Question 1

What is the MOST common cause of hypopituitarism?

Accepted Answer

A) congenital defect 
B) metabolic disorder 
C) trauma causing damage to the pituitary gland 
D) tumor 
A) congenital defect 
B) metabolic disorder 
C) trauma causing damage to the pituitary gland 
D) tumor D

Question 2

A client is to start thyroid replacement therapy.The nurse should include which instructions for the client?

Accepted Answer

A) Eat plenty of shellfish,saltwater fish,and iodized salt. 
B) Avoid drinking coffee or tea with meals. 
C) Store the medication in a cool,dark place. 
D) Take the prescribed medication in the morning. 
A) Eat plenty of shellfish,saltwater fish,and iodized salt. 
B) Avoid drinking coffee or tea with meals. 
C) Store the medication in a cool,dark place. 
D) Take the prescribed medication in the morning. D

Question 3

The client is receiving calcium gluconate for hypocalcemia.The nurse will monitor for which of the following complications? (Select all that apply. )

Accepted Answer

A) decreased heart rate 
B) hypercalcemia 
C) seizures 
D) laryngeal spasms 
E) dry mouth 
A) decreased heart rate 
B) hypercalcemia 
C) seizures 
D) laryngeal spasms 
E) dry mouth B,C,D

Question 4

Which nursing intervention is indicated for a client who has myxedema?

Accepted Answer

A) Take frequent baths or showers. 
B) Encourage an increasingly vigorous exercise program. 
C) Teach the client to monitor intake and output. 
D) Provide a high-fiber diet. 
A) Take frequent baths or showers. 
B) Encourage an increasingly vigorous exercise program. 
C) Teach the client to monitor intake and output. 
D) Provide a high-fiber diet.

Question 5

When the body produces an excess amount of insulin,the nurse should monitor for signs and symptoms of:

Accepted Answer

A) diabetes insipidus 
B) diabetes mellitus 
C) hyperglycemia 
D) hypoglycemia 
A) diabetes insipidus 
B) diabetes mellitus 
C) hyperglycemia 
D) hypoglycemia

Question 6

The nurse is caring for a client with an autoimmune disease characterized by the production of antibodies that destroy essential enzymes needed for the production of T 3 and T 4.This nurse is aware that this client is experiencing:

Accepted Answer

A) Hashimoto's thyroiditis 
B) hyperthyroidism 
C) hypothyroidism 
D) cretinism 
A) Hashimoto's thyroiditis 
B) hyperthyroidism 
C) hypothyroidism 
D) cretinism

Question 7

A client newly diagnosed with type 2 diabetes mellitus has a nursing diagnosis of Knowledge deficit: diabetes,medical regimen,diet,exercise,and self-care management skills.Which nursing goal is appropriate for this client?

Accepted Answer

A) to maintain current weight 
B) to maintain vital signs within normal limits 
C) to use the food pyramid for meal planning 
D) to relate the importance of an exercise program 
A) to maintain current weight 
B) to maintain vital signs within normal limits 
C) to use the food pyramid for meal planning 
D) to relate the importance of an exercise program

Question 8

When mixing two different types of insulin in the same syringe,which type is always drawn up first?

Accepted Answer

A) lente,intermediate acting 
B) NPH,intermediate acting 
C) regular,short acting 
D) ultra lente,long acting 
A) lente,intermediate acting 
B) NPH,intermediate acting 
C) regular,short acting 
D) ultra lente,long acting

Question 9

Which nursing diagnosis is MOST appropriate for a client who has hyperthyroidism?

Accepted Answer

A) Anxiety related to complications of hyperthyroidism 
B) Risk for injury related to potential for hypertensive crisis 
C) Imbalanced nutrition,less than body requirements 
D) Impaired swallowing related to goiter 
A) Anxiety related to complications of hyperthyroidism 
B) Risk for injury related to potential for hypertensive crisis 
C) Imbalanced nutrition,less than body requirements 
D) Impaired swallowing related to goiter

Question 10

What is the primary function of insulin?

