MEDSURG II ENDOCRINE FINAL REVIEW SET
2026 GUARANTEED PASS QUESTIONS AND
ANSWERS GRADED A+
◉ Gigantism. Answer: occurs in a child: leads to bigger/taller stature
◉ Acromegaly. Answer: Occurs in an adult: a lot of features enlarge
◉ Transsphenoidal hypophysectomy. Answer: surgical incision under
the lip and up through the nasal/sinus cavity to the pituitary gland
◉ You assess the nasal packing post transsphenoidal hypophysectomy
and realize yellow halos what does that signify?. Answer: CSF leak
◉ Complications for a transsphenoidal hypophysectomy. Answer: Risk
for meningitis, CSF leak, diabetes insipidus, pneumonia and atelectasis
◉ How do you prevent meningitis and post-hypophysectomy patients.
Answer: Providing good oral care (soft-bristled toothbrush, saline rinse),
don't want patient to sneeze, cough or blow nose
CALL MD IF SUSPECTED
, ◉ Signs of meningitis. Answer: Nuchal rigidity, photophobia, fever,
frontal headache, Kernig's Brudzinski's
◉ What happens if there is a CSF leak with the post-hypophysectomy
patient. Answer: Place pt on bedrest, notify MD immediately
◉ Signs of a CSF leak. Answer: Yellow halo, pt complains of headache
that worsens when sitting up and eases when laying down, salty taste in
mouth
◉ What position should the pt be laying in if CSF leak is suspected?.
Answer: HOB Flat
CALL MD IF SUSPECTED
◉ ICP prevention in post-op patients. Answer: Don't bend over, prevent
sneezing, HOB elevated, don't TCDB (use IS instead post-op)
◉ Early signs and symptoms of ICP. Answer: Change in LOC,
headache, lethargy
◉ Prevention of pneumonia and atelectasis post-op. Answer: Have pt
turn and deep breathe
2026 GUARANTEED PASS QUESTIONS AND
ANSWERS GRADED A+
◉ Gigantism. Answer: occurs in a child: leads to bigger/taller stature
◉ Acromegaly. Answer: Occurs in an adult: a lot of features enlarge
◉ Transsphenoidal hypophysectomy. Answer: surgical incision under
the lip and up through the nasal/sinus cavity to the pituitary gland
◉ You assess the nasal packing post transsphenoidal hypophysectomy
and realize yellow halos what does that signify?. Answer: CSF leak
◉ Complications for a transsphenoidal hypophysectomy. Answer: Risk
for meningitis, CSF leak, diabetes insipidus, pneumonia and atelectasis
◉ How do you prevent meningitis and post-hypophysectomy patients.
Answer: Providing good oral care (soft-bristled toothbrush, saline rinse),
don't want patient to sneeze, cough or blow nose
CALL MD IF SUSPECTED
, ◉ Signs of meningitis. Answer: Nuchal rigidity, photophobia, fever,
frontal headache, Kernig's Brudzinski's
◉ What happens if there is a CSF leak with the post-hypophysectomy
patient. Answer: Place pt on bedrest, notify MD immediately
◉ Signs of a CSF leak. Answer: Yellow halo, pt complains of headache
that worsens when sitting up and eases when laying down, salty taste in
mouth
◉ What position should the pt be laying in if CSF leak is suspected?.
Answer: HOB Flat
CALL MD IF SUSPECTED
◉ ICP prevention in post-op patients. Answer: Don't bend over, prevent
sneezing, HOB elevated, don't TCDB (use IS instead post-op)
◉ Early signs and symptoms of ICP. Answer: Change in LOC,
headache, lethargy
◉ Prevention of pneumonia and atelectasis post-op. Answer: Have pt
turn and deep breathe
