NCLEX: Endocrine System 105 Nursing Practice Questions & Rationales to EASILY Crush the NCLEX! Chase assen Nurse Suerhero " #015
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,able o+ Contents Chapter 1: NCLEX -"estions' $ns)ers' ! *ationales on the Endocrine System Chapter 2: NCLEX -"estions Displayed .nly +or the Endocrine System
Chapter 1: NCLEX -"estions' $ns)ers' ! *ationales on the Endocrine System
1. /he >'aster glan$? in the %o$( is ,hich glan$@ a. Pancreas %. Parath(roi$ =lan$ c. Pituitar( =lan$ $. /h(roi$ =lan$ Ans,er c. /he ituitar( glan$ is also +no,n as the >'aster glan$? %ecause it 'a+es 'an( hor'ones that a)ect all o* the other glan$s o* the %o$(.
#.
consi$ere$ art o* the en$ocrine s(ste' %ecause the( release hor'ones in the %o$(.
B.
In en$ocrinolog(- ,hat is 'eant %( a
>*ee$%ac+ 'echanis'?@ a.
.
5. Datch the art o* the ituitar( glan$ ,ith the correct hor'one secrete$ %( it. Chec+ all that al(. a. Anterior ituitar(/S %. Anterior ituitar(8S c. Anterior ituitar(/R $. Posterior ituitar(AC/ e. Posterior ituitar(A; Ans,er a. %. $. /he osterior ituitar( glan$ secretes A; an$ o2(tocin. /R is th(rotroin releasing hor'onesecrete$ %( the h(othala'us. /he anterior ituitar( glan$ secretes 'an( $i)erent hor'ones inclu$ing gro,th hor'one- AC/- L- 8S an$ /S.
F. /he ituitar( glan$ hor'one that inGuences car%oh($rate- rotein- an$ *at 'eta%olis' an$ is resonsi%le *or the gro,th o* cells- 'uscles an$ %ones is ,hat hor'one@ a. /h(roi$ sti'ulating hor'one %. =ro,th hor'one c. 8ollicle sti'ulating hor'one $. A$renocorticotroic hor'one Ans,er %. =ro,th hor'one is resonsi%le *or the gro,th o* cells- 'uscles an$ %ones an$ hels regulate car%oh($rate- rotein- an$ *at 'eta%olis'.
H. /he ituitar( hor'one resonsi%le *or the release o* a$renal an$rogens an$ corticosteroi$s is ,hat@ a. AC/ %. 8S
c. L $. /S Ans,er a. AC/ triggers the release o* a$renal an$rogens an$ corticosteroi$s *ro' the a$renal corte2.
.
Ans,er %. Patients ,ith io$ine $eMcienc( ten$ to hae an enlarge'ent o* the th(roi$ glan$ +no,n as a goiter. /his is %ecause the th(roi$ is tr(ing to enlarge in or$er to ta+e u as 'uch io$ine as ossi%le.
11. /he hor'one in the en$ocrine s(ste' resonsi%le *or :# consu'tion an$ 'eta%olis' is ,hat@ a. Parath(roi$ hor'one %. /h(roi$ sti'ulating hor'one c. /h(ro2ine $. /h(rotroin releasing hor'one Ans,er c. /h(ro2ine an$ triio$oth(ronine are %oth resonsi%le *or o2(gen consu'tion an$ the regulation o* 'eta%olis'. 1#. /he ituitar( glan$ is triggere$ to release /S.
1B. /he atient has an eleate$ calciu' leel.
a. Parath(roi$ hor'one %. =ro,th hor'one c. Calcitonin $. /h(ro2ine Ans,er c. Calcitonin is release$ %( the th(roi$ glan$ in resonse to eleate$ Calciu' leels. /his results in an increase$ $eosition o* Calciu' into the %ones.
1. Parath(roi$ hor'one results in ,hat che'ical changes in the %o$(@ a. An increase in hoshate an$ a $ecrease in calciu' %. An increase in calciu' an$ a $ecrease in hoshorus c. A $ecrease in calciu' an$ a $ecrease in hoshate $. An increase in calciu' an$ an increase in hoshate Ans,er %. /he release o* arath(roi$ hor'one %( the arath(roi$ glan$s causes an increase in seru' calciu' an$ a $ecrease in seru' hoshate. Calciu' an$ hoshate al,a(s hae an inerse relationshi ,ith one another.
15. A atient has an einehrine4secreting heochro'oc(to'a.
Ans,er c. /he heochro'oc(to'a is usuall( locate$ in an$ aroun$ the a$renal 'e$ulla.
1F.
/he atient is e2eriencing tach(car$ia-
increase$ %loo$ ressure- an$ an2iet(.
Mght or Gight? resonse. 1H. /he atient has a lo, 'ineralocorticoi$ leel.
1. /he atient is haing a $(s*unction o* the a$renal corte2.
c. Cortisol $. An$rogenic hor'ones e. Noreinehrine Ans,er %. c. $. /he a$renal corte2 secretes al$osteronecortisol an$ an$rogenic hor'ones. Einehrine an$ noreinehrine are secrete$ %( the a$renal 'e$ulla. 1. Actions o* al$osterone inclu$e an( o* these. Select all that al(. a. So$iu' e2cretion %. So$iu' retention c. Potassiu' retention $.
#0. A atient has %een $iagnose$ ,ith Cushings s(n$ro'e.
#1. Peole ,ith t(e 1 $ia%etes hae to ta+e insulin %ecause o* ,hat reasons@ Select all that al(. a. /he ancreatic islet cells o* Langerhans $o not ro$uce enough insulin. %. /he( hae an autoi''une $isease. c. /he( hae insulin resistance. $. Cortisol is ro$ucing too 'uch gl(cogen. e. /he( hae lost the e2ocrine *unction o* the ancreas. Ans,er a. %. Peole ,ith t(e 1 $ia%etes hae an autoi''une $isease that causes $estruction o* the islet cells o* Langerhans in the ancreas so no insulin is ro$uce$. ##. /he hor'one resonsi%le *or the 'eta%olis' o* *ats- roteins- an$ car%oh($rates in the %o$( an$ ro'otes the actie transort o* glucose into *at cells an$ 'uscle cells is ,hat@ a. =lucagon %. Pancrease c. Insulin $. /h(ro2ine Ans,er c. Insulin is resonsi%le *or the 'eta%olis' o* *ats- roteins an$ car%oh($rates in the %o$(- an$ ro'otes the actie transort o* glucose into *at an$ 'uscle cells.
#B. 8unctions o* insulin inclu$e the *ollo,ing. Select all that al(.
a. Pro'ote the conersion o* gl(cogen to glucose. %. Sti'ulates actie transort o* glucose into *at an$ 'uscle cells. c. Sti'ulates the %rea+$o,n o* *at into gl(cogen. $. Sti'ulates the s(nthesis o* glucose into gl(cogen. e. Pro'otes the conersion o* *att( aci$s into *at. Ans,er %. $. e. Insulin sti'ulates the actie transort o* glucose into *at an$ 'uscle cells- sti'ulates the s(nthesis o* glucose into gl(cogen- an$ ro'otes the conersion o* *att( aci$s into *at. It is glucagon that ro'otes the conersion o* gl(cogen into glucose.
