Updated Latest Saunders Medical-Surgical Nursing Endocrine System Test Bank | 2025–2026

, KEY:
All un-highlighted questions are required for Medsurg 1
Red Text = Should Understand
Green Text = Absolutely Should Know




SaundersjlMedsurgjlEndocrine
1.jljlThejlhomejlhealthjlnursejlvisitsjlajlclientjlwithjlajldiagnosisjlofjltypejl1jldiabetesjlmellitu
s.jlThejlclientjlrelatesjlajlhistoryjlofjlvomitingjlandjldiarrheajlandjltellsjlthejlnursejlthatjlnojlf
oodjlhasjlbeenjlconsumedjlforjlthejllastjl24jlhours.jlWhichjladditionaljlstatementjlbyjlthejl
clientjlindicatesjlajlneedjlforjlfurtherjlteaching?
1. "Ijlneedjltojlstopjlmyjlinsulin."

2. "Ijlneedjltojlincreasejlmyjlfluidjlintake."

3. "Ijlneedjltojlmonitorjlmyjlbloodjlglucosejleveryjl3jltojl4jlhours."

4. "Ijlneedjltojlcalljlthejlhealthjlcarejlproviderjl(HCP)jlbecausejlofjlthesejlsymptoms."



Answer:
1.jl"Ijlneedjltojlstopjlmyjlinsulin."


Rationale:
Whenjlajlclientjlwithjldiabetesjlmellitusjlisjlunablejltojleatjlnormallyjlbecausejlofjlillness
,jlthejlclientjlstilljlshouldjltakejlthejlprescribedjlinsulinjlorjloraljlmedication.jlThejlclientjls
houldjlconsumejladditionaljlfluidsjlandjlshouldjlnotifyjlthejlHCP.jlThejlclientjlshouldjlm
onitorjlthejlbloodjlglucosejlleveljleveryjl3jltojl4jlhours.jlThejlclientjlshouldjlalsojlmonitorjl
thejlurinejlforjlketonesjlduringjlillness.
2.jljlThejlnursejlisjlperformingjlanjlassessmentjlonjlajlclientjlwithjlajldiagnosisjlofjlhyperthyro
idism.jlWhichajl ssessmentjlfindingjlshouldjlthejlnursejlexpectjltojlnotejlinjlthisjlclient?
1. Dryjlskin

,2. Bulgingjleyeballs

3. Periorbitaljledema

4. Coarsejlfacialjlfeatures



Answer:
2.jlBulgingjleyeballs


Rationale:
Hyperthyroidismjlisjlclinicallyjlmanifestedjlbyjlgoiterjl(increasejlinjlthejlsizejlofjlthejlthyr
oidjlgland)jlandjlexophthalmosjl(bulgingjleyeballs).jlOtherjlclinicaljlmanifestationsjlinclu
dejlnervousness,jlfatigue,jlweightjlloss,m
jl usclejlcramps,jlandjlheatjlintolerance. jlAdditio


naljlsignsjlfoundjlinjlthisjldisorderjlincludejltachycardia;jlshortnessjlofjlbreath;jlexcessiv
ejlsweating;jlfinejlmusclejltremors;jlthin,jlsilkyjlhairjlandjlthinjlskin;jlinfrequentjlblinking;j
l andjlajlstaringjlappearance.




3.jljlThejlnursejlisjlcaringjlforjlajlclientjladmittedjltojlthejlhospitaljlwithjluncontrolledjltypejl
1jldiabetesjlmellitus.jlIntjl hejleventjlthatjldiabeticjlketoacidosisjl(DKA)jldoesjloccur,jlthejlnu
rsejlanticipatesjlthatjlwhichjlmedicationjlwouldm
jl ostjllikelyjlbejlprescribed?


1. Glucagon

2. Glyburide

3. Regularjlinsulin

4. NeutraljlprotaminejlHagedornjl(NPH)jlinsulin



Answer:
3.jlRegularjlinsulin

, Rationale:
GivingjlregularjlinsulinjlbyjlthejlintravenousjlroutejlisjlthejltreatmentjlofjlchoicejlforjlDKA
.jlAjlshort-
actingjlinsulinjlisjlthejlonlyjlinsulinjlthatjlcanjlbejlgivenjlintravenouslyjlbecausejlitjlcanjlbejl
titratedjltojlthejlclient'sjlbloodjlglucoseljl evels.jlGlucagonjlisjlusedjltojltreatjlhypoglycemi
ajlbecausejlitjlincreasesjlbloodjlglucosejllevels,jlandjlglyburidejlisajl njloraljlhypoglycemicjla
gentjlusedjltojltreatjltypejl2jldiabetesjlmellitus;jlbothjlagentsjlarejlinappropriate.jlNPHjli
nsulinjlisjlanjlintermediate-
actingjlinsulinjlandjlthereforejlisjlnotjlappropriatejlforjltreatmentjlofjlDKA.


.


4.jlAjlclientjlwithjltypejl1jldiabetesjlmellitusjlisjladmittedjltojlthejlhospitaljlwithjldiabeticjlke
toacidosisjlandjlajlserumjlglucosejlleveljlofjl789jlmg/dLjl(45jlmmol/L).jlThejlhealthjlcarejlpr
oviderjl(HCP)jlprescribesjl10jlunitsjlofjlregularjlinsulinjlbyjlintravenousjl(IV)jlbolus,jlfollow
edjlbyjlajlcontinuousjlinsulinjlinfusionjlatjlajlratejlofjl5jlunits/hr.Tjl hejlpharmacyjlsendsjl500jl
mLjlofjlnormaljlsalinejlsolutionjlcontainingjl50jlunitsjlofjlregularjlinsulin.jlAfterjladminister
ingjlthejlIVjlbolusjlofjl10jlunitsjlofjlregularjlinsulin,jlthejlnursejlsetsjlthejlinfusionjlpumpjlflowjl
ratejlofjlthen
jl ormaljlsalinejlsolutionjlcontainingjl50jl unitsjlofjlregularjlinsulinjl tojlinfusejlatjl


howjlmanyjlmillilitersjlperjlhourjltojldeliverjl5jlunits/hr?jlFilljlinjlthejlblank.


Answer:
50jlmL


Formula:
Hjl(onjlhand):
Vjl(vehicle)::(desiredjldose):Xjl(u