NR 511 EXIT EXAM QUESTIONS ACCURATE AND VERIFIED ACTUAL EXAM QUESTIONS WITH DETAILED ANSWERS FOR GUARANTEED PASS | ALREADY GRADED A

A patient with a history of graves disease is admitted to the unit with SOB. The nurse notes the patient vital signs. T 103, P 160, R 24, BP 160/80. The nurse also notes distended neck veins. What does the patient most likely have? A PE B HTN crisis C Thyroid storm D Cushing crisis - ANSWER C Thyroid storm What is the master gland of the endocrine system? A Thyroid B Parathyroid C Pancreas D Pituitary - ANSWER D Pituitary What information should be obtained from the patient before an iodine 131 test A Presence of metal in the body B Allergy to sulfa drugs C Status of possible pregnancy D Use of prescription drugs for HTN - ANSWER C Status of possible pregnancy The patient being treated for hypothyroidism should be instructed to eat well balanced meals including intake of iodine. Which of the following foods contains iodine A Eggs B Pork C White bread D Skinless chicken - ANSWER Eggs The nurse is caring for a patient who is receiving calcium gluconate for treatment of hypoparathyroid tetany. Which assessment would indicate an adverse reaction to the drug A Increased HR B Flushing of face and neck C Drop in BP D Urticaria - ANSWER Drop in BP What kind of control mechanism is indicated when increased blood glucose levels stimulate increased secretion of insulin? A control by releasing hormones B control by tropic hormones C negative feedback control D Hypothalamus/hypophysis coordination - ANSWER C negative feedback control What is the most common cause of endocrine disorders A Malignant neoplasm B infection C Congenital defect D Benign - ANSWER D Benign tumor Choose the statement that applies to type 1 DM A Onset often occurs during childhood B Relative insufficiency of insulin or insulin resistance develops C It can be treated by diet, weight control and exercise, or oral hypoglycemics D Complications rarely occu r - ANSWER A Onset often occurs during childhood Why does polyuria develop with diabetes mellitus? A Increased thirst and hypoglycemia B Ketoacidosis C Osmotic pressure due to glucose D Diabetic nephropathy - ANSWER C Osmotic pressure due to glucose What is the cause of DKA A Excess insulin in the body B Loss of glucose in the urine C Failure of the kidney to excrete sufficient acids D Increased catabolism of fats and proteins - ANSWER D Increased catabolism of fats and proteins What is a precipitating factor for DKA A Skipping a meal B Anorexia C Serious infection D insulin overdose - ANSWER C Serious infection Which of the following may cause insulin shock to develop A Strenuous exercise B Missing an insulin dose C Eating excessively large meals D Sedentary lifestyle - ANSWER A Strenuous exercise Which of the following indicates hypoglycemia in a diabetic A Deep rapid respirations B Flushed dry skin and mucosa C Thirst and oliguria D Staggering gait, disorientation, and confusion - ANSWER D Staggering gait, disorientation, and confusion Which of the following are signs of DKA in an unconscious person A Pale moist skin B Thirst and poor skin turgor C Deep rapid respirations and fruity breath odor D Tremors and strong rapid pulse - ANSWER C Deep rapid respirations and fruity breath odor What is the postop position for a person who has had a thyroidectomy A Prone B Semi fowler C side lying D Supine - ANSWER Semi fowler What extra equipment should the nurse provide at the bedside of a new post op thyroidectomy patient A Large bandage scissors B Tracheotomy tray C Ventilator D Water sealed drainage system - ANSWER B Tracheotomy tray As the nurse is shaving a patient who is 2 days postop from a thyroidectomy, the patient has a spasm of the facial muscles. What should the nurse recognize this as A Chvostek sign B Montgomery sign C Trousseau sign D Homans sign - ANSWER A Chvostek sign A patient has undergone tests that indicate a deficiency of the parathyroid hormone secretion. She should be informed of which potential complication? A Osteoporosis B Lethargy C Laryngeal spasms D Kidney stones - ANSWER Laryngeal spasms A 27 year old patient with hypothyroidism is referred to the dietitian for dietary consultation. What should nutritional interventions include A Frequent small meals high in carbs B Calorie restricted meals C caffeine rich beverages D Fluid restrictions - ANSWER B Calorie restricted meals What instructions should be included in the discharge instructions for a 47 year old patient with hypothyroidism? A Taking medication whenever symptoms cause discomfort B Decreasing fluid and fiber intake C Consuming foods rich in iron D Seeing the physician regularly for f/u care - ANSWER D Seeing the physician regularly for f/u care How should the nurse administer insulin to prevent lipohypertrophy A At room temp B At body temp C straight from the refrigerator D After rolling bottle between hands to warm - ANSWER A At room temp