Endocrine NCLEX Practice Questions with correct
answers
Which of the following assessment findings characterize thyroid storm?
a) increased body temperature, decreased pulse, and increased blood
pressure
b) increased body temperature, increased pulse, and increased blood
pressure
c) increased body temperature, decreased pulse, and decreased blood
pressure
d) increased body temperature, increased pulse, and decreased blood
pressure Correct Answer-b) increased body temperature, increased
pulse, and increased blood pressure
Thyroid storm is characterized by SNS activation. Thyroid hormones
potentiate effects of cathecolamines (epinephrine/norepinephrine).
Therefore, all vital signs will be increased.
The nurse is planning care for a client with hyperthyroidism. Which of
the following nursing interventions are appropriate? Select all that apply
a) instill isotonic eye drops as necessary
b) provide several, small, well-balanced meals
c) provide rest periods
d) keep environment warm
e) encourage frequent visitors and conversation
,f) weigh the client daily Correct Answer-a, b, c, and f
(a) The client with hyperthyroidism may experience exopthalmos. This
requires instillation of eye drops to prevent dryness and ulceration of the
cornea.
(b and f) The client experiences weight loss because of
hypermetabolism. Several, small, well-balanced meals are given to
improve nutritional status of the client and daily weights should be
monitored. Weight is the most objective indicator of nutritional status.
(c) The client is usually exhausted due to restlessness and agitation.
Frequent rest periods help the client regain energy.
After thyroidectomy, which of the following is the priority assessment to
observe laryngeal nerve damage?
a) hoarseness of voice
b) difficulty in swallowing
c) tetany
d) fever Correct Answer-a) hoarseness of voice
Laryngeal nerve damage is manifested by severe hoarseness of voice of
"whispery voice".
,When caring for a male client with diabetes insipidus, nurse Juliet
expects to administer:
a. vasopressin (Pitressin Synthetic)
b. furosemide (Lasix).
c. regular insulin.
d. 10% dextrose. Correct Answer-a. vasopressin (Pitressin Synthetic)
Because diabetes insipidus results from decreased antidiuretic hormone
(vasopressin) production, the nurse should expect to administer synthetic
vasopressin for hormone replacement therapy. Furosemide, a diuretic, is
contraindicated because a client with diabetes insipidus experiences
polyuria. Insulin and dextrose are used to treat diabetes mellitus and its
complications, not diabetes insipidus.
Nurse Ronn is assessing a client with possible Cushing's syndrome. In a
client with Cushing's syndrome, the nurse would expect to find:
a. Hypotension.
b. Thick, coarse skin.
c. Deposits of adipose tissue in the trunk and dorsocervical area.
d. Weight gain in arms and legs. Correct Answer-c. Deposits of adipose
tissue in the trunk and dorsocervical area
Because of changes in fat distribution, adipose tissue accumulates in the
trunk, face (moonface), and dorsocervical areas (buffalo hump).
Hypertension is caused by fluid retention. Skin becomes thin and bruises
easily because of a loss of collagen. Muscle wasting causes muscle
atrophy and thin extremities.
, For the first 72 hours after thyroidectomy surgery, nurse Jamie would
assess the female client for Chvostek's sign and Trousseau's sign because
they indicate which of the following?
a. Hypocalcemia
b. Hypercalcemia
c. Hypokalemia
d. Hyperkalemia Correct Answer-a. Hypocalcemia
The client who has undergone a thyroidectomy is at risk for developing
hypocalcemia from inadvertent removal or damage to the parathyroid
gland. The client with hypocalcemia will exhibit a positive Chvostek's
sign (facial muscle contraction when the facial nerve in front of the ear
is tapped) and a positive Trousseau's sign (carpal spasm when a blood
pressure cuff is inflated for a few minutes). These signs aren't present
with hypercalcemia, hypokalemia, or hyperkalemia.
