NUR-265 EXAM 3
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: NUR-265 Exam 3 A patient is being admitted with a
diagnosis of Cushing syndrome. Which finding will the nurse
expect during the assessment?
A. Chronically low blood pressure
B. Bronzed appearance of the skin
C. Purplish streaks on the abdomen
D. Decreased axillary and pubic hair
Answer:
ANS: C
Purplish-red striae on the abdomen are a common clinical manifestation of
Cushing syndrome. Hypotension and bronzed-appearing skin are
manifestations of Addison's disease. Decreased axillary and pubic hair occur
with androgen deficiency.
Question 2: A patient with Cushing syndrome is admitted for an
adrenalectomy. Which information would likely help the patient
cope with a disturbed body image related to changes in
appearance?
A. Reassure the patient that the physical changes are very common
in patients with Cushing syndrome.
B. Discuss the use of diet and exercise in controlling the weight gain
associated with Cushing syndrome.
C. Teach the patient that the metabolic impact of Cushing syndrome
is of more importance than appearance.
, D. Remind the patient that most of the physical changes caused by
Cushing syndrome will resolve after surgery.
Answer:
ANS: D
The most reassuring and accurate communication to the patient is that the
physical and emotional changes caused by the Cushing syndrome will resolve
after hormone levels return to normal postoperatively. Reassurance that the
physical changes are expected or that there are more serious physiologic
problems associated with Cushing syndrome minimize the patient's concerns.
The patient's physiological changes are caused by the high hormone levels,
not by the patient's diet or exercise choices.
Question 3: Which finding indicates to the nurse that the current
therapies are effective for a patient who has acute adrenal
insufficiency?
A. Increasing serum sodium levels
B. Decreasing blood glucose levels
C. Decreasing serum chloride levels
D. Increasing serum potassium levels
Answer:
ANS: A
Clinical manifestations of Addison's disease include hyponatremia and an
increase in sodium level indicates improvement. The other values indicate
that treatment has not been effective.
Question 4: The nurse admits a patient to the hospital in
Addisonian crisis. Which patient statement supports the need to
plan additional teaching?
, A. "I frequently eat at restaurants, and my food has a lot of added
salt."
B. "I had the flu earlier this week, so I couldn't take the
hydrocortisone."
C. "I always double my dose of hydrocortisone on the days that I go
for a long run."
D. "I take twice as much hydrocortisone in the morning dose as I do in
the afternoon."
Answer:
ANS: B
The need for hydrocortisone replacement is increased with stressors such as
illness, and the patient needs to be taught to call the health care provider
because medication and IV fluids and electrolytes may need to be given. The
other patient statements indicate appropriate management of the Addison's
disease.
Question 5: A patient with systemic lupus erythematosus has been
prescribed 2 weeks of high-dose prednisone therapy. Which
information about the prednisone is most important for the nurse to
include?
A. "Weigh yourself daily to monitor for weight gain."
B. "The prednisone dose should be decreased gradually."
C. "A weight-bearing exercise program will help minimize risk for
osteoporosis."
D. "Call the health care provider if you have mood changes with the
prednisone."
Answer:
, ANS: B
Acute adrenal insufficiency may occur if exogenous corticosteroids are
suddenly stopped. Mood alterations and weight gain are possible adverse
effects of corticosteroid use, but these are not life-threatening effects.
Osteoporosis occurs when patients take corticosteroids for longer periods.
Question 6: Which action would the nurse take when providing care
for a patient who has an adrenocortical adenoma causing
hyperaldosteronism?
A. Check blood glucose level every 4 hours.
B. Monitor the blood pressure every 4 hours.
C. Elevate the patient's legs to prevent edema.
D. Order the patient a potassium-restricted diet.
Answer:
ANS: B
Hypertension caused by sodium retention is a common complication of
hyperaldosteronism. Hyperaldosteronism does not cause an elevation in
blood glucose. The patient will be hypokalemic and require potassium
supplementation before surgery. Edema does not usually occur with
hyperaldosteronism.
Question 7: Which finding would the nurse plan to assess for in a
patient diagnosed with a pheochromocytoma?