#.
#5. Car%oh($rates are the re*erre$ *uel source *or the %o$(s cells.
$. Car%oh($rate inta+e is a$euate. e. /here is enough insulin to ut glucose into the cells. Ans,er a. $. e. Car%oh($rate can %e use$ as the re*erre$ source o* energ( i* there is enough gl(cogen in the lier- the car%oh($rate inta+e is a$euate- an$ there is enough insulin to ut glucose into the cells.
#F. A atient has *atigue- is col$ all the ti'e- an$ has constiation- ,eight gain- an$ $r( s+in.
#H. /he s('to' o* e2cessie thirst can occur in ,hich en$ocrine $iseases@ a. (eral$osteronis' %. Cushings $isease c. ;ia%etes 'ellitus $. A$$isons $isease e. ;ia%etes insii$us Ans,er c. e. oth $ia%etes 'ellitus an$ $ia%etes insii$us can resent the'seles ,ith the s('to' o* e2cessie thirst.
#. A *e'ale atient has $eeloe$ e2ohthal'os.
#.
A atient has a ne, Mn$ing o* increase$
ig'entation the s+in in the con$ition a%sence o* tanning %e$ e2osure.o*
B0. An a$ult atient has $eeloe$ enlarge$ h(sical *eatures inclu$ing %ig han$s- coarse *acial *eatures- an$ %igger *eet.
Ans,er c. =ro,th hor'one e2cesses in a$ults can lea$ to *eatures consistent ,ith acro'egal(.
B1. A atient %egins to hae a rai$ heart ratehigh %loo$ ressure- an$ an2iet(.
B#. A atient has a lo, cortisol leel.
BB. /he atient is haing a Gui$ $eriation test.
B. A atient is haing a ra$ioactie io$ine uta+e test JRAIK.
B5. A #4hour urine test *or *ree catechola'ines chec+s these things in the urine. Select all that al(.
a. %. c. $. e.
Detanehrines Einehrine Al$osterone Oan(ll(l'an$elic aci$ Noreinehrine
Ans,er a. %. $. e. /he #4hour urine test *or *ree catechola'ines assesses the urine *or *ree einehrinenoreinehrine an$ their 'eta%olic ro$ucts'etanehrines an$ an(ll(l'an$elic aci$.
BF. A atient is %eing ealuate$ *or the resence o* $ia%etes 'ellitus.
BH. A atient is %eing sche$ule$ *or an oral glucose tolerance test. You are giing the atient instructions. Select all that are accurate.
a. /he atient ,ill %e $rin+ing a s,eet liui$ an$ ,ill hae a %loo$ glucose test a*ter that. %. I* the %loo$ glucose is greater than #00 'g$L t,o hours a*ter the test- it in$icates $ia%etes. c. /he atient 'ust eat a high rotein $iet *or three $a(s rior to the test. $. /he atient 'ust %e *asting *or 1# hours %e*ore the test. e. /he test 'a( ta+e u to 5 hours to co'lete. Ans,er a. %. e. In an oral glucose tolerance test- the atient 'ust eat a high car%oh($rate $iet *or three $a(s %e*ore the test an$ 'ust %e *asting ,ith nothing %ut ,ater *or 10 hours %e*ore the test. A %loo$ glucose test o* greater than #00 'g$L in$icates $ia%etes. /he test 'a( ta+e u to Me hours to $eMnitel( conMr' $ia%etes.
B. A atient has a greater chance o* getting an in*ection.
B. Co''on con$itions resulting in 'e$ical con$itions are a $irect result o* h(ersecretion o* the
ituitar( glan$.
0.
A atient has ha$ a h(oh(secto'( through
the transhenoi$ aroach. As his nurse,hatal(. is (our resonsi%ilit( ostoeratiel(@ Select all that a. :%seration *or clear Gui$ that contains rotein co'ing *ro' the nose. %. =iing AC/. c. I''e$iatel( giing /. $. :%sere isual acuit( to chec+ *or ossi%le he'ato'a *or'ation. e. Nasal ac+ing to sta( in lace *or t,ent( *our hours. Ans,er a. $. e. A*ter re'oal o* the ituitar( glan$ Jh(oh(secto'(K %( 'eans o* transhenoi$ aroachthe atient is o%sere$ *or rotein4containing clear Gui$ co'ing *ro' the nose ,hich 'ight in$icate CS8 lea+age. Oisual acuit( is assesse$ to loo+ *or ossi%le he'ato'a at the site o* the re'oe$ ituitar( glan$. Nasal ac+ing is +et in lace *or # hours. Cortisol is gien i''e$iatel( a*ter surger( to reent an A$$isonian crisis- ,hile
th(roi$ relace'ent 'a( not nee$ to %e gien *or seeral ,ee+s.
1.
h(oh(secto'(@ Select all that al(. a. =ro,th or'one %. /estosterone *or 'ales an$ Estrogenrogesterone *or *e'ales. c. Al$osterone $. / e. AC/ Ans,er a. %. c. $. A*ter a h(oh(secto'(- al$osterone=ro,th hor'one- cortisol- testosterone *or 'ales an$ estrogenrogesterone *or *e'alesan$ / nee$ is to alrea$( %e relace$. AC/ is not relace$ %ecause cortisol %eing gien.
#. A atient has ust %een $iagnose$ ,ith $ia%etes insii$us.
$esite Gui$ restriction- ,hich can lea$ to e2tre'e $eh($ration.
B. A atient has ust %een $iagnose$ ,ith SIA; Js(n$ro'e o* inaroriate secretion o* A;K.
. Your atient has %een $iagnose$ ,ith =raes $isease.
Ans,er %. c. $. In =raes $isease- the th(roi$ glan$ is oeractie %ecause the th(roi$ is %eing sti'ulate$ %( i''unoglo%ulins. As a result- (ou 'a( *eel tensenerous or itter( an$ run the ris+ o* heart *ailure an$ $eath *ro' '(ocar$ial h(ertroh(.
5. /he atient has an oeractie th(roi$ glan$.
F. /he atient is haing an acute attac+ o* th(roto2icosis.
tach(car$ia- an$ signs an$ s('to's o* heart *ailure. /his can %e li*e4threatening.
H.
A erson has %een $iagnose$ ,ith
'(2e$e'a.
.
. *ollo,ing. a. %. c. $.
