Endocrine Disorder Nclex Questions And Correct Answers

ENDOCRINE DISORDER NCLEX
QUESTIONS AND CORRECT ANSWERS
AA2patientA2suspectedA2ofA2havingA2acromegalyA2hasA2anA2elevatedA2plasmaA2growthA2ho
rmoneA2level.A2InA2acromegaly,A2theA2nurseA2wouldA2alsoA2expectA2theA2patient'sA2diagno
sticA2resultsA2toA2include
a.A2hyperinsulinemia
b.A2aA2plasmaA2glucoseA2ofA2lessA2thanA270
c.A2decreasedA2growthA2hormoneA2levelsA2withA2anA2oralA2glucoseA2challengeA2test
d.A2aA2serumA2sometomedinA2CA2(insulin-likeA2growth-factor)A2ofA2moreA2thanA2300A2-
A2Ans--d.A2aA2serumA2somatomedinA2CA2(Insulin-like-growth-factor)A2ofA2moreA2thanA2300
(rationale-
A2aA2normalA2responseA2toA2growthA2hormoneA2secretionA2isA2stimulationA2ofA2theA2liverA2t
oA2produceA2somatomedinA2CA2whichA2stimulatesA2growthA2ofA2bonesA2andA2softA2tissue.A
2TheA2increasedA2levelsA2ofA2somatomedinA2CA2normallyA2inhibitA2growthA2hormone,A2but
A2inA2acromegalyA2theA2pituitaryA2glandA2secretesA2GHA2despiteA2elevatedA2somatomedin
A2CA2levels.)


DuringA2assessmentA2ofA2theA2patientA2withA2acromegaly,A2theA2nurseA2wouldA2expectA2th
eA2patientA2toA2report
a.A2infertility
b.A2dry,A2irritatedA2skin
c.A2undesirableA2changesA2inA2appearance
d.A2anA2increaseA2inA2heightA2ofA22A2toA23A2inchesA2perA2yearA2-A2Ans--
c.A2undesirableA2changesA2inA2appearance
(Rationale-
A2theA2increasedA2productionA2ofA2growthA2hormoneA2inA2acromegalyA2causesA2anA2increa
seA2inA2thicknessA2andA2widthA2ofA2bonesA2andA2enlargementA2ofA2softA2tissues,A2resulting
A2inA2markedA2changesA2inA2facialA2features,A2oilyA2andA2coarseA2skin,A2andA2speechA2diffi
culties.A2HeightA2isA2notA2increasedA2inA2adultsA2withA2growthA2hormoneA2excessA2becaus
eA2theA2epiphysesA2ofA2theA2bonesA2areA2closed,A2andA2infertilityA2isA2notA2aA2commonA2fin
dingA2becauseA2growthA2hormoneA2isA2usuallyA2theA2onlyA2pituitaryA2hormoneA2involvedA2i
nA2acromegaly.)

AA2patientA2withA2acromegalyA2isA2treatedA2withA2aA2transphenoidalA2hypophysectomy.A2P
ostoperatively,A2theA2nurse
a.A2ensuresA2thatA2anyA2clearA2nasalA2drainageA2isA2testedA2forA2glucose
b.A2maintainsA2theA2patientA2flatA2inA2bedA2toA2preventA2cerebrospinalA2fluidA2leak
c.A2assistsA2theA2patientA2withA2toothbrushingA2Q4HA2toA2keepA2theA2surgicalA2areaA2clean
d.A2encouragesA2deepA2breathingA2andA2coughingA2toA2preventA2respiratoryA2complicatio
nsA2-A2Ans--a.A2ensuresA2thatA2anyA2clearA2nasalA2drainageA2isA2testedA2forA2glucose
(Rationale-
A2aA2transphenoidalA2hypophysectomyA2involvesA2entryA2intoA2theA2sellaA2turcicaA2through
A2anA2incisionA2inA2theA2upperA2lipA2andA2gingivaA2intoA2theA2floorA2ofA2theA2noseA2andA2the

