SICK VISIT MANAGEMENT OF ENDOCRINE
ACTUAL TEST PAPER QUESTIONS AND
SOLUTIONS COMPLETE STUDY GUIDE
●● 2.
A patient has been admitted to the post-surgical unit following a
thyroidectomy. To promote comfort and safety, how should the nurse
best position the patient?
A) Side-lying (lateral) with one pillow under the head
B) Head of the bed elevated 30 degrees and no pillows placed under the
head
C) Semi-Fowlers with the head supported on two pillows
D) Supine, with a small roll supporting the neck
Answer: C
Feedback:
,When moving and turning the patient, the nurse carefully supports the
patients head and avoids tension on the sutures. The most comfortable
position is the semi-Fowlers position, with the head elevated and
supported by pillows.
●● 3.
A patient with thyroid cancer has undergone surgery and a significant
amount of parathyroid tissue has been removed. The nurse caring for the
patient should prioritize what question when addressing potential
complications?
A) Do you feel any muscle twitches or spasms?
B) Do you feel flushed or sweaty?
C) Are you experiencing any dizziness or lightheadedness?
D) Are you having any pain that seems to be radiating from your bones?
Answer: A
Feedback:
,As the blood calcium level falls, hyperirritability of the nerves occurs,
with spasms of the hands and feet and muscle twitching. This is
characteristic of hypoparathyroidism. Flushing, diaphoresis, dizziness,
and pain are atypical signs of the resulting hypocalcemia.
●● 4.
The nurse is caring for a patient with a diagnosis of Addisons disease.
What sign or symptom is most closely associated with this health
problem?
A) Truncal obesity
B) Hypertension
C) Muscle weakness
D) Moon face
Answer: C
Feedback:
Patients with Addisons disease demonstrate muscular weakness,
anorexia, gastrointestinal symptoms, fatigue, emaciation, dark
, pigmentation of the skin, and hypotension. Patients with Cushing
syndrome demonstrate truncal obesity, moon face, acne, abdominal
striae, and hypertension.
●● 5.
The nurse is caring for a patient with Addisons disease who is scheduled
for discharge. When teaching the patient about hormone replacement
therapy, the nurse should address what topic?
A) The possibility of precipitous weight gain
B) The need for lifelong steroid replacement
C) The need to match the daily steroid dose to immediate symptoms
D) The importance of monitoring liver function
Answer: B
Feedback:
Because of the need for lifelong replacement of adrenal cortex hormones
to prevent addisonian crises, the patient and family members receive
explicit education about the rationale for replacement therapy and proper
ACTUAL TEST PAPER QUESTIONS AND
SOLUTIONS COMPLETE STUDY GUIDE
●● 2.
A patient has been admitted to the post-surgical unit following a
thyroidectomy. To promote comfort and safety, how should the nurse
best position the patient?
A) Side-lying (lateral) with one pillow under the head
B) Head of the bed elevated 30 degrees and no pillows placed under the
head
C) Semi-Fowlers with the head supported on two pillows
D) Supine, with a small roll supporting the neck
Answer: C
Feedback:
,When moving and turning the patient, the nurse carefully supports the
patients head and avoids tension on the sutures. The most comfortable
position is the semi-Fowlers position, with the head elevated and
supported by pillows.
●● 3.
A patient with thyroid cancer has undergone surgery and a significant
amount of parathyroid tissue has been removed. The nurse caring for the
patient should prioritize what question when addressing potential
complications?
A) Do you feel any muscle twitches or spasms?
B) Do you feel flushed or sweaty?
C) Are you experiencing any dizziness or lightheadedness?
D) Are you having any pain that seems to be radiating from your bones?
Answer: A
Feedback:
,As the blood calcium level falls, hyperirritability of the nerves occurs,
with spasms of the hands and feet and muscle twitching. This is
characteristic of hypoparathyroidism. Flushing, diaphoresis, dizziness,
and pain are atypical signs of the resulting hypocalcemia.
●● 4.
The nurse is caring for a patient with a diagnosis of Addisons disease.
What sign or symptom is most closely associated with this health
problem?
A) Truncal obesity
B) Hypertension
C) Muscle weakness
D) Moon face
Answer: C
Feedback:
Patients with Addisons disease demonstrate muscular weakness,
anorexia, gastrointestinal symptoms, fatigue, emaciation, dark
, pigmentation of the skin, and hypotension. Patients with Cushing
syndrome demonstrate truncal obesity, moon face, acne, abdominal
striae, and hypertension.
●● 5.
The nurse is caring for a patient with Addisons disease who is scheduled
for discharge. When teaching the patient about hormone replacement
therapy, the nurse should address what topic?
A) The possibility of precipitous weight gain
B) The need for lifelong steroid replacement
C) The need to match the daily steroid dose to immediate symptoms
D) The importance of monitoring liver function
Answer: B
Feedback:
Because of the need for lifelong replacement of adrenal cortex hormones
to prevent addisonian crises, the patient and family members receive
explicit education about the rationale for replacement therapy and proper