/he signs o* h(erarath(roi$is' inclu$e the Select all that al(. one h(ercalciMcation Eleate$ seru' Calciu' Eleate$ seru' Phoshorus Lo, seru' hoshorus
e. Increase$ urinar( leels o* Calciu' an$ Phoshorus Ans,er %. $. e. A atient ,ith h(erarath(roi$is' ,ill hae h(ocalciMcation o* %one- increase$ seru' calciu'lo, seru' hoshorus ,ith an increase in urinar( e2cretion o* %oth calciu' an$ hoshorus. 50. A atient ,ith h(erarath(roi$is' nee$s seeral nursing interentions. Select all that al(. a. 8all reention 'easures %. Lo, hoshorus $iet instructions c. igh calciu' $iet instructions $. Encourage Gui$ inta+e e. an$ h(erarath(roi$is' rune uice Ans,er a. =ie $. e. cran%err( A atient ,ith ,ill nee$ to $rin+ e2tra Gui$s to aoi$ renal calculi- hae *all reention 'easures %ecause o* $ecalciMcation o* %ones an$ ris+ *or osteoorosis- an$ %e instructe$ in a lo, calciu' high hoshorus $iet. /he( can receie cran%err( an$ rune uice to hel reent renal calculi *ro' *or'ing.
51. A co''on cause o* h(oarath(roi$is' is ,hat@ a. An autoi''une $isease %. Parath(roi$ glan$ in*arction c. I$ioathic $(s*unction o* the arath(roi$ glan$ $. Ina$ertent re'oal o* the arath(roi$ glan$s $uring th(roi$ surger( Ans,er $. /he arath(roi$ glan$s- i'%e$$e$ in the th(roi$ glan$ can %e ina$ertentl( lost $uring a
th(roi$ecto'(.
5#.
Nursing interentions *or a atient ,ith
h(oarath(roi$is' inclu$e ,hat@ Select all that al(. a. Place calciu' gluconate at %e$si$e %. Chec+ /rousseaus sign *or tetan( c. Chec+ Choste+s sign *or tetan( $. =ie large $oses o* ita'in ; e.
5B. A *e'ale atient is note$ to hae a %u)alo hu'- a >'oon *ace?- urle stretch 'ar+s on legsa2illae an$ %reasts- truncal o%esit(- h(ergl(ce'ia an$ h(ertension.
5. A atient has ust ha$ a %ilateral a$renalecto'( *or Cushings $isease.
55. A atient has $eeloe$ a tu'or ,hich causes eleate$ so$iu' leels- lo, otassiu' leels- an$ al+alosis.
5F. A atient has h(erig'entation- ,ea+nessnausea- o'iting- a%$o'inal ain- h(otension an$ h(ogl(ce'ia. /he atient shoul$ %e teste$ *or ,hat en$ocrine con$ition@ a. Panh(oituitaris' %. Pri'ar( al$osteronis' c. A$$isons $isease $. =raes $isease Ans,er c. /he s(n$ro'e o* h(erig'entation,ea+ness- nausea- o'iting- a%$o'inal ain-
h(otension an$ h(ogl(ce'ia is li+el( su)ering *ro' A$$isons $isease.
5H.
Select all that al(. a. A$renal cortical atroh( %. Dineralocorticoi$ e2cess c. (eral$osteronis' $. Autoi''une $isease e. A$renalecto'( Ans,er a. $. e. A$$isons $isease can %e cause$ %( an a$renalecto'(- an autoi''une $isease or generalie$ a$renal cortical atroh(.
5. Your atient has $eeloe$ a$renal cortical atroh(.
illness an$ ,ill nee$ relace'ent o* hor'ones *or the rest o* their lies. I* the( $eelo s('to's o* ,eight gain an$ e$e'a- the cortisol $ose is ro%a%l( too high. 8or A$$isonian crises- the atient an$ *a'il( ,ill nee$ to learn ho, to use Solu4Corte* *or cortisol relace'ent.
5. S('to's o* an A$$isonian crisis inclu$e ,hich o* the *ollo,ing@ Select all that al(. a. (ertension %. Co'a c. Seere h(otension $. Oascular collase e. Acute %ra$(car$ia Ans,er %. c. $. In an untreate$ A$$isonian crisis- the atient ,ill $eelo seere h(otensionascular collase- co'a- an$ $eath.
F0. /he $octor has $eter'ine$ that the atient is haing an A$$isonian crisis. As a nurse- ,hat can (ou %e e2ecte$ to $o@ Select all that al(. a. =ie IO nitrorussi$e. %. =ie IO nor'al saline ,ith 5 $e2trose. c. =ie IO Solu4Corte* $. =ie IO Gu$rocortisone e. =ie IO insulin Ans,er %. c. $. In an A$$isonian crisis- the treat'ent is restoration o* olu'e ,ith $e2trose- giing cortisol in the *or' o* Solu4Corte*- an$ giing Gu$rocortisone- ,hich is a 'ineralocorticoi$.
F1. /he 'ost co''on cause o* a heochro'oc(to'a is ,hat@ a. enign a$renal 'e$ullar( tu'or %. enign a$renal cortical tu'or c. Autoi''une $isease $. A$renal cortical atroh( Ans,er a. /he 'ost co''on cause o* a heochro'oc(to'a is a %enign a$renal 'e$ullar( tu'or.
F#. A atient is su)ering *ro' ostural h(ertension- tach(car$ia- $iahoresis- an2iet(- Gushing an$ hea$ache.
FB. A atient is haing an acute eiso$e *ro' haing a heochro'oc(to'a. As a nurse- ,hat ,ill (ou %e e2ecte$ to $o@ a. =ie a calciu' channel %loc+er %. =ie IO glucose c. =ie an alha a$renergic %loc+er $. =ie an antisas'o$ic
Ans,er c. /he re*erre$ treat'ent o* an acute attac+ inoling a heochro'oc(to'a is to gie an alha a$renergic %loc+er.
F. /he 'ost co''on ostoeratie co'lication o* surgical re'oal o* a heochro'oc(to'a is ,hat@ a. (ogl(ce'ia %. (otension c. (ergl(ce'ia $. 8lui$ retention Ans,er %. /he 'ost co''on co'lication uon surgical re'oal o* a heochro'oc(to'a is h(otension- ,hich usuall( lasts #4 hours a*ter surger(. F5. You are instructing a atient as to the use o* insulin.
FF. A atient has a ne, $iagnosis o* $ia%etes 'ellitus. In e2laining long ter' i'lications o* haing the $isease untreate$- (ou tell the atient a%out ,hat@ Select all that al(.
a. %. c. $. e.
Lier *ailure Renal *ailure Periheral ascular $isease (oth(roi$is' Neuroath(
Ans,er %. c. e. You tell the atient a%out the chances o* renal *ailure- eriheral ascular $isease- eriheral neuroath(- $ia%etic retinoath( an$ heart $isease that can occur in the setting o* untreate$ $ia%etes.