An incoherent female client with a history of hypothyroidism is brought
to the emergency department by the rescue squad. Physical and
laboratory findings reveal hypothermia, hypoventilation, respiratory
acidosis, bradycardia, hypotension, and nonpitting edema of the face and
pretibial area. Knowing that these findings suggest severe
hypothyroidism, nurse Libby prepares to take emergency action to
prevent the potential complication of:
a. Thyroid storm.
b. Cretinism.
answers
Which of the following assessment findings characterize thyroid storm?
a) increased body temperature, decreased pulse, and increased blood
pressure
b) increased body temperature, increased pulse, and increased blood
pressure
c) increased body temperature, decreased pulse, and decreased blood
pressure
d) increased body temperature, increased pulse, and decreased blood
pressure Correct Answer-b) increased body temperature, increased
pulse, and increased blood pressure
Thyroid storm is characterized by SNS activation. Thyroid hormones
potentiate effects of cathecolamines (epinephrine/norepinephrine).
Therefore, all vital signs will be increased.
The nurse is planning care for a client with hyperthyroidism. Which of
the following nursing interventions are appropriate? Select all that apply
a) instill isotonic eye drops as necessary
b) provide several, small, well-balanced meals
c) provide rest periods
d) keep environment warm
e) encourage frequent visitors and conversation
,f) weigh the client daily Correct Answer-a, b, c, and f
(a) The client with hyperthyroidism may experience exopthalmos. This
requires instillation of eye drops to prevent dryness and ulceration of the
cornea.
(b and f) The client experiences weight loss because of
hypermetabolism. Several, small, well-balanced meals are given to
improve nutritional status of the client and daily weights should be
monitored. Weight is the most objective indicator of nutritional status.
(c) The client is usually exhausted due to restlessness and agitation.
Frequent rest periods help the client regain energy.
After thyroidectomy, which of the following is the priority assessment to
observe laryngeal nerve damage?
a) hoarseness of voice
b) difficulty in swallowing
c) tetany
d) fever Correct Answer-a) hoarseness of voice
Laryngeal nerve damage is manifested by severe hoarseness of voice of
"whispery voice".
,When caring for a male client with diabetes insipidus, nurse Juliet
expects to administer:
a. vasopressin (Pitressin Synthetic)
b. furosemide (Lasix).
c. regular insulin.
d. 10% dextrose. Correct Answer-a. vasopressin (Pitressin Synthetic)
Because diabetes insipidus results from decreased antidiuretic hormone
(vasopressin) production, the nurse should expect to administer synthetic
vasopressin for hormone replacement therapy. Furosemide, a diuretic, is
contraindicated because a client with diabetes insipidus experiences
polyuria. Insulin and dextrose are used to treat diabetes mellitus and its
complications, not diabetes insipidus.
Nurse Ronn is assessing a client with possible Cushing's syndrome. In a
client with Cushing's syndrome, the nurse would expect to find:
a. Hypotension.
b. Thick, coarse skin.
c. Deposits of adipose tissue in the trunk and dorsocervical area.
d. Weight gain in arms and legs. Correct Answer-c. Deposits of adipose
tissue in the trunk and dorsocervical area
Because of changes in fat distribution, adipose tissue accumulates in the
trunk, face (moonface), and dorsocervical areas (buffalo hump).
Hypertension is caused by fluid retention. Skin becomes thin and bruises
easily because of a loss of collagen. Muscle wasting causes muscle
atrophy and thin extremities.
, For the first 72 hours after thyroidectomy surgery, nurse Jamie would
assess the female client for Chvostek's sign and Trousseau's sign because
they indicate which of the following?
a. Hypocalcemia
b. Hypercalcemia
c. Hypokalemia
d. Hyperkalemia Correct Answer-a. Hypocalcemia
The client who has undergone a thyroidectomy is at risk for developing
hypocalcemia from inadvertent removal or damage to the parathyroid
gland. The client with hypocalcemia will exhibit a positive Chvostek's
sign (facial muscle contraction when the facial nerve in front of the ear
is tapped) and a positive Trousseau's sign (carpal spasm when a blood
pressure cuff is inflated for a few minutes). These signs aren't present
with hypercalcemia, hypokalemia, or hyperkalemia.
An incoherent female client with a history of hypothyroidism is brought
to the emergency department by the rescue squad. Physical and
laboratory findings reveal hypothermia, hypoventilation, respiratory
acidosis, bradycardia, hypotension, and nonpitting edema of the face and
pretibial area. Knowing that these findings suggest severe
hypothyroidism, nurse Libby prepares to take emergency action to
prevent the potential complication of:
a. Thyroid storm.
b. Cretinism.
