1. After teaching a client with acromegaly who is scheduled for an open transsphenoidal
hypophysectomy, the nurse assesses the client’s understanding. Which statement made by the
client indicates a need for further teaching?
a) “I am glad no visible incision will result from this surgery.”
b) “I hope I can go back to wearing size 8 shoes instead of size 12.”
c) “I will no longer need to limit my fluid intake after surgery.”
d) “I will wear slip-on shoes after surgery to limit bending over.”
2. After teaching a client who is recovering from an endoscopic transsphenoidal hypophysectomy,
the nurse assesses the client’s understanding. Which statement made by the client indicates a
correct understanding of the teaching?
a) “I’ll keep food on upper shelves so I do not have to bend over.”
b) “I must wash the incision with saline and redress it daily.”
c) “I should cough and deep breathe every 2 hours while I am awake.”
d) “I will wear dark glasses to prevent sun exposure.”
3. A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic hormone
(SIADH). The client’s serum sodium level is 114 mEq/L (114 mmol/L). What nursing action
would be appropriate?
a) Handle the client gently by using turn sheets for repositioning.
b) Instruct assistive personnel to measure intake and output.
c) Restrict the client’s fluid intake to 600 mL/day.
d) Consult with the dietitian about increased dietary sodium.
4. The nurse is caring for a client who is diagnosed with diabetes insipidus (DI). For what common
complication will the nurse monitor?
a) Hypertension
b) Bradycardia
c) Dehydration
d) Urine Retention
5. A client is being treated for diabetes insipidus (DI) with synthetic vasopressin (desmopressin).
What is the priority health teaching that the nurse provides regarding drug therapy?
Created from exam creator software provided by:
Ignatavicius, D. D., Workman, L. M., & Rebar, C. (2021). Medical-surgical nursing: Concepts
for interprofessional collaborative care (10th ed.). St. Louis, MO: Elsevier.
, a) The need to weigh every day and report weight gain.
b) The need to check the client’s urinary specific gravity.
c) The need to take blood pressure at least twice a day.
d) The need to monitor blood glucose every day.
6. A nurse cares for a client with adrenal hyperfunction. The client screams at her husband, bursts
into tears, and throws her water pitcher against the wall. She then tells the nurse, “I feel like I am
going crazy.” How would the nurse respond?
a) “I will ask your doctor to order a mental health consult for you.”
b) “Can I bring you information about support groups?
c) “I will close the door to your room and restrict visitors.”
d) “You feel this way because of your hormone levels.”
7. A nurse is reviewing care for a client who has syndrome of inappropriate antidiuretic hormone
(SIADH) with assistive personnel. What statement by the AP indicates understanding of this
client’s care?
a) “I will encourage plenty of fluids to promote urination and prevent dehydration.”
b) “I will assess the client’s mucous membranes and skin for signs of dehydration.”
c) “I will teach the client not to select high-sodium or salty foods on the menu.”
d) “I will weigh the client carefully before breakfast and compare with yesterday’s weight.”
8. The nurse is preparing to give tolvaptan for a client who has syndrome of inappropriate
antidiuretic hormone (SIADH). For which potentially life-threatening adverse effect would the
nurse monitor?
a) Rapid onset hypernatremia
b) Myocardial Infarction
c) Bowel perforation
d) Increased intracranial pressure
9. The nurse is caring for a client with adrenal insufficiency. What priority physical assessment
would the nurse perform?
a) Respiratory assessment
b) Neurologic assessment
Created from exam creator software provided by:
Ignatavicius, D. D., Workman, L. M., & Rebar, C. (2021). Medical-surgical nursing: Concepts
for interprofessional collaborative care (10th ed.). St. Louis, MO: Elsevier.
hypophysectomy, the nurse assesses the client’s understanding. Which statement made by the
client indicates a need for further teaching?
a) “I am glad no visible incision will result from this surgery.”
b) “I hope I can go back to wearing size 8 shoes instead of size 12.”
c) “I will no longer need to limit my fluid intake after surgery.”
d) “I will wear slip-on shoes after surgery to limit bending over.”
2. After teaching a client who is recovering from an endoscopic transsphenoidal hypophysectomy,
the nurse assesses the client’s understanding. Which statement made by the client indicates a
correct understanding of the teaching?
a) “I’ll keep food on upper shelves so I do not have to bend over.”
b) “I must wash the incision with saline and redress it daily.”
c) “I should cough and deep breathe every 2 hours while I am awake.”
d) “I will wear dark glasses to prevent sun exposure.”
3. A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic hormone
(SIADH). The client’s serum sodium level is 114 mEq/L (114 mmol/L). What nursing action
would be appropriate?
a) Handle the client gently by using turn sheets for repositioning.
b) Instruct assistive personnel to measure intake and output.
c) Restrict the client’s fluid intake to 600 mL/day.
d) Consult with the dietitian about increased dietary sodium.
4. The nurse is caring for a client who is diagnosed with diabetes insipidus (DI). For what common
complication will the nurse monitor?
a) Hypertension
b) Bradycardia
c) Dehydration
d) Urine Retention
5. A client is being treated for diabetes insipidus (DI) with synthetic vasopressin (desmopressin).
What is the priority health teaching that the nurse provides regarding drug therapy?
Created from exam creator software provided by:
Ignatavicius, D. D., Workman, L. M., & Rebar, C. (2021). Medical-surgical nursing: Concepts
for interprofessional collaborative care (10th ed.). St. Louis, MO: Elsevier.
, a) The need to weigh every day and report weight gain.
b) The need to check the client’s urinary specific gravity.
c) The need to take blood pressure at least twice a day.
d) The need to monitor blood glucose every day.
6. A nurse cares for a client with adrenal hyperfunction. The client screams at her husband, bursts
into tears, and throws her water pitcher against the wall. She then tells the nurse, “I feel like I am
going crazy.” How would the nurse respond?
a) “I will ask your doctor to order a mental health consult for you.”
b) “Can I bring you information about support groups?
c) “I will close the door to your room and restrict visitors.”
d) “You feel this way because of your hormone levels.”
7. A nurse is reviewing care for a client who has syndrome of inappropriate antidiuretic hormone
(SIADH) with assistive personnel. What statement by the AP indicates understanding of this
client’s care?
a) “I will encourage plenty of fluids to promote urination and prevent dehydration.”
b) “I will assess the client’s mucous membranes and skin for signs of dehydration.”
c) “I will teach the client not to select high-sodium or salty foods on the menu.”
d) “I will weigh the client carefully before breakfast and compare with yesterday’s weight.”
8. The nurse is preparing to give tolvaptan for a client who has syndrome of inappropriate
antidiuretic hormone (SIADH). For which potentially life-threatening adverse effect would the
nurse monitor?
a) Rapid onset hypernatremia
b) Myocardial Infarction
c) Bowel perforation
d) Increased intracranial pressure
9. The nurse is caring for a client with adrenal insufficiency. What priority physical assessment
would the nurse perform?
a) Respiratory assessment
b) Neurologic assessment
Created from exam creator software provided by:
Ignatavicius, D. D., Workman, L. M., & Rebar, C. (2021). Medical-surgical nursing: Concepts
for interprofessional collaborative care (10th ed.). St. Louis, MO: Elsevier.
