PN NCLEX 6th Edition- Pharmacology/Endocrine Test with
Complete Solutions
1. The health care provider (HCP) prescribes exenatide The medication is
(Byetta) for a client with type 1 diabetes mellitus who withheld and the
takes insulin. The nurse knows that which is the most HCP is called to
appropriate intervention? question the pre-
scription for the
client.
2. The nurse is monitoring a client receiving levothy- Insomnia
roxine sodium (Synthroid) for hypothyroidism. Which
findings indicate the presence of a side effect associ- Weight loss
ated with this medication? Select all that apply.
Mild heat intoler-
ance
3. Insomnia
4. Thyroid replacement therapy is prescribed for a client "The medication
diagnosed with hypothyroidism. The client asks the will need to be
nurse when the medication will no longer be needed. continued for life."
Which response by the nurse would be accurate?
5. A client with diabetes mellitus visits a health care Prednisone
clinic. The client's diabetes mellitus previously had
been well controlled with glyburide (DiaBeta) daily, but
recently the fasting blood glucose level has been 180
to 200 mg/dL. Which medication, added to the client's
regimen, may have contributed to the hyperglycemia?
6. Cortisone acetate (Cortone) is prescribed for a client "I will stop the
with adrenal insufficiency, and the nurse reinforces medication when I
instructions to the client regarding the medication. feel better."
Which statement by the client would indicate a need
for further teaching?
7. A client with myasthenia gravis verbalizes complaints A temporary im-
of feeling much weaker than normal. The health care provement in the
provider plans to implement a diagnostic test to de- condition
termine if the client is experiencing a myasthenic cri-
sis and administers edrophonium (Enlon). Which data
, PN NCLEX 6th Edition- Pharmacology/Endocrine Test with
Complete Solutions
would indicate that the client is experiencing a myas-
thenic crisis?
8. A client who has sustained an eye injury has been pre- Diabetes mellitus
scribed corticosteroid eye drops. The nurse should
most carefully monitor for side effects of this medica-
tion if the client has which health problem listed on
the medical record?
9. A client with diabetes mellitus calls the clinic and Administer the full
tells the nurse that she has been nauseated during dose as pre-
the night. The client asks the nurse if the morning scribed.
insulin should be administered. Which is the appropri-
ate nursing response?
10. A client is scheduled for subtotal thyroidectomy. Suppress thyroid
Potassium iodide (Lugol solution) is prescribed. The hormone produc-
nurse understands that which outcome is the thera- tion.
peutic effect of this medication?
11. A client diagnosed with hypothyroidism is taking Full therapeutic ef-
levothyroxine (Synthroid). The client returns to the fect may take 1 to
clinic 1 week after beginning the medication and tells 3 weeks.
the nurse that the medication has not helped. The
appropriate nursing response to the client is based on
which information?
12. The client plans to give their lispro (Humalog) insulin 0930
injection at 0800 right before eating breakfast. The
nurse knows that the client understood the education
provided when the client states which time presents
the greatest risk for hypoglycemia?
13. The nurse is caring for a client with Paget's disease Calcitonin (Calci-
who has an elevated serum calcium level of 12.3 mar)
mEq/L. The nurse checks to see that which medication
is available in the stock medication supply area for
possible use to reverse this elevation?
14. Runny nose
Complete Solutions
1. The health care provider (HCP) prescribes exenatide The medication is
(Byetta) for a client with type 1 diabetes mellitus who withheld and the
takes insulin. The nurse knows that which is the most HCP is called to
appropriate intervention? question the pre-
scription for the
client.
2. The nurse is monitoring a client receiving levothy- Insomnia
roxine sodium (Synthroid) for hypothyroidism. Which
findings indicate the presence of a side effect associ- Weight loss
ated with this medication? Select all that apply.
Mild heat intoler-
ance
3. Insomnia
4. Thyroid replacement therapy is prescribed for a client "The medication
diagnosed with hypothyroidism. The client asks the will need to be
nurse when the medication will no longer be needed. continued for life."
Which response by the nurse would be accurate?
5. A client with diabetes mellitus visits a health care Prednisone
clinic. The client's diabetes mellitus previously had
been well controlled with glyburide (DiaBeta) daily, but
recently the fasting blood glucose level has been 180
to 200 mg/dL. Which medication, added to the client's
regimen, may have contributed to the hyperglycemia?
6. Cortisone acetate (Cortone) is prescribed for a client "I will stop the
with adrenal insufficiency, and the nurse reinforces medication when I
instructions to the client regarding the medication. feel better."
Which statement by the client would indicate a need
for further teaching?
7. A client with myasthenia gravis verbalizes complaints A temporary im-
of feeling much weaker than normal. The health care provement in the
provider plans to implement a diagnostic test to de- condition
termine if the client is experiencing a myasthenic cri-
sis and administers edrophonium (Enlon). Which data
, PN NCLEX 6th Edition- Pharmacology/Endocrine Test with
Complete Solutions
would indicate that the client is experiencing a myas-
thenic crisis?
8. A client who has sustained an eye injury has been pre- Diabetes mellitus
scribed corticosteroid eye drops. The nurse should
most carefully monitor for side effects of this medica-
tion if the client has which health problem listed on
the medical record?
9. A client with diabetes mellitus calls the clinic and Administer the full
tells the nurse that she has been nauseated during dose as pre-
the night. The client asks the nurse if the morning scribed.
insulin should be administered. Which is the appropri-
ate nursing response?
10. A client is scheduled for subtotal thyroidectomy. Suppress thyroid
Potassium iodide (Lugol solution) is prescribed. The hormone produc-
nurse understands that which outcome is the thera- tion.
peutic effect of this medication?
11. A client diagnosed with hypothyroidism is taking Full therapeutic ef-
levothyroxine (Synthroid). The client returns to the fect may take 1 to
clinic 1 week after beginning the medication and tells 3 weeks.
the nurse that the medication has not helped. The
appropriate nursing response to the client is based on
which information?
12. The client plans to give their lispro (Humalog) insulin 0930
injection at 0800 right before eating breakfast. The
nurse knows that the client understood the education
provided when the client states which time presents
the greatest risk for hypoglycemia?
13. The nurse is caring for a client with Paget's disease Calcitonin (Calci-
who has an elevated serum calcium level of 12.3 mar)
mEq/L. The nurse checks to see that which medication
is available in the stock medication supply area for
possible use to reverse this elevation?
14. Runny nose
