MDCII final review Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
What is a common age-related change in the endocrine system of older adults? - CORRECT
ANSWER Thyroid hormone levels decrease
What type of diabetes is associated with an autoimmune destruction of plasma beta cells? -
CORRECT ANSWER Type I diabetes
A nurse is caring for a client recently diagnosed with Addison's disease. Which of the
following s/s are consistent with this diagnosis? - CORRECT ANSWER Hypotension
What nursing intervention helps to prevent adrenocortical insufficiency? (Addison's disease) -
CORRECT ANSWER Reducing high-dose steroid therapy gradually
37 year old male presented with weight loss, bloating, and bruising. Client's stool test and
hydrogen breath tests were positive. What condition is this - CORRECT
ANSWER malabsorption syndrome
What discharge interventions are important for a hispanic client who was recently diagnosed
with type II diabetes? - CORRECT ANSWER -provide written instructions in spanish
-consult the dietician to instruct in dietary restriction
-consult
diabetes educator
-conduct a cultural assessment
What food should a client with cholelithiasis avoid? - CORRECT ANSWER french
fries-fried good can aggravate pain and discomfort
, Clients blood glucose is 275 and they are about to eat breakfast. Per the sliding scale, the
nurse administers 8 units of regular insulin subq at 0700. Nurse knows the client is most at
risk for hypoglycemia at what time? - CORRECT ANSWER 0930
What lab test is the best indicator of the clients avrage blood glucose over the past 3 months?
- CORRECT ANSWER Hemoglobin A1C
A patient diagnosed with ulcerative colitis, what is indicated as an understanding? -
CORRECT ANSWER It is caused by an inflammatory process of the GI tract
What are treatment options for a patient with acute pancreatitis? - CORRECT
ANSWER -NPO
-Pain management
-TPN fluids
For a patient with type II diabetes, what is not included in the discharge plan? - CORRECT
ANSWER -restricting fluid intake
What gland can be palpated during a physical assessment of the endocrine system? -
CORRECT ANSWER thyroid gland
60yr old female underwent a hysterectomy and is post op day 4. No active bowel sounds and
has no passed any gas. What is the client experiencing? - CORRECT ANSWER non-
mechanical bowel obstruction
A nurse is caring for a client diagnosed with colorectal cancer. Which of the following lab
values would confirm the diagnosis? - CORRECT ANSWER Increased
carcinoembryonic antigens (CEA).
What lab result will validate a client diagnosed with thyroid cancer? - CORRECT
ANSWER Increased serum thyroglobulin (TG) level
ACTUAL QUESTIONS AND CORRECT
ANSWERS
What is a common age-related change in the endocrine system of older adults? - CORRECT
ANSWER Thyroid hormone levels decrease
What type of diabetes is associated with an autoimmune destruction of plasma beta cells? -
CORRECT ANSWER Type I diabetes
A nurse is caring for a client recently diagnosed with Addison's disease. Which of the
following s/s are consistent with this diagnosis? - CORRECT ANSWER Hypotension
What nursing intervention helps to prevent adrenocortical insufficiency? (Addison's disease) -
CORRECT ANSWER Reducing high-dose steroid therapy gradually
37 year old male presented with weight loss, bloating, and bruising. Client's stool test and
hydrogen breath tests were positive. What condition is this - CORRECT
ANSWER malabsorption syndrome
What discharge interventions are important for a hispanic client who was recently diagnosed
with type II diabetes? - CORRECT ANSWER -provide written instructions in spanish
-consult the dietician to instruct in dietary restriction
-consult
diabetes educator
-conduct a cultural assessment
What food should a client with cholelithiasis avoid? - CORRECT ANSWER french
fries-fried good can aggravate pain and discomfort
, Clients blood glucose is 275 and they are about to eat breakfast. Per the sliding scale, the
nurse administers 8 units of regular insulin subq at 0700. Nurse knows the client is most at
risk for hypoglycemia at what time? - CORRECT ANSWER 0930
What lab test is the best indicator of the clients avrage blood glucose over the past 3 months?
- CORRECT ANSWER Hemoglobin A1C
A patient diagnosed with ulcerative colitis, what is indicated as an understanding? -
CORRECT ANSWER It is caused by an inflammatory process of the GI tract
What are treatment options for a patient with acute pancreatitis? - CORRECT
ANSWER -NPO
-Pain management
-TPN fluids
For a patient with type II diabetes, what is not included in the discharge plan? - CORRECT
ANSWER -restricting fluid intake
What gland can be palpated during a physical assessment of the endocrine system? -
CORRECT ANSWER thyroid gland
60yr old female underwent a hysterectomy and is post op day 4. No active bowel sounds and
has no passed any gas. What is the client experiencing? - CORRECT ANSWER non-
mechanical bowel obstruction
A nurse is caring for a client diagnosed with colorectal cancer. Which of the following lab
values would confirm the diagnosis? - CORRECT ANSWER Increased
carcinoembryonic antigens (CEA).
What lab result will validate a client diagnosed with thyroid cancer? - CORRECT
ANSWER Increased serum thyroglobulin (TG) level
