NURS 612 Exam 1 (Perioperative, Diabetes, Endocrine) Questions with Correct Answers 100%
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A nurse is caring for a client who asks why the provider bases his medication regimen on his
HbA1c instead of log of morning fasting blood glucose results. Which of the following responses
should the nurse make?
A. HbA1c measures how well insulin is regulating your blood glucose between meals
B. HbA1c indicates how well your have regulated your blood glucose over that past 120 days
C. HbA1c is the first test prescribed to determine that you have diabetes
D. HbA1c determines if your doctor should adjust your insulin dosage B
A nurse is reviewing laboratory findings for a client who might have hyperthyroidism. The nurse
should identify an elevation which of the following substances as an indication that the client
has this disorder?
A. Triiodothyronine
B. Plasma-free metanephrine
C. Urine cortisol
D. Urine osmolality A
A nurse is reviewing the health record of a client who has SIADH. Which of the following
laboratory findings should the nurse expect? (Select all that apply.)
A. Low sodium
B. High potassium
C. Increased urine osmolality
D. High urine sodium
E. Increased urine specific gravity A, C, D, E
A nurse is caring for a client who has primary renal insufficiency and is preparing to undergo an
ACTH stimulation test. Which of the following findings should the nurse expect after IV injection
of cosyntropin?
A. No change in plasma cortisol
,B. Elevated fasting blood glucose
C. Decrease in sodium
D. Increase in urinary output A
A nurse is assessing a client during a water deprivation test. For which of the following
complications should the nurse monitor the client?
A. Bradycardia
B. Orthostatic hypotension
C. Neck vein distention
D. Crackles in the lungs B
A nurse is caring for a client who has SIADH. Which of the following findings should the nurse
expect? (Select all that apply.)
a. decreased serum sodium
b. urine specific gravity 1.001
c. serum osmolarity 230 mOsm/L
d. polyuria
e. increased thirst A, C
A nurse is caring for a client who has diabetes insipidus. Which of the following urinalysis
laboratory findings should the nurse anticipate?
a. absence of glucose
b. decreased specific gravity
c. presence of ketones
d. presence of red blood cells B
A nurse is providing teaching to a client who has a new diagnosis of diabetes insipidus. Which of
the following client statements indicates an understanding of treatment?
, A. I can drink up to 2 quarts of fluid per day
B. I will need to use insulin to control my blood glucose levels
C. I should expect to gain weight during this illness
D. Muscle weakness is a symptom of diabetes insipidus D
A nurse is planning care for client who has acromegaly and is postoperative following a
transsphenoidal hypophysectomy. Which of the following interventions should the nurse
include in the plan?
a. maintain the client in a low-Fowler's position
b. encourage deep breathing and coughing
c. encourage the client to brush his teeth when awake and alert
d. observe drainage for the presence of glucose D
A nurse in a provider's office is reviewing the medical record of a client who is being evaluated
for Grave's disease. The nurse should identify which of the following laboratory results as
expected findings?
A. Decreased thyrotropin receptor antibodies
B. Decreased TSH
C. Decreased free thyroxine index
D. Decreased triiodothyronine B
A nurse is reviewing the manifestations of hyperthyroidism with a client. Which of the following
findings should the nurse include? (Select all that apply.)
A. Anorexia
B. Heat intolerance
C. Constipation
D. Palpitations
E. Weight loss
F. Bradycardia B, D, E
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A nurse is caring for a client who asks why the provider bases his medication regimen on his
HbA1c instead of log of morning fasting blood glucose results. Which of the following responses
should the nurse make?
A. HbA1c measures how well insulin is regulating your blood glucose between meals
B. HbA1c indicates how well your have regulated your blood glucose over that past 120 days
C. HbA1c is the first test prescribed to determine that you have diabetes
D. HbA1c determines if your doctor should adjust your insulin dosage B
A nurse is reviewing laboratory findings for a client who might have hyperthyroidism. The nurse
should identify an elevation which of the following substances as an indication that the client
has this disorder?
A. Triiodothyronine
B. Plasma-free metanephrine
C. Urine cortisol
D. Urine osmolality A
A nurse is reviewing the health record of a client who has SIADH. Which of the following
laboratory findings should the nurse expect? (Select all that apply.)
A. Low sodium
B. High potassium
C. Increased urine osmolality
D. High urine sodium
E. Increased urine specific gravity A, C, D, E
A nurse is caring for a client who has primary renal insufficiency and is preparing to undergo an
ACTH stimulation test. Which of the following findings should the nurse expect after IV injection
of cosyntropin?
A. No change in plasma cortisol
,B. Elevated fasting blood glucose
C. Decrease in sodium
D. Increase in urinary output A
A nurse is assessing a client during a water deprivation test. For which of the following
complications should the nurse monitor the client?
A. Bradycardia
B. Orthostatic hypotension
C. Neck vein distention
D. Crackles in the lungs B
A nurse is caring for a client who has SIADH. Which of the following findings should the nurse
expect? (Select all that apply.)
a. decreased serum sodium
b. urine specific gravity 1.001
c. serum osmolarity 230 mOsm/L
d. polyuria
e. increased thirst A, C
A nurse is caring for a client who has diabetes insipidus. Which of the following urinalysis
laboratory findings should the nurse anticipate?
a. absence of glucose
b. decreased specific gravity
c. presence of ketones
d. presence of red blood cells B
A nurse is providing teaching to a client who has a new diagnosis of diabetes insipidus. Which of
the following client statements indicates an understanding of treatment?
, A. I can drink up to 2 quarts of fluid per day
B. I will need to use insulin to control my blood glucose levels
C. I should expect to gain weight during this illness
D. Muscle weakness is a symptom of diabetes insipidus D
A nurse is planning care for client who has acromegaly and is postoperative following a
transsphenoidal hypophysectomy. Which of the following interventions should the nurse
include in the plan?
a. maintain the client in a low-Fowler's position
b. encourage deep breathing and coughing
c. encourage the client to brush his teeth when awake and alert
d. observe drainage for the presence of glucose D
A nurse in a provider's office is reviewing the medical record of a client who is being evaluated
for Grave's disease. The nurse should identify which of the following laboratory results as
expected findings?
A. Decreased thyrotropin receptor antibodies
B. Decreased TSH
C. Decreased free thyroxine index
D. Decreased triiodothyronine B
A nurse is reviewing the manifestations of hyperthyroidism with a client. Which of the following
findings should the nurse include? (Select all that apply.)
A. Anorexia
B. Heat intolerance
C. Constipation
D. Palpitations
E. Weight loss
F. Bradycardia B, D, E
