EXAM 1 ENDOCRINE SYSTEM
QUESTIONS WITH VERIFIED
ANSWERS
Which instruction would the nurse give to a patient who is scheduled to complete a
24-hour urine collection for 17-ketosteroids?
a. Insert and maintain a retention catheter
b. Keep the specimen refrigerated or on ice
c. Drink at least 3L of fluid during 24 hours
d. Void and save the specimen to start the collection - ANSWER-b. Keep the
specimen refrigerated or on ice
A patient with a possible pituitary adenoma is scheduled for a computed tomography
(CT) scan with contrast media. Which patient information is most important for the
nurse to communicate to the health care provider before the test?
a. Bilateral poor peripheral vision
b. Allergies to iodine and shellfish
c. Recent weight loss of 20lbs
d. Patients report ongoing headache - ANSWER-b. Allergies to iodine and shellfish
The nurse is caring for a patient with a possible pituitary tumor who is scheduled for
a computed tomography (CT) scan with contrast. Which information about the
patient is most important to discuss with the health care provider before the test?
a. Report of chronic headache
b. History of renal insufficiency
c. Recent bilateral vision loss
d. Blood glucose level of 134 mg/dL - ANSWER-b. History of renal insufficiency
Which information provided by a nurse to a patient newly diagnosed with type 2
diabetes is accurate?
a. Insulin is not used to control glucose in type2 DM
b. Complications of type 2 diabetes are less serious than those of type 1
c. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in a
hypoglycemic coma - ANSWER-c. Changes in diet and exercise may control blood
glucose levels in type 2 diabetes
A patient screened for diabetes at a clinic has fasting plasma glucose level 120
mg/dL (6.7 mmol/L). Which information will the nurse plan to teach the patient?
a. Self monitoring of glucose
b. Using small doses of regular insulin
c. lifestyle changes to lower blood glucose
,d. Effects of oral hypoglycemic medications - ANSWER-c. lifestyle changes to lower
blood glucose
A 28-yr old male patient with type 1 diabetes reports how he manages his exercise
and glucose control. Which behavior indicates a need for the nurse to implement
additional teaching?
a. The patient always carries hard candies when engaging in exercise
b. The patient goes for a vigorous walk when his blood glucose is 200mg/dL
c. The patient has a peanut butter sandwich before going for a bicycle ride
d. The patient increases daily exercise when ketones are present in the urine. -
ANSWER-d. The patient increases daily exercise when ketones are present in the
urine.
The nurse is assessing a 22-yr-old patient experiencing the onset of symptoms of
type 1 diabetes. Which finding would the nurse anticipate?
a. Anorexia
b. Weight loss
c. Dark colored urine
d. Craving sugary drinks - ANSWER-b. Weight loss
A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several
months from now. Which test will the nurse schedule to evaluate the effectiveness of
treatment for the patient?
a. Fasting blood glucose
b. Glycosylated hemoglobin
c. Oral glucose tolerance test
d. Urine dipstick for glucose and ketones - ANSWER-b. Glycosylated hemoglobin
A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM.
Which advice would the clinic nurse plan to give the patient?
a. Increase the morning dose of NPH
b. check glucose level before, during, and after swimming
c. I can have an occasional beverage with alcohol If I include it in my meal plan
d. Delay eating the noon meal until after finishing the swimming - ANSWER-b. check
glucose level before, during, and after swimming
Which statement by the person who has newly diagnosed type 1 diabetes indicates
a need for additional instruction from the nurse?
a. I will need a bedtime snack because I take an evening dose of NPH insulin
b. I can choose any foods, as long as I use enough insulin to cover the calories.
c. I can have an occasional beverage with alcohol if I include it in my meal plan
d. I will eat something at meal times to prevent hypoglycemia, even if I am not
hungry - ANSWER-b. I can choose any foods, as long as I use enough insulin to
cover the calories.
