Nclex Practice Questions Endocrine Disorders Questions And Correct Answers

NCLEX PRACTICE QUESTIONS
ENDOCRINE DISORDERS QUESTIONS
AND CORRECT ANSWERS
WhenA2thyroidA2hormoneA2isA2administeredA2forA2prolongedA2hypothyroidismA2forA2aA2pati
ent,A2whatA2shouldA2theA2nurseA2monitorA2for?
a.A2angina
b.A2depression
c.A2mentalA2confusion
d.A2hypoglycemiaA2-A2Ans--A.A2angina

AA2patientA2comesA2toA2theA2clinicA2withA2complaintsA2ofA2severeA2thirst.A2TheA2patientA2h
asA2beenA2drinkingA2upA2toA210LA2ofA2coldA2waterA2aA2day,A2andA2theA2patient'sA2urineA2loo
ksA2likeA2water.A2WhatA2diagnosticA2testA2doesA2theA2nurseA2anticipateA2theA2physicianA2w
illA2orderA2forA2diagnosis?
a.A2completeA2bloodA2countA2(CBC)
b.A2fluidA2deprivationA2test
c.A2urineA2specificA2gravity
d.A2TSHA2testA2-A2Ans--b.A2fluidA2deprivationA2test

WhatA2clinicalA2manifestationsA2doeA2theA2nurseA2recognizeA2wouldA2beA2associatedA2wit
hA2diagnosisA2ofA2hyperthyroidism?A2(selectA2allA2thatA2apply)
a.A2AA2pulseA2rateA2slowerA2thanA290A2bmp
b.A2anA2elevatedA2systolicA2bloodA2pressure
c.A2muscularA2fatigability
d.A2weightA2loss
e.A2intoleranceA2toA2coldA2-A2Ans--b,c,d

TheA2nurseA2isA2caringA2forA2patientA2withA2hyperthyroidismA2whoA2suddenlyA2developsA2s
ymptomsA2relatedA2toA2thyroidA2storm.A2WhatA2symptomsA2doesA2theA2nurseA2recognizeA2
thatA2areA2indicativeA2ofA2thisA2emergency?
a.A2heartA2rateA2ofA262
b.A2bloodA2pressureA290/58A2mmHg
c.A2OxygenationA2saturationA2ofA296%
d.A2temperatureA2ofA2102A2FA2-A2Ans--d

WhatA2pharmacologicA2therapyA2doesA2theA2nurseA2anticipateA2administeringA2whenA2the
A2patientA2isA2experiencingA2thyroidA2storm?A2(selectA2allA2thatA2apply)
a.A2acetaminophen
b.A2iodine
c.A2propylthiouracil
d.A2syntheticA2levothyroxine
e.A2dexamethasoneA2(Decadron)A2-A2Ans--a,A2b,A2c

,TheA2nurseA2assessA2aA2patientA2whoA2hasA2anA2obviousA2goiter.A2WhatA2typeA2ofA2deficie
ncyA2doesA2theA2nurseA2recognizeA2thisA2isA2mostA2likelyA2theA2causeA2ofA2this?
a.A2thyrotropin
b.A2iodine
c.A2thyroxine
d.A2calcitoninA2-A2Ans--b.A2iodine

WhatA2breakfastA2itemsA2wouldA2theA2nurseA2recommendA2whenA2assistingA2withA2theA2br
eakfastA2menuA2forA2aA2patientA2withA2hyperthyroidism?
a.A2cerealA2withA2milkA2andA2bananas
b.A2friedA2eggsA2andA2bacon
c.A2orangeA2juiceA2andA2toast
d.A2porkA2sausageA2andA2cranberryA2juiceA2-A2Ans--
d.A2porkA2sausageA2andA2cranberryA2juice

AA2patientA2isA2suspectedA2ofA2havingA2aA2pheochromocytomaA2andA2isA2havingA2diagnos
ticA2testsA2doneA2inA2theA2hospital.A2WhatA2symptomsA2doesA2theA2nurseA2recognizeA2asA2
mostA2significantA2forA2aA2patientA2withA2thisA2disorder?
a.A2bloodA2pressureA2varyingA2betweenA2120/86A2andA2240/130A2mmHg
b.A2heartA2rateA2ofA256-64A2bmp
c.A2shivering
d.A2complaintsA2ofA2nauseaA2-A2Ans--
a.bloodA2pressureA2varyingA2betweenA2120/86A2andA2240/130A2mmHg

AA2patientA2isA2diagnosedA2withA2overactivityA2ofA2theA2adrenalA2medulla.A2WhatA2epineph
rineA2valueA2doesA2theA2nurseA2recognizeA2isA2aA2positiveA2diagnosticA2indicatorA2forA2ove
ractivityA2ofA2theA2adrenalA2medulla?
a.A250A2pg/mL
b.A2100A2pg/mL
c.A2100A2toA2300A2pg/mL
d.A2450A2pg/mLA2-A2Ans--d.A2450A2pg/mL