FH. A hositalie$ $ia%etic atient is *oun$ in a co'a. A*ter $eter'ining that the atient has lo, %loo$ sugar- ,hat $o (ou $o@ Chec+ all that al(. a. A$'inister %. A$'inister glucagon ressor agents c. A$'inister nor'al saline $. A$'inister einehrine e. A$'inister 50 $e2trose Ans,er a. $. e. In a atient su)ering *ro' insulin shoc+e2tre'e h(ogl(ce'ia- (ou can gie glucagoneinehrine or 50 glucose solution.
F.
F. Preciitating *actors in getting $ia%etic +etoaci$osis inclu$e the *ollo,ing. Select all that al(. a. /oo little insulin ta+en %. Surgical stress c. NauseaOo'iting $. ;eh($ration e. /rau'a Ans,er a. %. e. Preciitating *actors in getting $ia%etic +etoaci$osis inclu$e too little insulin ta+en- oereatingsurgical stress or trau'atic stress on the %o$(. Nausea an$ o'iting- an$ $eh($ration are s('to's o* $ia%etic +etoaci$osis.
H0. You susect a atient is su)ering *ro' $ia%etic +etoaci$osis.
H1. In $ia%etic +etoaci$osis- the ri'ar( goal o* treat'ent is ,hat@
a. /o shi*t rotein 'eta%olis' to *at 'eta%olis' %. /o shi*t *at 'eta%olis' to car%oh($rate 'eta%olis' c. /o increase the %loo$ glucose $. /o shi*t lier ro$uction o* +etones to gl(cogen Ans,er %. /he ri'ar( goal o* the treat'ent o* $ia%etic +etoaci$osis is to shi*t *at 'eta%olis' to the utiliation an$ car%oh($rate 'eta%olis'.
H#. A atient has ust %een $iagnose$ ,ith $ia%etic +etoaci$osis.
$. ra$(car$ia e. (ogl(ce'ia *. ;eh($ration Ans,er a. $. e. A tu'or in the anterior ituitar( glan$ results in h(osecretion o* the *ollo,ing hor'ones AC//S- L- 8S- an$ rolactin. ra$(car$ia an$ col$ intolerance ,oul$ haen in situations o* lo, /S leels h(ogl(ce'ia ,oul$ %e the case in ituitar( h(osecretion o* AC/- ,hile h(ergl(ce'ia ,oul$ %e *ro' h(ersecretion o* AC/. Pol(uria an$ $eh($ration result *ro' a osterior ituitar( $isor$er.
H.
A atient is sche$ule$ to hae a
h(oh(secto'( an anterior ituitar( glan$ tu'or through theinoling transhenoi$al aroach.
H5. In ta+ing a histor( *ro' a atient +no,n to hae $ia%etes insii$us- the nurse 'a+es the *ollo,ing inuir( a. as there %een an( te'erature $(sregulation- such as *eeling er( hot or er( col$@ %. as there %een a change in (our 'oo$@ c. ae (ou notice$ a change in a'ount an$ *reuenc( o* urination@ $. as there %een a change in se2ual *unction@ Ans,er c. In $ia%etes insii$us- there is a ast increase in thirst along ,ith an increase in *reuenc( an$ a'ount o* urination.
HF. atient iso*%eing $ischarge$ *ro' the ,ill hosital ,ith/he a $iagnosis $ia%etes insii$us.
HH. /he nurse is ta+ing care o* a atient ,ith =raes $isease.
H. A atient is sche$ule$ *or a ra$ioactie io$ine uta+e test. I ta+e an oer4the4counter cough s(ru eer( $a(.? %. >I a' a egetarian.? c. >I li+e a glass o* ,ine ,ith '( 'eal.? $. >I ta+e a %a%( asirin eer( night.? Ans,er a. /he nurse is loo+ing *or ei$ence that the atient is ta+ing an io$ine source. Patients ta+ing oer4 the4counter cough 'e$icines 'a( %e ta+ing in io$i$e. /he other sources are not io$ine4containing.
H. A atient is %eing treate$ *or h(erth(roi$is' ,ith ra$ioactie io$ine.
a. :ne $oes o* ra$ioactie io$ine is all that is necessar(. %. o$il( e2cretions are ra$ioactie *or u to a ,ee+. c. Reort to the $octor i* (ou hae a te'erature increase or an increase in ulse rate. $. S('to's o* h(erth(roi$is' ,ill go a,a( a*ter 14# ,ee+s. Ans,er c. A*ter ra$ioactie io$ine- the atient 'a( %e un$ertreate$ so the( shoul$ reort an( increases in te'erature or ulse rate. Dore than one $ose 'a( %e reuire$. /he atient 'a( nee$ to hae a secon$ $ose s('to's ten$ to su%si$e oer a erio$ o* B4 ,ee+s.
0. You are $eeloing a care lan *or a atient ,ho has ust ha$ a th(roi$ecto'(.
1. A atient has ust %een $iagnose$ ,ith h(oth(roi$is'.
#. /he atient is su)ering '(2e$e'a.
c. Sta( in %e$ as 'uch as (ou can. $. Eat a high calciu' $iet. Ans,er a. /hese atients are at ris+ *or calciu'4 containing renal calculi so the( shoul$ ush Gui$s. /he calciu' leel is alrea$( high so a high calciu' $iet an$ ita'in ; are not in$icate$. e$rest is not in$icate$. . /he nurse is suose$ to chec+ *or Choste+s sign to see i* the atient is aroaching tetan( a*ter re'oal o* the arath(roi$ glan$. o, $oes she $o this@ a. loc+ the %loo$ Go, to the ,rist. %. Deasure the rate an$ $eth o* resirations. c. Listen a%nor'al insirator( %reath soun$s. $. /a the*or *ace oer the *acial nere. Ans,er $.
5. A atient ,ith h(oarath(roi$is' nee$s a $iet high in calciu' an$ lo, in hoshorus.
F. /he nurse is ealuating a atient ,ho has Cushings s(n$ro'e.
H. An a%nor'al la% result signi*(ing ri'ar( al$osteronis' is ,hat@ a. A seru' otassiu' o* B 'El %. A seru' hoshorus o* B 'g$L c. A seru' so$iu' o* 1B0 'EL $. A seru' Calciu' o* 1# 'g$L Ans,er a. In ri'ar( al$osteronis' there is seere otassiu' loss ,ith an nor'al or eleate$ so$iu' leel. Phoshorus an$ calciu' are una)ecte$.
. You are treating a atient ,ho has A$$isons $isease.
%. Proi$ing $ietar( instructions *or a lo, roteinlo, car%oh($rate $iet. c. Donitor la%s *or so$iu' an$ otassiu' i'%alances. $. Encourage the atient in his or her sel*4care. Ans,er $. /hese atients are 'issing critical 'ineralocorticoi$ an$ corticosteroi$ secretions. /he( su)er *ro' lo, so$iu' an$ eleate$ otassiu' leels. esi$es relacing their 'ineralocorticoi$s an$ corticosteroi$s- the( shoul$ %e regularl( 'onitore$ *or leels o* so$iu' an$ otassiu'.