, Which nursing action is most important in assisting an older patient who has
diabetes to engage in moderate daily exercise?
a. Determine what types of activities the patient enjoys
b. Remind the patient that exercise improves self-esteem
c. Teach the patient about the effects of exercise on glucose
d. Give the patient a list of activities that are moderate in intensity - ANSWER-a.
Determine what types of activities the patient enjoys
Which patient statement to the nurse indicates a need for additional instruction in
administering insulin?
a. I should inject the insulin into a muscle that I plan to exercise vigorously
b. I can buy 0.5mL syringes because the line markings are easier to see
c. I don't need to aspirate the plunger to check for blood before injecting insulin
d. I should draw up the regular insulin first, after injecting air into the NPH bottle -
ANSWER-a. I should inject the insulin into a muscle that I plan to exercise vigorously
Which patient action indicates good understanding of the nurse's teaching about
administration of aspart (NovoLog) insulin?
a. The patient cleans the skin with soap and water before insulin administration.
b. The patient avoids injecting the insulin into the upper abdominal area
c. The patient stores the insulin in the freezer between prescribed doses
d. The patient pushes the plunger down while removing the needle from the injection
site - ANSWER-a. The patient cleans the skin with soap and water before insulin
administration.
A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time would the
nurse anticipate the highest risk for hypoglycemia?
a. 10:00AM
b. 12:00 AM
c. 2:00 PM
d. 4:00 PM - ANSWER-a. 10:00AM
A patient with diabetes is starting on intensive insulin therapy. Which type of insulin
will the nurse discuss using for mealtime coverage?
a. Lispro (Humalog)
b. Glargine
c. Detemir
d. NPH - ANSWER-a. Lispro (Humalog)
An experienced nurse orients a new nurse to the postanesthesia care unit (PACU).
Which action by the new nurse would indicate that the orientation was successful?
a. The new nurse assists a nauseated patient to a supine condition
b. The new nurse places a sleeping patient supine with the head elevated
c. The new nurse positions an unconscious patient supine with the head elevated.
QUESTIONS WITH VERIFIED
ANSWERS
Which instruction would the nurse give to a patient who is scheduled to complete a
24-hour urine collection for 17-ketosteroids?
a. Insert and maintain a retention catheter
b. Keep the specimen refrigerated or on ice
c. Drink at least 3L of fluid during 24 hours
d. Void and save the specimen to start the collection - ANSWER-b. Keep the
specimen refrigerated or on ice
A patient with a possible pituitary adenoma is scheduled for a computed tomography
(CT) scan with contrast media. Which patient information is most important for the
nurse to communicate to the health care provider before the test?
a. Bilateral poor peripheral vision
b. Allergies to iodine and shellfish
c. Recent weight loss of 20lbs
d. Patients report ongoing headache - ANSWER-b. Allergies to iodine and shellfish
The nurse is caring for a patient with a possible pituitary tumor who is scheduled for
a computed tomography (CT) scan with contrast. Which information about the
patient is most important to discuss with the health care provider before the test?
a. Report of chronic headache
b. History of renal insufficiency
c. Recent bilateral vision loss
d. Blood glucose level of 134 mg/dL - ANSWER-b. History of renal insufficiency
Which information provided by a nurse to a patient newly diagnosed with type 2
diabetes is accurate?
a. Insulin is not used to control glucose in type2 DM
b. Complications of type 2 diabetes are less serious than those of type 1
c. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in a
hypoglycemic coma - ANSWER-c. Changes in diet and exercise may control blood
glucose levels in type 2 diabetes
A patient screened for diabetes at a clinic has fasting plasma glucose level 120
mg/dL (6.7 mmol/L). Which information will the nurse plan to teach the patient?
a. Self monitoring of glucose
b. Using small doses of regular insulin
c. lifestyle changes to lower blood glucose
,d. Effects of oral hypoglycemic medications - ANSWER-c. lifestyle changes to lower
blood glucose
A 28-yr old male patient with type 1 diabetes reports how he manages his exercise
and glucose control. Which behavior indicates a need for the nurse to implement
additional teaching?
a. The patient always carries hard candies when engaging in exercise
b. The patient goes for a vigorous walk when his blood glucose is 200mg/dL
c. The patient has a peanut butter sandwich before going for a bicycle ride
d. The patient increases daily exercise when ketones are present in the urine. -
ANSWER-d. The patient increases daily exercise when ketones are present in the
urine.
