NSG307 Pituitary Chapter 30 NCLEX Test Questions and
Answers Rated A
The nurse would question a prescription for anticipates administering which medication?
somatropin (Genotropin) in a patient with which A. Corticotropin (Acthar)
condition? B. Desmopressin (DDAVP)
A. Dwarfism C. Octreotide (Sandostatin)
B. Acromegaly D. Somatropin (Genotropin) - ANSWER -C.
C. Growth failure Octreotide suppresses growth hormone, the
D. Hypopituitarism - ANSWER -B. culprit of acromegaly.
Somatropin is a synthetic form of human growth
hormone. Acromegaly is caused by excessive
growth hormone, and thus this drug would be After administering somatropin (Genotropin) to a
contraindicated. patient, the nurse would assess for potential
adverse effects of this medication by monitoring
which laboratory test result?
Which is a priority nursing diagnosis for a patient A. Glucose
receiving desmopressin (DDAVP)? B. Platelets
A. Risk for injury C. Potassium
B. Acute pain D. Magnesium - ANSWER -A.
C. Excess fluid volume Hyperglycemia and hypoglycemia are potential
D. Deficient knowledge regarding medication - adverse effects of somatropin therapy.
ANSWER -C.
Desmopressin is a form of antidiuretic hormone,
which increases sodium and water retention, A patient has developed DI after a head injury.
leading to an alteration in fluid volume. Although Which medication should the nurse anticipate to
the other nursing diagnoses may be appropriate, be prescribed for the management of DI?
they are not a priority using Maslow's hierarchy A. Corticotrophin (Acthar)
of needs. B. Octreotide (Sandostatin)
C. Somatropin (Genotropin)
D. Desmopressin (DDAVP) - ANSWER -D.
The nurse is caring for a patient with diabetes Vasopressin (Pitressin) and desmopressin
insipidus (DI) who is receiving vasopressin (DDAVP) are used to prevent or control
(Pitressin). What therapeutic effect does the polydipsia (excessive thirst), polyuria, and
nurse expect from this drug? dehydration in patients with DI caused by a
A. Increase in thirst deficiency of endogenous antidiuretic hormone.
B. Improved skin turgor
C. Decrease in urine output
D. Normal serum albumin level - The health care provider prescribes somatropin
ANSWER -C. (Genotropin) in a dosage of 0.35 mg/kg/wk
Vasopressin increases the water reabsorption in intramuscularly for growth hormone deficiency.
the kidneys, thus decreasing urine output. It is The patient's weight is 48 lb. What is the correct
used to treat DI, which presents with polydipsia, dose for the nurse to administer? -
polyuria, and dehydration. ANSWER -7.6 mg/wk
The patient's weight of 48 lb is converted to
The nurse admitting a patient with acromegaly kilograms by dividing 48 by 2.2, which equals
1/2
Answers Rated A
The nurse would question a prescription for anticipates administering which medication?
somatropin (Genotropin) in a patient with which A. Corticotropin (Acthar)
condition? B. Desmopressin (DDAVP)
A. Dwarfism C. Octreotide (Sandostatin)
B. Acromegaly D. Somatropin (Genotropin) - ANSWER -C.
C. Growth failure Octreotide suppresses growth hormone, the
D. Hypopituitarism - ANSWER -B. culprit of acromegaly.
Somatropin is a synthetic form of human growth
hormone. Acromegaly is caused by excessive
growth hormone, and thus this drug would be After administering somatropin (Genotropin) to a
contraindicated. patient, the nurse would assess for potential
adverse effects of this medication by monitoring
which laboratory test result?
Which is a priority nursing diagnosis for a patient A. Glucose
receiving desmopressin (DDAVP)? B. Platelets
A. Risk for injury C. Potassium
B. Acute pain D. Magnesium - ANSWER -A.
C. Excess fluid volume Hyperglycemia and hypoglycemia are potential
D. Deficient knowledge regarding medication - adverse effects of somatropin therapy.
ANSWER -C.
Desmopressin is a form of antidiuretic hormone,
which increases sodium and water retention, A patient has developed DI after a head injury.
leading to an alteration in fluid volume. Although Which medication should the nurse anticipate to
the other nursing diagnoses may be appropriate, be prescribed for the management of DI?
they are not a priority using Maslow's hierarchy A. Corticotrophin (Acthar)
of needs. B. Octreotide (Sandostatin)
C. Somatropin (Genotropin)
D. Desmopressin (DDAVP) - ANSWER -D.
The nurse is caring for a patient with diabetes Vasopressin (Pitressin) and desmopressin
insipidus (DI) who is receiving vasopressin (DDAVP) are used to prevent or control
(Pitressin). What therapeutic effect does the polydipsia (excessive thirst), polyuria, and
nurse expect from this drug? dehydration in patients with DI caused by a
A. Increase in thirst deficiency of endogenous antidiuretic hormone.
B. Improved skin turgor
C. Decrease in urine output
D. Normal serum albumin level - The health care provider prescribes somatropin
ANSWER -C. (Genotropin) in a dosage of 0.35 mg/kg/wk
Vasopressin increases the water reabsorption in intramuscularly for growth hormone deficiency.
the kidneys, thus decreasing urine output. It is The patient's weight is 48 lb. What is the correct
used to treat DI, which presents with polydipsia, dose for the nurse to administer? -
polyuria, and dehydration. ANSWER -7.6 mg/wk
The patient's weight of 48 lb is converted to
The nurse admitting a patient with acromegaly kilograms by dividing 48 by 2.2, which equals
1/2