.
A atient is %eing a$'itte$ %ecause o* a
heochro'oc(to'a. ;o (ou eer *eel alitations or an increase in heart rate@? %. >;o (ou hae %outs o* *eeling e2tre'el( ,ar' an$or Gushe$@? c. >;o (ou *eel %etter ,hen (ou ta+e in si'le sugars@? $. >;o (ou eer hae attac+s ,here (ou *eel er( slee( an$ nee$ to rest@? Ans,er a. In a heochro'oc(to'a- there are eiso$es o* increase$ heart rate an$ alitations $ue to an increase in secretion o* einehrine *ro' the tu'or.
0. A atient ,ith t(e 1 $ia%etes is %eing a$'itte$. I ,as $iagnose$ $uring '( regnanc(.?
%. >I su)ere$ *ro' an acute attac+ o* s(ncoe ,ith nausea- o'iting an$ a%$o'inal ain.? c. >I ,as $iagnose$ at age 1- ,hen I %egan gaining ,eight an$ urinating 'ore o*ten.? $. >I ,as $iagnose$ ,ith a *asting %loo$ sugar o* 115.? Ans,er %. /(e I $ia%etes o*ten co'es on su$$enl( ,ith s(ncoe- a%$o'inal ain- an$ nausea an$ o'iting. I* it ,ere $iagnose$ in regnanc(- it ,oul$ %e calle$ gestational $ia%etes. /(e # $ia%etes co'es on gra$uall( an$ atients ,ith $ia%etes usuall( hae a *asting %loo$ sugar o* 'ore than 1#5 'g$L ,hen le*t untreate$.
1. A atient ,ith t(e $ia%etes is Select haingall a h(ogl(ce'ic reaction.
#.
%. 9ee the %o$( ,eight at a%out 10415 oun$s a%oe his or her i$eal %o$( ,eight. c. ;ont eat an( snac+s %et,een 'eals. $. Inclu$e all 'acronutrients in the $iet. Ans,er $. A $ia%etic shoul$ inclu$e car%oh($ratesrotein an$ *at in the $iet ,ith onl( ten ercent o* saturate$ *ats allo,a%le on a $ail( %asis. /he %o$( ,eight shoul$ %e as close to the i$eal ,eight as ossi%le. Eating seeral s'all 'eals $uring the $a( actuall( hel reent sugar si+es.
B. A atient is at ris+ *or $ia%etic +etoaci$osis.
c. Increase insulin i* (ou are $oing 'o$erate e2ercise. $. I* s('to's occur- eat so'e co'le2 car%oh($rates. Ans,er a. ;ia%etics shoul$ 'a+e sure the( eat so'ething eer( 45 hours $uring the $a(. I* a h(ogl(ce'ic reaction is susecte$ or conMr'e$glucagon an$ not insulin is gien an$ the in$ii$ual shoul$ consu'e si'le car%oh($rates an$ not co'le2 car%oh($rates.
5. A atient ,ants to +no, a%out reenting co'lications o* $ia%etes.
F. You are o%sering another nurse giing IO NP insulin %( %olus in a atient ,ho has $ia%etic +etoaci$osis.
%. /ell the' to *ollo, the IO %olus ,ith 5410 units o* insulin %( IO er hour. c. :%sere the nurse *or roer techniue. $. /ell the nurse to sto giing the NP insulin an$ onl( gie regular insulin %( IO. Ans,er $. :nl( clear regular insulin shoul$ %e gien %( IO. NP insulin is clou$( an$ shoul$ not %e gien in an IO %olus.
H. You are an RN in charge o* an LPN on (our unit.
. A $ia%etic atient has %een gien F units o* regular insulin at 0HB0.
Ans,er a. /he regular insulin $ose ta+es a%out B0 'inutes to %egin to act ,ith a ea+ at a%out # hours. Signs an$ s('to's o* h(ogl(ce'ia *ro' giing regular insulin usuall( 'ani*est the'seles at a%out # hours ost4inection.
.
100. A atient is consi$ere$ at ris+ *or haing ri'ar( al$osteronis' i* the( hae ,hat Mn$ings@ a. Tntreate$ lung cancer %. A h(othala'ic lesion c. A histor( o* 'eningitis ,ith eriheral neuroath( $. A h(ertensie atient ,ith h(o+ale'ia not ta+ing $iuretic thera( Ans,er A atient ,ith ri'ar( al$osteronis' usuall( has high %loo$ ressure an$ h(o+ale'ia een ,hen not ta+ing $iuretics thera(.
101. A atient ,ith h(erth(roi$is' is %eing ta+en care o* %( the nurse.
10#. A atient is +no,n to hae a osterior ituitar( tu'or.
atient $ail(- 'easure the seciMc grait(- encourage Gui$s an$ 'onitor the atients inta+e an$ outut.
10B.
A atient ,ith $eh($ration *ro' $ia%etes is
%eing gien 150 cchr IO Gui$s. o, 'uch Gui$ ,ill the atient receie a*ter hours@ 8ill in the %lan+. UUUUUUUUUUUUliters
Ans,er 1.# liters. Dultil( 150 cchr %( hours to get 1-#00 'l o* Gui$. ;ii$e %( 1-000 to trans*er the nu'%er to liters.
10. A atient is gien 10 units o* NP insulin at 000.
105. A atient has ust ha$ a th(roi$ecto'( an$ is %eing $ischarge$ *ro' the hosital.
a.
Chapter 2: NCLEX -"estions Displayed .nly +or the Endocrine System
En$ocrinolog( can %e a con*using toic as there are 'an( $i)erent hor'ones to 'e'orie along ,ith their *unction. /he stu$( gui$e ,ill hel strengthen (our un$erstan$ing o* ,hat can haen ,hen an( o* the en$ocrine organs *ail or %eco'e oeractie. /he %est ,a( to reare *or the NCLEX e2a'ination in the area o* en$ocrinolog( is to ta+e as 'an( ractice uestions as (ou can. /his %oo+ roi$es (ou ,ith 105 o* the %est an$ 'ost accurate uestions in the Mel$ o* en$ocrinolog(.
/LE$SE N.,E /his chater $isla(s the uestions onl(. /his chater is sho,n ,ithout ans,ers to si'ulate the actual e2a'. /he uestions- ans,ers- an$ rationales *or each uestion ,ill %e $isla(e$ in Chater 1.