TheA2nurseA2isA2caringA2forA2aA2patientA2withA2hyperparathyroidismA2andA2observesA2aA2c
alciumA2levelA2ofA216.2mg/
dL.A2WhatA2interventionsA2doesA2theA2nurseA2prepareA2toA2provideA2toA2reduceA2theA2calci
umA2level?A2(selectA2allA2thatA2apply)
a.A2administrationA2ofA2calcitonin
b.A2administrationA2ofA2calciumA2carbonate
c.A2IVA2isotonicA2salineA2solutionA2inA2largeA2quantities
d.A2monitoringA2theA2patientA2forA2fluidA2overload
e.A2administrationA2ofA2aA2bronchodilatorA2-A2Ans--a,A2c,A2d

AA2patientA2isA2orderedA2desmopressinA2(DDAVP)A2forA2theA2treatmentA2ofA2diabetesA2insi
dious.A2WhatA2therapeuticA2responseA2doesA2theA2nurseA2anticipateA2theA2patientA2willA2e
xperience?

, a.A2aA2decreaseA2inA2bloodA2pressure
b.A2aA2decreaseA2inA2bloodA2glucoseA2levels.A2
c.A2aA2decreaseA2inA2urineA2output
d.A2aA2decreaseA2inA2appetiteA2-A2Ans--c.A2decreaseA2inA2urineA2output

TheA2nurseA2auscultatesA2aA2bruitA2overA2theA2thyroidA2glands.A2WhatA2doesA2theA2nurseA
2understandA2isA2theA2significanceA2ofA2thisA2finding?
a.A2theA2patientA2mayA2haveA2hypothyroidism
b.A2theA2patientA2mayA2haveA2thyroiditis
c.A2theA2patientA2mayA2haveA2hyperthyroidism
d.A2theA2patientA2mayA2haveA2CushingA2diseaseA2-A2Ans--
c.A2theA2patientA2mayA2haveA2hyperthyroidism

AA2patientA2withA2aA2historyA2ofA2hypothyroidismA2isA2admittedA2toA2theA2intensiveA2careA2
unitA2unconsciousA2andA2withA2aA2temperatureA2ofA295.2A2F.A2AA2familyA2memberA2inform
sA2theA2nurseA2thatA2theA2patientA2hasA2notA2takenA2thyroidA2medicationA2inA2overA22A2mon
ths.A2WhatA2doesA2theA2nurseA2suspectA2thatA2theseA2findingsA2indicate?
a.A2thyroidA2storm
b.A2myxedemaA2coma
c.A2diabetesA2insipidus
d.A2syndromeA2ofA2inappropriateA2antidiureticA2hormoneA2(SIADH)A2-A2Ans--
b.A2myxedemaA2coma

TheA2nurseA2onA2theA2telemetryA2floorA2isA2caringA2forA2aA2patientA2withA2long-
standingA2hypothyroidismA2whoA2hasA2beenA2takingA2syntheticA2thyroidA2hormoneA2replac
ementA2sporadically.A2WhatA2isA2aA2priorityA2thatA2theA2nurseA2monitorsA2forA2inA2thisA2pati
ent?
a.A2symptomsA2ofA2acuteA2coronaryA2syndrome
b.A2dietaryA2intakesA2ofA2foodsA2withA2saturatedA2fats
c.A2symptomsA2ofA2pneumonia
d.A2heatA2intoleranceA2-A2Ans--a.A2symptomsA2ofA2acuteA2coronaryA2syndrome

AA2patientA2takingA2corticosteroidsA2forA2exacerbationA2ofA2Crohn'sA2diseaseA2comesA2toA2
theA2clinicA2andA2informsA2theA2nurseA2thatA2heA2wantsA2toA2stopA2takingA2themA2becauseA
2ofA2theA2increaseA2inA2acneA2andA2moonsA2face.A2WhatA2canA2theA2nurseA2educateA2theA2
patientA2regardingA2theseA2symptoms?
a.A2theA2symptomsA2areA2permanentA2sideA2effectsA2ofA2theA2corticosteroidA2therapy
b.A2theA2moonA2faceA2andA2acneA2willA2resolveA2whenA2theA2medicationA2isA2taperedA2off.
c.A2thoseA2symptomsA2areA2notA2relatedA2toA2theA2corticosteroidA2therapy
d.A2theA2doseA2ofA2theA2medicationA2mustA2beA2tooA2highA2andA2shouldA2beA2loweredA2-
A2Ans--b.


AA2patientA2hasA2beenA2takingA2tricyclicA2antidepressantsA2forA2manyA2yearsA2forA2theA2tre
atmentA2ofA2depression.A2TheA2patientA2hasA2developedA2SIADHA2andA2hasA2beenA2admit
tedA2toA2theA2acuteA2careA2facility.A2WhatA2shouldA2theA2nurseA2carefullyA2monitorA2whenA2
caringA2forA2thisA2patient?A2(selectA2allA2thatA2apply)