NURS 505 EXAM QUESTIONS AND
ANSWERS
Stress usually causes hypoglycemia. - Answer: False
Stress often causes elevated blood glucose levels due to sympathetic nervous
system control.
What is the most common mineralocorticoid that affects fluid balance? -
Answer: Aldosterone.
Mineralocorticoids (aldosterone is the most common naturally occurring
mineralocorticoid) have a significant impact on potassium, sodium, and water
balance.
Which of the following symptoms is associated with severe tachycardia, fever,
dehydration, heart failure, and coma? - ANSWER Thyroid Storm
A thyroid storm is a crisis or life-threatening situation marked by an
amplification of the normal physiologic answer seen in hyperthyroidism.
Hyperthyroidism symptoms include sweating, feeling hot, palpitations, and
weight loss, whereas thyroid storm symptoms are more severe, resulting in
complications such as fever, rapid heart rate, nausea/vomiting, diarrhoea,
irregular heart beat, weakness, heart failure, confusion/disorientation, and coma.
A patient has been admitted to the unit for salt-losing adrenogenital condition.
The patient is receiving fludrocortisone (Florinef) as replacement therapy in
conjunction with a glucocorticoid. The nurse would be aware that high-dose
fludrocortisone necessitates monitoring for the following: - a rise in salt and
water retention, as well as potassium depletion.
Increased fludrocortisone doses may cause salt and water retention, as well as
potassium depletion. There is no hypokalemia, no sodium or water depletion,
and no potassium retention. This medication is frequently administered in
, conjunction with a glucocorticoid. As a result, no harmful effects would be
predicted.
A 31-year-old lady is being treated with fludrocortisone for Addison's disease.
In addition to monitoring the client's urinary output, what other assessments
should the nurse prioritize? - ANSWER Blood Pressure
Fludrocortisone works on the distal renal tubule, enhancing sodium reabsorption
and increasing urine excretion of potassium and hydrogen ions.
Fludrocortisone's mineralocorticoid effects prevail at small oral dosages,
causing urinary potassium excretion, significant sodium retention, and an
increase in blood pressure due to the physiological effects of these electrolyte
levels. Fludrocortisone does not influence awareness unless there is a
considerable shift in fluid balance.
The posterior pituitary gland secretes which of the following hormones? Select
all that apply. - ANSWER Vasopressin (or ADH)
Oxytocin
The anterior pituitary gland secretes which of the following hormones? Select
all that apply. - ANSWER: GH ACTH TSH Prolactin
Which of the following mechanisms does loperamide (Imodium), a systemic
antidiarrheal, use to reduce the amount and fluidity of stools? - ANSWER
Decreased intestinal motility
The nurse is caring for a patient who is being discharged with sucralfate
(Carafate). The nurse would teach the patient how to take sucralfate. -
ANSWER before meals.
Which of the following is the proper reason why the nurse would provide a
laxative at a different time than the client's other medications? - ANSWER
Laxatives may inhibit the absorption of other medications found in the
gastrointestinal tract.
A woman with a number of chronic health issues has been diagnosed with a
benign stomach ulcer and has began therapy with ranitidine (Zantac). Which of
the following educational points should the nurse share with this patient?
ANSWERS
Stress usually causes hypoglycemia. - Answer: False
Stress often causes elevated blood glucose levels due to sympathetic nervous
system control.
What is the most common mineralocorticoid that affects fluid balance? -
Answer: Aldosterone.
Mineralocorticoids (aldosterone is the most common naturally occurring
mineralocorticoid) have a significant impact on potassium, sodium, and water
balance.
Which of the following symptoms is associated with severe tachycardia, fever,
dehydration, heart failure, and coma? - ANSWER Thyroid Storm
A thyroid storm is a crisis or life-threatening situation marked by an
amplification of the normal physiologic answer seen in hyperthyroidism.
Hyperthyroidism symptoms include sweating, feeling hot, palpitations, and
weight loss, whereas thyroid storm symptoms are more severe, resulting in
complications such as fever, rapid heart rate, nausea/vomiting, diarrhoea,
irregular heart beat, weakness, heart failure, confusion/disorientation, and coma.
A patient has been admitted to the unit for salt-losing adrenogenital condition.
The patient is receiving fludrocortisone (Florinef) as replacement therapy in
conjunction with a glucocorticoid. The nurse would be aware that high-dose
fludrocortisone necessitates monitoring for the following: - a rise in salt and
water retention, as well as potassium depletion.
Increased fludrocortisone doses may cause salt and water retention, as well as
potassium depletion. There is no hypokalemia, no sodium or water depletion,
and no potassium retention. This medication is frequently administered in
, conjunction with a glucocorticoid. As a result, no harmful effects would be
predicted.
A 31-year-old lady is being treated with fludrocortisone for Addison's disease.
In addition to monitoring the client's urinary output, what other assessments
should the nurse prioritize? - ANSWER Blood Pressure
Fludrocortisone works on the distal renal tubule, enhancing sodium reabsorption
and increasing urine excretion of potassium and hydrogen ions.
Fludrocortisone's mineralocorticoid effects prevail at small oral dosages,
causing urinary potassium excretion, significant sodium retention, and an
increase in blood pressure due to the physiological effects of these electrolyte
levels. Fludrocortisone does not influence awareness unless there is a
considerable shift in fluid balance.
The posterior pituitary gland secretes which of the following hormones? Select
all that apply. - ANSWER Vasopressin (or ADH)
Oxytocin
The anterior pituitary gland secretes which of the following hormones? Select
all that apply. - ANSWER: GH ACTH TSH Prolactin
Which of the following mechanisms does loperamide (Imodium), a systemic
antidiarrheal, use to reduce the amount and fluidity of stools? - ANSWER
Decreased intestinal motility
The nurse is caring for a patient who is being discharged with sucralfate
(Carafate). The nurse would teach the patient how to take sucralfate. -
ANSWER before meals.
Which of the following is the proper reason why the nurse would provide a
laxative at a different time than the client's other medications? - ANSWER
Laxatives may inhibit the absorption of other medications found in the
gastrointestinal tract.
A woman with a number of chronic health issues has been diagnosed with a
benign stomach ulcer and has began therapy with ranitidine (Zantac). Which of
the following educational points should the nurse share with this patient?
