Exam answers

 What does the nurse expect to find when assessing a client with Cushing’s syndrome?
Moon face, buffalo hump? Hypertension

 Which of the following assessment findings is consistent with a diagnosis of diabetes
insipidus? Polydipsia

 Which of these labs would be MOST important for a nurse to monitor for a client with a
lower gastrointestinal bleed? Platelet count

 A client underwent a colon resection with colostomy placement. Which of the following
would the surgeon consult post-operatively for colostomy management? Dietitian

 A nurse is caring for a client recently diagnosed with thyroid cancer. Which of the
following lab results will validate this diagnosis? Decreased thyroglobulin level

 Which of the following is a main assessment finding in a client with hypothyroidism?
Slowing of motor activity, cold intolerance, stiff muscles, sleep apnea?

 Which food does the nurse teach the client with hypoparathyroidism to avoid in their
diet? Fresh fruit

 The nurse knows that which statement is true about age related changes and the endocrine
system in older adults? Thyroid hormone levels decrease

 Continuous muscle spasms in a client with hypoparathyroism are related to which
condition? Seizures

 A nurse is caring for a client who has been diagnosed with diabetes type 2. Which of the
following should NOT be included in the discharge instructions? Restrict fluid intake


 Which statement by the client with diabetes shows an understanding of the importance of
self-care? I am planning on getting my spouse to exercise with me to spend more
time in each other's company

 What instructions does the nurse include when teaching the diabetic client about proper
foot care? Apply a moisturizing lotion to dry feet but not between toes

 A client is diagnosed with a type of diabetes associated with an autoimmune destruction
of plasma beta cells. Which type of diabetes is this client experiencing? Type 1

,  Which of the following surgical procedures is appropriate for a client with chronic
pancreatitis? Radical Pancreatectomy

 Which of the following is a hallmark assessment finding in a client with
hyperthyroidism? Poor thermoregulation, cold intolerance

 The nurse knows which intervention is needed for a client with pheochromocytoma?
Education not to drink or smoke

 A nurse cares for a client with chronic hypercortisolism. What action would the nurse
take to prevent infection? Wash hands when entering the room

 A nurse is caring for a client recently diagnosed with diabetes insipidus. Which of the
following medications would be appropriate for this disorder? Vasopressin

 Which of the following glands are considered the master gland? Pituitary

 The nurse identifies which lab result is consistent with a client’s diagnosis of
hyperthyroidism? Elevated T3 and T4

 During a physical assessment of a client’s endocrine system, which glad can be palpated?
Thyroid

 A nurse is caring for a client recently diagnosed with colorectal cancer. Which of the
following lab values would confirm the diagnosis? Increase carcinoembryonic antigens
(CEA)

 The nurse knows that which of the following is a therapeutic response to hydrocortisone
for Addisonian crisis? No signs of pitting edema

 The nurse instructs the patient who was on prolonged cortisol therapy to report which
signs and symptoms? Weight gain and moon face

 Your clients blood glucose level is 55. What are they at risk for? Hypoglycemia

 Which nursing interventions help to prevent adrenocortical insufficiency? Reducing
high-dose steroid therapy gradually?

 The nurse explains to a diabetic client which lab test is the best indicator of the client’s
average blood glucose level over the past 3 months? A1C