Endocrine Disorders Practice Questions

1. Which finding is the nurse most likely to acquire when performing a physical assessment of the client with acromegaly?

1. 2. 3. 4.

Exceptional height Enlarged hands Gonadal atrophy Loss of teeth

2. Because bromocriptine (Parlodel) may cause postural hypotension, which nursing instruction is most appropriate?

1. Lie down for hour after taking the medication. 2. Avoid taking elevators in tall buildings 3. Rise slowly from a sitting or lying position 4. Have your blood pressure taken once a week.

3. The results of the diagnostic tests confirm that the client has myxedema. In addition to amenorrhea, which other sign of myxedema is the nurse likely to observe when assessing the client with myxedema?

1. 2. 3. 4.

A hoarse, raspy voice Oily skin with large pores Thin trunk and extremities Extreme restlessness

4. Which statement provides the best evidence that the client with myxedema understands her drug therapy?

1. 2. 3. 4.

I must take this drug after meals I should avoid driving when sleepy. I must take this drug for life. I can skip a dose if I am nauseated.

5. The physician considers treating the client with Graves disease with propylthiouracil (Propyl-Thyracil). Before the client obtains the drug prescription, it is essential for the nurse to ask if the client

1. 2. 3. 4.

Has trouble swallowing Prefers liquid form Has digestive disorders Might be pregnant now

6. A subtotal throidectomy is planned for a client with Graves disease. One of the prescribed preoperative drugs is strong iodine solution (Lugols solution), 4gtts, po, for 10 days. When the nurse instructs the client about how to self-administer the strong iodine solution, which direction is best?

1. 2. 3. 4.

Swallow the drug quickly Take the drug before meals Dilute the drug in fruit juice Chill the drug before taking it

7. To prepare for potential postoperative complications, it is most appropriate for the nurse to place which item in the room of the client undergoing a subtotal thyroidectomy?

1. 2. 3. 4.

A dressing change kit A tracheostomy tray An ampule of epinephrine A mechanical ventilator

8. The care plan indicates that the nurse should assess for Chvosteks sign if hypocalcemia is suspected. Which technique best describes how Chvosteks sign is elicited?

1. The nurse lightly taps over the clients facial nerve. 2. The nurse strokes the sole of the clients foot. 3. The nurse dorsiflexes each of the clients feet. 4. The nurse asks the client to touch her nose.

9. The client with the parathyroid tumor has three of the four lobes of the parathyroid gland surgically removed. After the client with the parathyroid tumor returns from surgery and resumes eating, which food group is encouraged?

1. 2. 3. 4.

Bread and cereal Milk and cheese Meat and seafood Fruit and vegetables

10. A client with hypoparathyroidism develops tetany. If emergency drugs are available, which on can the nurse expect the physician will order for intravenous administration?

1. 2. 3. 4.

Calcium gluconate Ferrous sulfate Potassium chloride Sodium bicarbonate

11. A 38-year-old female client develops signs and symptoms that resemble Cushings syndrome. When the initial physical assessment is performed, which is the nurse most likely to observe?

1. 2. 3. 4.

The client has very thin legs The client looks emaciated The client has bulging eyes The clients skin is pale

12. The client with Cushings syndrome is placed on a low-sodium diet. Which daily nursing assessment will provide the best data for monitoring the clients therapeutic response to restricting dietary sodium?

1. 2. 3. 4.

Monitor percent eaten Measure abdominal girth Assess skin integrity Weigh the client

13. Which is nursing intervention is most appropriate for managing the basic care of the client with Cushings syndrome?

1. 2. 3. 4.

Apply an egg-crate mattress to the bed Ambulate the client at frequent intervals Reduce environmental stimuli like noise Offer high carbohydrate nourishment

14. A client with pheochromocytoma, a tumor of the adrenal medulla, is scheduled to have the tumor surgically removed. During the admission assessment, which finding is the nurse most likely to observe?

1. 2. 3. 4.

Hyperkalemia Hypertension Hyperinsulinism Hyperthermia