, A2sphenoidA2sinuses.A2PostoperativeA2clearA2nasalA2drainageA2withA2glucoseA2contentA2in
dicatesA2CSFA2leakageA2fromA2anA2openA2connectionA2toA2theA2brain,A2puttingA2theA2patie
ntA2atA2riskA2forA2meningitis.A2AfterA2surgery,A2theA2patientA2isA2positionedA2withA2theA2hea
dA2elevatedA2toA2avoidA2pressureA2onA2theA2sellaA2turcica,A2coughingA2andA2strainingA2are
A2avoidedA2toA2preventA2increasedA2ICPA2andA2CSFA2leakage,A2andA2althoughA2mouthA2c
areA2isA2requiredA2Q4HA2toothbrushingA2shouldA2notA2beA2performedA2forA27-10postA2sx.)

DuringA2careA2ofA2aA2patientA2withA2syndromeA2ofA2inappropriateA2ADHA2(SIADH),A2theA2n
urseA2shouldA2
a.A2monitorA2neurologicA2statusA2Q2HA2orA2moreA2oftenA2ifA2needed
b.A2keepA2theA2headA2ofA2theA2bedA2elevatedA2toA2preventA2ADHA2release
c.A2teachA2theA2patientA2receivingA2treatmentA2withA2diureticsA2toA2restrictA2sodiumA2intake
d.A2notifyA2theA2physicianA2ifA2theA2patient'sA2bloodA2pressureA2decreasesA2moreA2thanA22
0mmHgA2fromA2baselineA2-A2Ans--
a.A2monitorA2neurologicA2statusA2Q2HA2orA2moreA2oftenA2ifA2needed
Rationale-
A2theA2patientA2withA2SIADHA2hasA2markedA2dilutionA2hyponatremiaA2andA2shouldA2beA2m
onitoredA2forA2decreasedA2neurologicA2functionA2andA2convulsionsA2everyA22A2hours.A2AD
HA2releaseA2isA2reducedA2byA2keepingA2theA2headA2ofA2theA2bedA2flatA2toA2increaseA2leftA2a
trialA2fillingA2pressure,A2andA2sodiumA2intakeA2isA2supplementedA2becauseA2ofA2hyponatre
miaA2andA2sodiumA2lossA2causedA2byA2diuretics.A2AA2reductionA2inA2bloodA2pressureA2indi
catesA2aA2reductionA2inA2totalA2fluidA2volumeA2andA2isA2anA2expectedA2outcomeA2ofA2treat
ment.)

AA2patientA2withA2SIADHA2isA2treatedA2withA2waterA2restrictionA2andA2administrationA2ofA2I
VA2fluids.A2TheA2nursesA2evaluatesA2thatA2treatmentA2hasA2beenA2effectiveA2whenA2theA2p
atientA2experiences
a.A2increasedA2urineA2output,A2decreasedA2serumA2sodium,A2andA2increasedA2urineA2spec
ificA2gravity
b.A2increasedA2urineA2output,A2increasedA2serumA2sodium,A2andA2decreasedA2urineA2spec
ificA2gravity
c.A2decreasedA2urineA2output,A2increasedA2serumA2sodium,A2andA2decreasedA2urineA2spe
cificA2gravity
d.A2decreasedA2urineA2output,A2decreasedA2serumA2sodium,A2andA2increasedA2urineA2spe
cificA2gravityA2-A2Ans--
b.A2increasedA2urineA2output,A2increasedA2serumA2sodium,A2andA2decreasedA2urineA2spec
ificA2gravity
(rationale-
A2theA2patientA2withA2SIADHA2hasA2waterA2retentionA2withA2hyponatremia,A2decreasedA2uri
neA2outputA2andA2concentratedA2urineA2withA2highA2specificA2gravity.A2improvementA2inA2t
heA2patient'sA2conditionA2reflectedA2byA2increasedA2urineA2output,A2normalizationA2ofA2ser
umA2sodium,A2andA2moreA2waterA2inA2theA2urine,A2decreasingA2theA2specificA2gravity.)

InA2aA2patientA2withA2centralA2diabetesA2insipidus,A2administrationA2ofA2aqueousA2vasopre
ssinA2duringA2aA2waterA2deprivationA2testA2willA2resultA2inA2aA2
a.A2decreaseA2inA2bodyA2weight