPBG) 
A)  Fasting blood sugar (FBS) 
B)  Oral glucose tolerance test (OGT) 
C)  Glycosylated hemoglobin (HbA1c) 
D)  Postprandial glucose test (PPBG)

Question 20

A patient has returned to his room after a thyroidectomy with signs of thyroid crisis.During thyroid crisis,exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of:

Accepted Answer

A)  severe nausea and vomiting. 
B)  bradycardia. 
C)  delirium with restlessness. 
D)  congestive heart failure. 
A)  severe nausea and vomiting. 
B)  bradycardia. 
C)  delirium with restlessness. 
D)  congestive heart failure.

Which test will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control?

The nurse discovers the type 1 diabetic (IDDM)patient drowsy and tremulous,the skin is cool and moist,and the respirations are 32 and shallow.These are signs of:

When the nurse inflates the sphygmomanometer cuff exceeding the systolic blood pressure and observes a carpal spasm,this is a(n) __.

As the nurse is shaving a patient who is 2 days postoperative from a thyroidectomy,the patient has a spasm of the facial muscles.What should the nurse recognize this as?

What information should be obtained from the patient before an iodine-131 test?

The nurse is administering long-acting insulin once a day,which provides insulin coverage for 24 hours.This insulin is _________________.

Which precaution(s)should the nurse take when caring for a patient who is being treated with radioactive iodine 131 (RAIU)?

The physician orders an 1800-calorie diabetic diet and 40 units of (Humulin N)insulin U-100 subcutaneously daily for a patient with diabetes mellitus.Why would a mid-afternoon snack of milk and crackers be given?

Which of the following are signs and symptoms of hypoglycemia? (Select all that apply. )

The nurse would instruct a patient with hyperthyroidism (Graves disease)to select which of the following nutritious foods because of the increased metabolism related to the disease.(Select all that apply. )

In diabetes insipidus,a deficiency of which hormone causes clinical manifestations?

What are the three major life-threatening complications postoperatively of a thyroidectomy? (Select all that apply. )

A condition with a deficiency in growth hormone is called ________________.

Only ________insulin can be administered intravenously.

The purpose of the use of radioactive iodine in the treatment of hyperthyroidism is to:

What instructions should a nurse give to a diabetic patient to prevent injury to the feet?

The patient being treated for hypothyroidism should be instructed to eat well-balanced meals including intake of iodine.Which of the following foods contains iodine?

Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks?

A patient has returned to his room after a thyroidectomy with signs of thyroid crisis.During thyroid crisis,exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of:

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Filters

Exam 11: Care of the Patient with an Endocrine Disorder

Which test will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control?

The nurse discovers the type 1 diabetic (IDDM)patient drowsy and tremulous,the skin is cool and moist,and the respirations are 32 and shallow.These are signs of:

When the nurse inflates the sphygmomanometer cuff exceeding the systolic blood pressure and observes a carpal spasm,this is a(n)__________ ____________.

As the nurse is shaving a patient who is 2 days postoperative from a thyroidectomy,the patient has a spasm of the facial muscles.What should the nurse recognize this as?

What information should be obtained from the patient before an iodine-131 test?

The nurse is administering long-acting insulin once a day,which provides insulin coverage for 24 hours.This insulin is _________________.

Which precaution(s)should the nurse take when caring for a patient who is being treated with radioactive iodine 131 (RAIU)?

The physician orders an 1800-calorie diabetic diet and 40 units of (Humulin N)insulin U-100 subcutaneously daily for a patient with diabetes mellitus.Why would a mid-afternoon snack of milk and crackers be given?

Which of the following are signs and symptoms of hypoglycemia? (Select all that apply. )

The nurse would instruct a patient with hyperthyroidism (Graves disease)to select which of the following nutritious foods because of the increased metabolism related to the disease.(Select all that apply. )

In diabetes insipidus,a deficiency of which hormone causes clinical manifestations?

What are the three major life-threatening complications postoperatively of a thyroidectomy? (Select all that apply. )

A condition with a deficiency in growth hormone is called ________________.

Only ________insulin can be administered intravenously.

The purpose of the use of radioactive iodine in the treatment of hyperthyroidism is to:

What instructions should a nurse give to a diabetic patient to prevent injury to the feet?

The patient being treated for hypothyroidism should be instructed to eat well-balanced meals including intake of iodine.Which of the following foods contains iodine?

Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks?

A patient has returned to his room after a thyroidectomy with signs of thyroid crisis.During thyroid crisis,exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of:

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Filters

When the nurse inflates the sphygmomanometer cuff exceeding the systolic blood pressure and observes a carpal spasm,this is a(n) __.