1. a. %. c. $. Ans,er
/he >'aster glan$? in the %o$( is ,hich glan$@ Pancreas Parath(roi$ =lan$ Pituitar( =lan$ /h(roi$ =lan$
#.
a. %. c. $. Ans,er
:ar( /estes A$renal glan$ Lier
B. In en$ocrinolog(- ,hat is 'eant %( a >*ee$%ac+ 'echanis'?@ a.
. a. %.
c. $. Ans,er
Peti$e hor'one Steroi$ hor'one
5. Datch the art o* the ituitar( glan$ ,ith the correct hor'one secrete$ %( it. Chec+ all that al(. a. Anterior ituitar(/S %. Anterior ituitar(8S c. $. e. Ans,er
Anterior Posteriorituitar(/R ituitar(AC/ Posterior ituitar(A;
F. /he ituitar( glan$ hor'one that inGuences car%oh($rate- rotein- an$ *at 'eta%olis' an$ is resonsi%le *or the gro,th o* cells- 'uscles an$ %ones is ,hat hor'one@ a. /h(roi$ sti'ulating hor'one %. =ro,th hor'one c. 8ollicle sti'ulating hor'one $. A$renocorticotroic hor'one Ans,er
H. /he ituitar( hor'one resonsi%le *or the release o* a$renal an$rogens an$ corticosteroi$s is ,hat@
a. %. c. $. Ans,er
AC/ 8S L /S
.
. /he th(roi$ glan$ secretes all %ut the *ollo,ing hor'one@ a. /h(ro2ine %. Parath(roi$ hor'one c. Calcitonin $. /riio$oth(ronine Ans,er
10. A atient has an io$ine $eMcienc(.
11. /he hor'one in the en$ocrine s(ste' resonsi%le *or :# consu'tion an$ 'eta%olis' is ,hat@ a. Parath(roi$ hor'one %. /h(roi$ sti'ulating hor'one c. $. Ans,er
/h(ro2ine /h(rotroin releasing hor'one
1#. /he ituitar( glan$ is triggere$ to release /S.
1B. /he atient has an eleate$ calciu' leel.
1. Parath(roi$ hor'one results in ,hat che'ical changes in the %o$(@
a. An increase in hoshate an$ a $ecrease in calciu' %. An increase in calciu' an$ a $ecrease in hoshorus c. A $ecrease in calciu' an$ a $ecrease in hoshate $. An increase in calciu' an$ an increase in hoshate Ans,er
15. A atient has an einehrine4secreting heochro'oc(to'a.
Parath(roi$ glan$ A$renal corte2 A$renal 'e$ulla Pituitar( glan$
1F. /he atient is e2eriencing tach(car$iaincrease$ %loo$ ressure- an$ an2iet(.
1H. /he atient has a lo, 'ineralocorticoi$ leel.
a. %. c. $. Ans,er
A$renal corte2 Parath(roi$ glan$ A$renal 'e$ulla /h(roi$ glan$
1. /he atient is haing a $(s*unction o* the a$renal corte2.
1. Select all a. %. c. $. e. Ans,er
Noreinehrine
Actions o* al$osterone inclu$e an( o* these. that al(. So$iu' e2cretion So$iu' retention Potassiu' retention
#0. A atient has %een $iagnose$ ,ith Cushings s(n$ro'e.
%. Cortisolconerts a'ino aci$s an$ *ats into gl(cogen c. Einehrineincreases heart rate an$ car$iac outut $. Noreinehrineincreases %loo$ ressure Ans,er #1. Peole ,ith t(e 1 $ia%etes hae to ta+e insulin %ecause o* ,hat reasons@ Select all that al(. a. /he ancreatic islet cells o* Langerhans $o not ro$uce enough insulin. %. /he( hae an autoi''une $isease. c. /he( hae insulin resistance. $. Cortisol is ro$ucing too 'uch gl(cogen. e. /he( hae lost the e2ocrine *unction o* the ancreas. Ans,er
##. /he hor'one resonsi%le *or the 'eta%olis' o* *ats- roteins- an$ car%oh($rates in the %o$(- an$ ro'otes the actie transort o* glucose into *at cells an$ 'uscle cells is ,hat@ a. =lucagon %. Pancrease c. Insulin $. /h(ro2ine Ans,er
#B. 8unctions o* insulin inclu$e the *ollo,ing. Select all that al(.
a. Pro'ote the conersion o* gl(cogen to glucose. %. Sti'ulates actie transort o* glucose into *at an$ 'uscle cells. c. Sti'ulates the %rea+$o,n o* *at into gl(cogen. $. Sti'ulates the s(nthesis o* glucose into gl(cogen. e. Pro'otes the conersion o* *att( aci$s into *at. Ans,er
#.
loo$ glucose rises. =l(cogen leels get too lo,. loo$ sugar $ros.
#5. Car%oh($rates are the re*erre$ *uel source *or the %o$(s cells.
#F. A atient has *atigue- is col$ all the ti'e- an$ has constiation- ,eight gain- an$ $r( s+in.
Cushings $isease (oth(roi$is'
#H. /he s('to' o* e2cessie thirst can occur in ,hich en$ocrine $iseases@ a. (eral$osteronis' %. Cushings $isease c. $. e. Ans,er
;ia%etes A$$isons'ellitus $isease ;ia%etes insii$us
#. A *e'ale atient has $eeloe$ e2ohthal'os.
#. A atient has a ne, Mn$ing o* increase$ ig'entation o* the s+in in the a%sence o* sun or tanning %e$ e2osure.
%. c. $. Ans,er
Cushings s(n$ro'e =raes $isease ashi'otos th(roi$itis
B0. An a$ult atient has $eeloe$ enlarge$ h(sical *eatures inclu$ing %ig han$s- coarse *acial *eatures- an$ %igger *eet.
$. Ans,er
BB.
AC/ sti'ulation test
/he atient is haing a Gui$ $eriation test.
B. A atient is haing a ra$ioactie io$ine uta+e test JRAIK.
B5. A #4hour urine test *or *ree catechola'ines chec+s these things in the urine. Select all that al(. a. Detanehrines %. Einehrine
c. $. e. Ans,er
Al$osterone Oan(ll(l'an$elic aci$ Noreinehrine
BF. A atient is %eing ealuate$ *or the resence o* $ia%etes 'ellitus.
BH. A atient is %eing sche$ule$ *or an oral glucose tolerance test. You are giing the atient instructions. Select all that are accurate. a. /he atient ,ill %e $rin+ing a s,eet liui$ an$ ,ill hae a %loo$ glucose test a*ter that. %. I* the %loo$ glucose is greater than #00 'g$L t,o hours a*ter the test- it in$icates $ia%etes. c. /he atient 'ust eat a high rotein $iet *or three $a(s rior to the test. $. /he atient 'ust %e *asting *or 1# hours %e*ore the test. e. /he test 'a( ta+e u to 5 hours to co'lete. Ans,er
B. A atient has a greater chance o* getting an in*ection.
B.
A$$isons $isease Cushings $isease ;ia%etes 'ellitus ;ia%etes insii$us =raes $isease
Co''on con$itions resulting in 'e$ical
con$itions are a
0. A atient has ha$ a h(oh(secto'( through the transhenoi$ aroach. As his nurse- ,hat is (our resonsi%ilit( ostoeratiel(@ Select all that al(. a. :%seration *or clear Gui$ that contains rotein co'ing *ro' the nose. %. =iing AC/. c. I''e$iatel( giing /.