Accepted Answer

A) to stimulate active transport of glucose into muscle and adipose tissue cells 
B) to convert glycogen to glucose 
C) to stimulate breakdown of adipose tissue 
D) to increase breakdown of protein into amino acids 
A) to stimulate active transport of glucose into muscle and adipose tissue cells 
B) to convert glycogen to glucose 
C) to stimulate breakdown of adipose tissue 
D) to increase breakdown of protein into amino acids

Question 11

Which complication of insulin therapy is characterized by a rapid decrease in serum glucose,usually at night,causing the release of glucose-elevating hormones and an elevated glucose level in the morning,which may be inadvertently treated with an increased insulin dose?

Accepted Answer

A) dawn phenomenon 
B) insulin resistance 
C) lipodystrophy 
D) Somogyi phenomenon 
A) dawn phenomenon 
B) insulin resistance 
C) lipodystrophy 
D) Somogyi phenomenon

Question 12

In caring for a client who is taking oral hypoglycemic agents,the nurse recognizes these medications are used in the treatment of which type of diabetes?

Accepted Answer

A) gestational,requiring therapy for a very short time 
B) type 1,not stable with insulin administration only 
C) type 2,not controlled with diet and exercise 
D) type 1 and type 2,not controlled by diet and exercise 
A) gestational,requiring therapy for a very short time 
B) type 1,not stable with insulin administration only 
C) type 2,not controlled with diet and exercise 
D) type 1 and type 2,not controlled by diet and exercise

Question 13

The MOST appropriate nursing goal for a client with hypoparathyroidism would be:

Accepted Answer

A) to prevent infections 
B) to maintain adequate calcium intake 
C) to monitor fluid intake 
D) to verbalize feelings about changed appearance 
A) to prevent infections 
B) to maintain adequate calcium intake 
C) to monitor fluid intake 
D) to verbalize feelings about changed appearance

Question 14

What is the MOST common chronic complication of diabetes mellitus?

Accepted Answer

A) blindness 
B) renal failure 
C) morbid obesity 
D) neuropathy 
A) blindness 
B) renal failure 
C) morbid obesity 
D) neuropathy

Question 15

Which forms of type 1 diabetes are characterized by an absolute insulin deficiency requiring management with insulin injections?

Accepted Answer

A) gestational diabetes mellitus 
B) impaired glucose tolerance 
C) immune-mediated or idiopathic diabetes mellitus 
D) chemical-induced diabetes mellitus 
A) gestational diabetes mellitus 
B) impaired glucose tolerance 
C) immune-mediated or idiopathic diabetes mellitus 
D) chemical-induced diabetes mellitus

Question 16

The major goal of medical nutrition therapy for clients with diabetes mellitus is to:

Accepted Answer

A) reduce serum lipid levels 
B) improve health through optimal nutrition 
C) maintain as near-normal a blood glucose level as possible 
D) wean insulin-dependent clients with diabetes from insulin through diet control 
A) reduce serum lipid levels 
B) improve health through optimal nutrition 
C) maintain as near-normal a blood glucose level as possible 
D) wean insulin-dependent clients with diabetes from insulin through diet control

Question 17

The client is experiencing an increased thyroid hormone production.The nurse would monitor for which effect on a client's metabolic rate and subsequent symptoms?

Accepted Answer

A) rate decrease with weight gain and decreased appetite 
B) rate decrease with weight loss and increased appetite 
C) rate increase with weight loss and increased appetite 
D) rate increase with weight gain and decreased appetite 
A) rate decrease with weight gain and decreased appetite 
B) rate decrease with weight loss and increased appetite 
C) rate increase with weight loss and increased appetite 
D) rate increase with weight gain and decreased appetite

Question 18

Subcutaneous insulin absorption occurs MOST quickly when injected into which area?

Accepted Answer

A) abdomen 
B) arms 
C) hips 
D) thighs 
A) abdomen 
B) arms 
C) hips 
D) thighs

Question 19

A client is receiving radioactive iodine for the treatment of hyperthyroidism.Which precaution should the nurse initiate?

