Question 1

The patient has a fasting glucose level of 150 mg/dL.The nurse knows this value is

Accepted Answer

A)  normal. 
B)  diagnostic of diabetes, but it should be re-evaluated for accuracy. 
C)  lower than what the nurse would expect in a patient receiving intravenous fluids. 
D)  elevated, indicating diabetic ketoacidosis. 
A)  normal. 
B)  diagnostic of diabetes, but it should be re-evaluated for accuracy. 
C)  lower than what the nurse would expect in a patient receiving intravenous fluids. 
D)  elevated, indicating diabetic ketoacidosis.

Question 2

Which hormone is secreted in response to physiologic stress as the result of infection or trauma?

Accepted Answer

A)  Aldosterone 
B)  Adrenocorticotropic hormone (ACTH) 
C)  Cortisol 
D)  Antidiuretic hormone (ADH) 
A)  Aldosterone 
B)  Adrenocorticotropic hormone (ACTH) 
C)  Cortisol 
D)  Antidiuretic hormone (ADH)

Question 3

Clinical signs and symptoms of Cushing syndrome include

Accepted Answer

A)  hirsutism. 
B)  rounded face. 
C)  hypotension. 
D)  decreased libido. 
E)  scleroderma.
F) fatigue and weakness. 
A)  hirsutism. 
B)  rounded face. 
C)  hypotension. 
D)  decreased libido. 
E)  scleroderma.
F) fatigue and weakness.

Question 4

A patient is being evaluated for thyroid dysfunction.His daily regular medications include aspirin,Lanoxin,and insulin.The nurse knows that the laboratory work may be affected by

Accepted Answer

A)  the aspirin. 
B)  the Lanoxin. 
C)  the insulin. 
D)  none of the medications. 
A)  the aspirin. 
B)  the Lanoxin. 
C)  the insulin. 
D)  none of the medications.

Question 5

A nurse auscultates a bruit over the thyroid and knows that this indicates

Accepted Answer

A)  normal function. 
B)  enlargement of the thyroid. 
C)  hypoplasia of the thyroid. 
D)  tumor of the thyroid. 
A)  normal function. 
B)  enlargement of the thyroid. 
C)  hypoplasia of the thyroid. 
D)  tumor of the thyroid.

Question 6

Which of the following laboratory findings is indicative of thyrotoxicosis?

Accepted Answer

A)  Very low thyroid-stimulating hormone (TSH) 
B)  Decreased T? uptake ratio 
C)  Increased serum osmolality 
D)  Decreased urine osmolality 
A)  Very low thyroid-stimulating hormone (TSH) 
B)  Decreased T? uptake ratio 
C)  Increased serum osmolality 
D)  Decreased urine osmolality

Question 7

A hydration assessment consists of checking a variety of parameters,including

Accepted Answer

A)  skin turgor. 
B)  serum potassium level. 
C)  capillary refill. 
D)  serum protein level. 
A)  skin turgor. 
B)  serum potassium level. 
C)  capillary refill. 
D)  serum protein level.

Question 8

A 16-year-old young woman is admitted to the critical care unit with severe hyperglycemia caused by new-onset type 1 diabetes mellitus.The nurse notes a sweet-smelling odor on the patient's exhaled breath.This is a result of

Accepted Answer

A)  compensation for metabolic alkalosis. 
B)  ketoacidosis. 
C)  prior ingestion of high-calorie foods. 
D)  decreased serum osmolality. 
A)  compensation for metabolic alkalosis. 
B)  ketoacidosis. 
C)  prior ingestion of high-calorie foods. 
D)  decreased serum osmolality.

Question 9

A normal HbA?c level for a normal person is

Accepted Answer

A)  less than 5.4%. 
B)  less than 6.5%. 
C)  between 5.4% and 6.5%. 
D)  between 3% and 5.4%. 
A)  less than 5.4%. 
B)  less than 6.5%. 
C)  between 5.4% and 6.5%. 
D)  between 3% and 5.4%.

Question 10

A patient is admitted to the critical care unit with critical hypotension,hyperkalemia,hyponatremia,and hypoglycemia.The most likely cause of this is

Accepted Answer

A)  myxedema. 
B)  diabetes insipidus. 
C)  addisonian crisis. 
D)  Cushing syndrome. 
A)  myxedema. 
B)  diabetes insipidus. 
C)  addisonian crisis. 
D)  Cushing syndrome.

Exam 32: Endocrine Clinical Assessment and Diagnostic Procedures

The patient has a fasting glucose level of 150 mg/dL.The nurse knows this value is

Which hormone is secreted in response to physiologic stress as the result of infection or trauma?

Clinical signs and symptoms of Cushing syndrome include

A patient is being evaluated for thyroid dysfunction.His daily regular medications include aspirin,Lanoxin,and insulin.The nurse knows that the laboratory work may be affected by

A nurse auscultates a bruit over the thyroid and knows that this indicates

Which of the following laboratory findings is indicative of thyrotoxicosis?

A hydration assessment consists of checking a variety of parameters,including

A 16-year-old young woman is admitted to the critical care unit with severe hyperglycemia caused by new-onset type 1 diabetes mellitus.The nurse notes a sweet-smelling odor on the patient's exhaled breath.This is a result of

A normal HbA?c level for a normal person is

A patient is admitted to the critical care unit with critical hypotension,hyperkalemia,hyponatremia,and hypoglycemia.The most likely cause of this is

Critical Care Nursing Practice

Ethical Issues

Legal Issues

Genetics and Genomics in Critical Care

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations and Management

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,Delirium: Assessment and Management

End-Of-Life Issues

Cardiovascular Anatomy and Physiology

Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Anatomy and Physiology

Pulmonary Clinical Assessment

Pulmonary Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Anatomy and Physiology

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Anatomy and Physiology

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Anatomy and Physiology

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Anatomy and Physiology

Endocrine Disorders and Therapeutic Management

Trauma

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Burns

Organ Donation and Transplantation

Hematologic Disorders and Oncologic Emergencies

The Obstetric Patient

The Pediatric Patient

The Older Adult Patient

The Perianesthesia Patient

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