The nurse is assessing a 22-yr-old patient experiencing the onset of symptoms of
type 1 diabetes. Which finding would the nurse anticipate?
a. Anorexia
b. Weight loss
c. Dark colored urine
d. Craving sugary drinks - ANSWER-b. Weight loss
A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several
months from now. Which test will the nurse schedule to evaluate the effectiveness of
treatment for the patient?
a. Fasting blood glucose
b. Glycosylated hemoglobin
c. Oral glucose tolerance test
d. Urine dipstick for glucose and ketones - ANSWER-b. Glycosylated hemoglobin
A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM.
Which advice would the clinic nurse plan to give the patient?
a. Increase the morning dose of NPH
b. check glucose level before, during, and after swimming
c. I can have an occasional beverage with alcohol If I include it in my meal plan
d. Delay eating the noon meal until after finishing the swimming - ANSWER-b. check
glucose level before, during, and after swimming
Which statement by the person who has newly diagnosed type 1 diabetes indicates
a need for additional instruction from the nurse?
a. I will need a bedtime snack because I take an evening dose of NPH insulin
b. I can choose any foods, as long as I use enough insulin to cover the calories.
c. I can have an occasional beverage with alcohol if I include it in my meal plan
d. I will eat something at meal times to prevent hypoglycemia, even if I am not
hungry - ANSWER-b. I can choose any foods, as long as I use enough insulin to
cover the calories.
, Which nursing action is most important in assisting an older patient who has
diabetes to engage in moderate daily exercise?
a. Determine what types of activities the patient enjoys
b. Remind the patient that exercise improves self-esteem
c. Teach the patient about the effects of exercise on glucose
d. Give the patient a list of activities that are moderate in intensity - ANSWER-a.
Determine what types of activities the patient enjoys
Which patient statement to the nurse indicates a need for additional instruction in
administering insulin?
a. I should inject the insulin into a muscle that I plan to exercise vigorously
b. I can buy 0.5mL syringes because the line markings are easier to see
c. I don't need to aspirate the plunger to check for blood before injecting insulin
d. I should draw up the regular insulin first, after injecting air into the NPH bottle -
ANSWER-a. I should inject the insulin into a muscle that I plan to exercise vigorously
Which patient action indicates good understanding of the nurse's teaching about
administration of aspart (NovoLog) insulin?
a. The patient cleans the skin with soap and water before insulin administration.
b. The patient avoids injecting the insulin into the upper abdominal area
c. The patient stores the insulin in the freezer between prescribed doses
d. The patient pushes the plunger down while removing the needle from the injection
site - ANSWER-a. The patient cleans the skin with soap and water before insulin
administration.
A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time would the
nurse anticipate the highest risk for hypoglycemia?
a. 10:00AM
b. 12:00 AM
c. 2:00 PM
d. 4:00 PM - ANSWER-a. 10:00AM
A patient with diabetes is starting on intensive insulin therapy. Which type of insulin
will the nurse discuss using for mealtime coverage?
a. Lispro (Humalog)
b. Glargine
c. Detemir
d. NPH - ANSWER-a. Lispro (Humalog)
An experienced nurse orients a new nurse to the postanesthesia care unit (PACU).
Which action by the new nurse would indicate that the orientation was successful?
a. The new nurse assists a nauseated patient to a supine condition
b. The new nurse places a sleeping patient supine with the head elevated
c. The new nurse positions an unconscious patient supine with the head elevated.