$. :%sere isual acuit( to chec+ *or ossi%le he'ato'a *or'ation. e. Nasal ac+ing to sta( in lace *or t,ent( *our hours. Ans,er
1.
AC/
#. A atient has ust %een $iagnose$ ,ith $ia%etes insii$us.
B. A atient has ust %een $iagnose$ ,ith SIA; Js(n$ro'e o* inaroriate secretion o* A;K.
(ou tell the atient in ter's o* e$ucation@ Select all that al(. a. It is a ro%le' ,ith the osterior ituitar( glan$. %. /he atient ,ill ut out a great $eal o* urine. c. $. e. Ans,er
/he urine ,ill %e er( concentrate$. /he atient is at ris+ *or h(onatre'ia. /he atient ,ill hae an a%rut ,eight gain.
. Your atient has %een $iagnose$ ,ith =raes $isease.
5. /he atient has an oeractie th(roi$ glan$.
F. /he atient is haing an acute attac+ o* th(roto2icosis.
H.
E2tre'e resirator( $istress /ach(car$ia Restlessness or $eliriu' Signs an$ s('to's o* heart *ailure
A erson has %een $iagnose$ ,ith
'(2e$e'a.
.
. /he signs o* h(erarath(roi$is' inclu$e the *ollo,ing. Select all that al(.
a. %. c. $. e.
one h(ercalciMcation Eleate$ seru' Calciu' Eleate$ seru' Phoshorus Lo, seru' hoshorus Increase$ urinar( leels o* Calciu' an$
Phoshorus Ans,er
50. A atient ,ith h(erarath(roi$is' nee$s seeral nursing interentions. Select all that al(. a. 8all reention 'easures %. Lo, hoshorus $iet instructions c. igh calciu' $iet instructions $. e. Ans,er
Encourage Gui$an$ inta+e =ie cran%err( rune uice
51. A co''on cause o* h(oarath(roi$is' is ,hat@ a. An autoi''une $isease %. Parath(roi$ glan$ in*arction c. I$ioathic $(s*unction o* the arath(roi$ glan$ $. Ina$ertent re'oal o* the arath(roi$ glan$s $uring th(roi$ surger( Ans,er
5#. Nursing interentions *or a atient ,ith h(oarath(roi$is' inclu$e ,hat@ Select all that al(. a. Place calciu' gluconate at %e$si$e %. Chec+ /rousseaus sign *or tetan(
c. $. e. Ans,er
Chec+ Choste+s sign *or tetan( =ie large $oses o* ita'in ;
5B. A *e'ale atient is note$ to hae a %u)alo hu'- a >'oon *ace?- urle stretch 'ar+s on legsa2illae an$ %reasts- truncal o%esit(- h(ergl(ce'ia an$ h(ertension.
=raes $isease
5. A atient has ust ha$ a %ilateral a$renalecto'( *or Cushings $isease.
55. A atient has $eeloe$ a tu'or ,hich causes eleate$ so$iu' leels- lo, otassiu' leels- an$ al+alosis.
c. $. Ans,er
A$renal 'e$ulla tu'or Pri'ar( al$osteronis'
5F. A atient has h(erig'entation- ,ea+nessnausea- o'iting- a%$o'inal ain- h(otension an$ h(ogl(ce'ia. /he atient shoul$ %e teste$ *or ,hat en$ocrine con$ition@ a. Panh(oituitaris' %. Pri'ar( al$osteronis' c. A$$isons $isease $. =raes $isease Ans,er
5H. Select all a. %. c. $. e. Ans,er
5. Your atient has $eeloe$ a$renal cortical atroh(.
c. /he atient an$ *a'il( ,ill nee$ training in giing e'ergenc( Solu4Corte*. $. /he atient ,ill %e in nee$ o* li*elong relace'ent o* hor'ones. e. S('to's o* ,eight gain an$ e$e'a 'ean that the relace'ent o* hor'ones nee$s to %e $ecrease$. Ans,er
5. S('to's o* an A$$isonian crisis inclu$e ,hich o* the *ollo,ing@ Select all that al(. a. (ertension %. Co'a c. $. e. Ans,er
Seere h(otension Oascular collase Acute %ra$(car$ia
F0. /he $octor has $eter'ine$ that the atient is haing an A$$isonian crisis. As a nurse- ,hat can (ou %e e2ecte$ to $o@ Select all that al(. a. =ie IO nitrorussi$e. %. =ie IO nor'al saline ,ith 5 $e2trose. c. =ie IO Solu4Corte* $. =ie IO Gu$rocortisone e. =ie IO insulin Ans,er
F1. /he 'ost co''on cause o* a heochro'oc(to'a is ,hat@
a. %. c. $. Ans,er
enign a$renal 'e$ullar( tu'or enign a$renal cortical tu'or Autoi''une $isease A$renal cortical atroh(
F#. A atient is su)ering *ro' ostural h(ertension- tach(car$ia- $iahoresis- an2iet(- Gushing an$ hea$ache.
Prolactino'a
FB. A atient is haing an acute eiso$e *ro' haing a heochro'oc(to'a. As a nurse- ,hat ,ill (ou %e e2ecte$ to $o@ a. =ie a calciu' channel %loc+er %. =ie IO glucose c. =ie an alha a$renergic %loc+er $. =ie an antisas'o$ic Ans,er
F. /he 'ost co''on ostoeratie co'lication o* surgical re'oal o* a heochro'oc(to'a is ,hat@ a. (ogl(ce'ia %. (otension
c. $. Ans,er
(ergl(ce'ia 8lui$ retention
F5. You are instructing a atient as to the use o* insulin.
FF. A atient has a ne, $iagnosis o* $ia%etes 'ellitus. In e2laining long ter' i'lications o* haing the $isease untreate$- (ou tell the atient a%out ,hat@ Select all that al(. a. Lier *ailure %. Renal *ailure c. Periheral ascular $isease $. (oth(roi$is' e. Neuroath( Ans,er
FH. A hositalie$ $ia%etic atient is *oun$ in a co'a. A*ter $eter'ining that the atient has lo, %loo$ sugar- ,hat $o (ou $o@ Chec+ all that al(. a. A$'inister glucagon %. A$'inister ressor agents
c. $. e. Ans,er
A$'inister nor'al saline A$'inister einehrine A$'inister 50 $e2trose
F.
F. Preciitating *actors in getting $ia%etic +etoaci$osis inclu$e the *ollo,ing. Select all that al(. a. /oo little insulin ta+en %. Surgical stress c. NauseaOo'iting $. ;eh($ration e. /rau'a Ans,er
H0. You susect a atient is su)ering *ro' $ia%etic +etoaci$osis.