Accepted Answer

A) Avoid close contact with the adult family members. 
B) Use disposable eating utensils. 
C) Restrict fluids for the 2 days before and after administration. 
D) Institute airborne precautions. 
A) Avoid close contact with the adult family members. 
B) Use disposable eating utensils. 
C) Restrict fluids for the 2 days before and after administration. 
D) Institute airborne precautions.

Question 20

The nurse is caring for a client with the condition characterized by paroxysmal or sustained hypertension.The nurse suspects this client is experiencing:

Accepted Answer

A) Addison's disease 
B) Cushing's syndrome 
C) pheochromocytoma 
D) Simmonds' disease 
A) Addison's disease 
B) Cushing's syndrome 
C) pheochromocytoma 
D) Simmonds' disease

Exam 43: Endocrine System

What is the MOST common cause of hypopituitarism?

A client is to start thyroid replacement therapy.The nurse should include which instructions for the client?

The client is receiving calcium gluconate for hypocalcemia.The nurse will monitor for which of the following complications? (Select all that apply. )

Which nursing intervention is indicated for a client who has myxedema?

When the body produces an excess amount of insulin,the nurse should monitor for signs and symptoms of:

The nurse is caring for a client with an autoimmune disease characterized by the production of antibodies that destroy essential enzymes needed for the production of T 3 and T 4.This nurse is aware that this client is experiencing:

A client newly diagnosed with type 2 diabetes mellitus has a nursing diagnosis of Knowledge deficit: diabetes,medical regimen,diet,exercise,and self-care management skills.Which nursing goal is appropriate for this client?

When mixing two different types of insulin in the same syringe,which type is always drawn up first?

Which nursing diagnosis is MOST appropriate for a client who has hyperthyroidism?

What is the primary function of insulin?

Which complication of insulin therapy is characterized by a rapid decrease in serum glucose,usually at night,causing the release of glucose-elevating hormones and an elevated glucose level in the morning,which may be inadvertently treated with an increased insulin dose?

In caring for a client who is taking oral hypoglycemic agents,the nurse recognizes these medications are used in the treatment of which type of diabetes?

The MOST appropriate nursing goal for a client with hypoparathyroidism would be:

What is the MOST common chronic complication of diabetes mellitus?

Which forms of type 1 diabetes are characterized by an absolute insulin deficiency requiring management with insulin injections?

The major goal of medical nutrition therapy for clients with diabetes mellitus is to:

The client is experiencing an increased thyroid hormone production.The nurse would monitor for which effect on a client's metabolic rate and subsequent symptoms?

Subcutaneous insulin absorption occurs MOST quickly when injected into which area?

A client is receiving radioactive iodine for the treatment of hyperthyroidism.Which precaution should the nurse initiate?

The nurse is caring for a client with the condition characterized by paroxysmal or sustained hypertension.The nurse suspects this client is experiencing:

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

Communication

Client Teaching

Nursing Processdocumentationinformatics

Life Span Development

Cultural Considerations

Stress, Adaptation, and Anxiety

Loss, Grief, and Death

Wellness Concepts

Self-Concept

Spirituality

Complementary Alternative Therapies

Basic Nutrition

Rest and Sleep

Safety-Hygiene

Infection Controlasepsis

Standard Precautions and Isolation

Bioterrorism

Fluid, Electrolyte, and Acid-Base Balance

Medication Administration and IV Therapy

Assessment

Pain Management

Diagnostic Tests

Basic Procedures

Intermediate Procedures

Advanced Procedures

Anesthesia

Surgery

Oncology

Respiratory System

Cardiovascular System

Hematologic and Lymphatic Systems

Gastrointestinal System

Urinary System

Musculoskeletal System

Neurological System

Sensory System

Reproductive System

Sexually Transmitted Diseases

Integumentary System

Immune System

Mental Illness

Substance Abuse

The Older Adult

Ambulatory, Restorative, and Palliative Care in Community Settings

Responding to Emergencies

Integration

Prenatal Care

Complications of Pregnancy

The Birth Process

Postpartum Care

Newborn Care

Basics of Pediatric Care

Infants With Special Needs: Birth to 12 Months