A. Flushing
B. Headache
C. Bradycardia
D. Hypoglycemia
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: NUR-265 Exam 3 A patient is being admitted with a
diagnosis of Cushing syndrome. Which finding will the nurse
expect during the assessment?
A. Chronically low blood pressure
B. Bronzed appearance of the skin
C. Purplish streaks on the abdomen
D. Decreased axillary and pubic hair
Answer:
ANS: C
Purplish-red striae on the abdomen are a common clinical manifestation of
Cushing syndrome. Hypotension and bronzed-appearing skin are
manifestations of Addison's disease. Decreased axillary and pubic hair occur
with androgen deficiency.
Question 2: A patient with Cushing syndrome is admitted for an
adrenalectomy. Which information would likely help the patient
cope with a disturbed body image related to changes in
appearance?
A. Reassure the patient that the physical changes are very common
in patients with Cushing syndrome.
B. Discuss the use of diet and exercise in controlling the weight gain
associated with Cushing syndrome.
C. Teach the patient that the metabolic impact of Cushing syndrome
is of more importance than appearance.
, D. Remind the patient that most of the physical changes caused by
Cushing syndrome will resolve after surgery.
Answer:
ANS: D
The most reassuring and accurate communication to the patient is that the
physical and emotional changes caused by the Cushing syndrome will resolve
after hormone levels return to normal postoperatively. Reassurance that the
physical changes are expected or that there are more serious physiologic
problems associated with Cushing syndrome minimize the patient's concerns.
The patient's physiological changes are caused by the high hormone levels,
not by the patient's diet or exercise choices.
Question 3: Which finding indicates to the nurse that the current
therapies are effective for a patient who has acute adrenal
insufficiency?
A. Increasing serum sodium levels
B. Decreasing blood glucose levels
C. Decreasing serum chloride levels
D. Increasing serum potassium levels
Answer:
ANS: A
Clinical manifestations of Addison's disease include hyponatremia and an
increase in sodium level indicates improvement. The other values indicate
that treatment has not been effective.
Question 4: The nurse admits a patient to the hospital in
Addisonian crisis. Which patient statement supports the need to
plan additional teaching?
, A. "I frequently eat at restaurants, and my food has a lot of added
salt."
B. "I had the flu earlier this week, so I couldn't take the
hydrocortisone."
C. "I always double my dose of hydrocortisone on the days that I go
for a long run."
D. "I take twice as much hydrocortisone in the morning dose as I do in
the afternoon."
Answer:
ANS: B
The need for hydrocortisone replacement is increased with stressors such as
illness, and the patient needs to be taught to call the health care provider
because medication and IV fluids and electrolytes may need to be given. The
other patient statements indicate appropriate management of the Addison's
disease.
Question 5: A patient with systemic lupus erythematosus has been
prescribed 2 weeks of high-dose prednisone therapy. Which
information about the prednisone is most important for the nurse to
include?
A. "Weigh yourself daily to monitor for weight gain."
B. "The prednisone dose should be decreased gradually."
C. "A weight-bearing exercise program will help minimize risk for
osteoporosis."
D. "Call the health care provider if you have mood changes with the
prednisone."
Answer:
, ANS: B
Acute adrenal insufficiency may occur if exogenous corticosteroids are
suddenly stopped. Mood alterations and weight gain are possible adverse
effects of corticosteroid use, but these are not life-threatening effects.
Osteoporosis occurs when patients take corticosteroids for longer periods.
Question 6: Which action would the nurse take when providing care
for a patient who has an adrenocortical adenoma causing
hyperaldosteronism?
A. Check blood glucose level every 4 hours.
B. Monitor the blood pressure every 4 hours.
C. Elevate the patient's legs to prevent edema.
D. Order the patient a potassium-restricted diet.
Answer:
ANS: B
Hypertension caused by sodium retention is a common complication of
hyperaldosteronism. Hyperaldosteronism does not cause an elevation in
blood glucose. The patient will be hypokalemic and require potassium
supplementation before surgery. Edema does not usually occur with
hyperaldosteronism.
Question 7: Which finding would the nurse plan to assess for in a
patient diagnosed with a pheochromocytoma?
A. Flushing
B. Headache
C. Bradycardia
D. Hypoglycemia