Ans,er
H1. In $ia%etic +etoaci$osis- the ri'ar( goal o* treat'ent is ,hat@ a. /o shi*t rotein 'eta%olis' to *at 'eta%olis' %. /o shi*t *at 'eta%olis' to car%oh($rate 'eta%olis' c. /o increase the %loo$ glucose $. /o shi*t lier ro$uction o* +etones to gl(cogen Ans,er
H#. A atient has ust $iagnose$ $ia%etic +etoaci$osis.
HB. A atient has seere $eMcienc( o* the anterior ituitar( glan$ %ecause o* a tu'or in the area.
*. Ans,er
H.
;eh($ration
A atient is sche$ule$ to hae a
h(oh(secto'( inoling an anterior ituitar( glan$ tu'or through the transhenoi$al aroach.
Suort the atients nec+ ,hen getting out o*
H5. In ta+ing a histor( *ro' a atient +no,n to hae $ia%etes insii$us- the nurse 'a+es the *ollo,ing inuir( a. as there %een an( te'erature $(sregulation- such as *eeling er( hot or er( col$@ %. as there %een a change in (our 'oo$@ c. ae (ou notice$ a change in a'ount an$ *reuenc( o* urination@ $. as there %een a change in se2ual *unction@ Ans,er
HF. /he atient is %eing $ischarge$ *ro' the hosital ,ith a $iagnosis o* $ia%etes insii$us.
HH.
/he nurse is ta+ing care o* a atient ,ith
=raes $isease.
H. A atient is sche$ule$ *or a ra$ioactie io$ine uta+e test. I ta+e an oer4the4counter cough s(ru eer( $a(.? %. >I a' a egetarian.? c. >I li+e a glass o* ,ine ,ith '( 'eal.? $. >I ta+e a %a%( asirin eer( night.?
Ans,er
H. A atient is %eing treate$ *or h(erth(roi$is' ,ith ra$ioactie io$ine.
1. A atient has ust %een $iagnose$ ,ith h(oth(roi$is'.
a. %. c. $. Ans,er
Tse lotion *or $r( s+in. 9ee the roo' te'erature cool. Sche$ule ti'es *or rest. /a+e 'e$ication as nee$e$ *or $iarrhea.
#. /he atient is su)ering *ro' '(2e$e'a.
B. A atient ,ith h(erarath(roi$is' is sche$ule$ *or a re'oal o* a art o* the arath(roi$ glan$.
c. $. Ans,er
Listen *or a%nor'al insirator( %reath soun$s. /a the *ace oer the *acial nere.
5. A atient ,ith h(oarath(roi$is' nee$s a $iet high in calciu' an$ lo, in hoshorus.
F. /he nurse is ealuating a atient ,ho has Cushings s(n$ro'e.
Ans,er
. You are treating a atient ,ho has A$$isons $isease.
. A atient;o (ou eer *eel alitations or an increase in heart rate@? %. >;o (ou hae %outs o* *eeling e2tre'el( ,ar' an$or Gushe$@? c. >;o (ou *eel %etter ,hen (ou ta+e in si'le sugars@? $. >;o (ou eer hae attac+s ,here (ou *eel er( slee( an$ nee$ to rest@? Ans,er
0. A atient ,ith t(e 1 $ia%etes is %eing a$'itte$. I ,as $iagnose$ $uring '( regnanc(.?
%. >I su)ere$ *ro' an acute attac+ o* s(ncoe ,ith nausea- o'iting an$ a%$o'inal ain.? c. >I ,as $iagnose$ at age 1- ,hen I %egan gaining ,eight an$ urinating 'ore o*ten.? $. >I ,as $iagnose$ ,ith a *asting %loo$ sugar o* 115.? Ans,er
1. A atient ,ith t(e 1 $ia%etes is haing a h(ogl(ce'ic reaction.
Dar+e$ 8lushingthirst o* the s+in Pro*oun$ ersiration Constricte$ uils
#.
B. A atient is at ris+ *or $ia%etic +etoaci$osis.
Acetone s'ell on the %reath /re'ors aing col$- cla''( s+in aing a%$o'inal ain
. =oo$ ,a(s o* reenting h(ogl(ce'ia in a $ia%etic atient inclu$e ,hich o* the *ollo,ing@ a. Eat a snac+ or 'eal eer( 45 hours $uring the $a(. %. /each a *a'il( 'e'%er as to ho, to inect insulin ,hen s('to's occur. c. Increase insulin i* (ou are $oing 'o$erate e2ercise. $. I* s('to's occur- eat so'e co'le2 car%oh($rates. Ans,er
5. A atient ,ants to +no, a%out reenting co'lications o* $ia%etes.
$. /al+ to (our $octor i''e$iatel( i* (ou hae an( ascular- +i$ne( or neurological changes. Ans,er
F. You are o%sering another nurse giing IO NP insulin %( %olus in a atient ,ho has $ia%etic +etoaci$osis.
H. You are an RN in charge o* an LPN on (our unit.
. A $ia%etic atient has %een gien F units o* regular insulin at 0HB0.
a. %. c. $. Ans,er
0B0410B0 00040B0 1#004100 150041H00
.
100. A atient is consi$ere$ at ris+ *or haing ri'ar( al$osteronis' i* the( hae ,hat Mn$ings@ a. Tntreate$ lung cancer %. A h(othala'ic lesion c. A histor( o* 'eningitis ,ith eriheral neuroath( $. A h(ertensie atient ,ith h(o+ale'ia not ta+ing $iuretic thera( Ans,er 101. A atient ,ith h(erth(roi$is' is %eing ta+en care o* %( the nurse.
$. /urn u the ther'ostat so the atient is ,ar'. e. Encourage isitors to sta( an$ conerse ,ith the atient. *. ;o $ail( ,eights. Ans,er
10#. A atient is +no,n to hae a osterior ituitar( tu'or.
Donitor the atients inta+e an$ outut.
10B. A atient ,ith $eh($ration *ro' $ia%etes is %eing gien 150 cchr IO Gui$s. o, 'uch Gui$ ,ill the atient receie a*ter hours@ 8ill in the %lan+. UUUUUUUUUUUUliters 10. A atient is gien 10 units o* NP insulin at 000.
105. A atient has ust ha$ a th(roi$ecto'( an$ is %eing $ischarge$ *ro' the hosital.
Concl"sion I hoe (ou receie$ a ton o* alue *ro' this %oo+. Re'e'%er- ractice 'a+es er*ect so (ou 'a( hae to reeat these uestions.
I* (ou aeno(e$ %oo+- ,oul$ %e +in$ to leae reie, this on A'aon@ Your(ou reie,s canenough hel others to see ,hat +in$s o* hel*ul resources are out there! Ill tal+ to (ou soon an$ see (ou in the ne2t %oo+! /han+ (ou an$ goo$ luc+ on (our 'e$ical en$eaors! 4 Chase assen Nurse Suerhero
