NICE ACADEMY

ENDOCRINOLOGY - TEST

1. A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg P.O.
daily. Which finding should nurse Hans recognize as an adverse drug effect?
A. Dysuria
B. Leg cramps
C. Tachycardia
D. Blurred vision
2. A 67-year-old male client has been complaining of sleeping more, increased urination, anorexia,
weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these
assessment findings, nurse Richard would suspect which of the following disorders?
A. Diabetes mellitus
B. Diabetes insipidus
C. Hypoparathyroidism
D. Hyperparathyroidism
3. When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:
A. vasopressin (Pitressin Synthetic).
B. furosemide (Lasix).
C. regular insulin.
D. 10% dextrose.
4. Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, nurse Tina
assesses the client, who now has nausea, a temperature of 105° F (40.5° C), tachycardia, and extreme
restlessness. What is the most likely cause of these signs?
A. Diabetic ketoacidosis
B. Thyroid crisis
C. Hypoglycemia
D. Tetany
5. When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes
excessive catecholamine, nurse April is most likely to detect:
A. a blood pressure of 130/70 mm Hg.
B. a blood glucose level of 130 mg/dl.
C. bradycardia.
D. a blood pressure of 176/88 mm Hg.
6. A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH).
Which nursing intervention is appropriate?
A. Infusing I.V. fluids rapidly as ordered
B. Encouraging increased oral intake
C. Restricting fluids
D. Administering glucose-containing I.V. fluids as ordered
7. A female client has a serum calcium level of 7.2 mg/dl. During the physical examination, nurse Noah
expects to assess:
A. Trousseau’s sign.
B. Homans’ sign.
C. Hegar’s sign.
D. Goodell’s sign.
8. Which outcome indicates that treatment of a male client with diabetes insipidus has been effective?
A. Fluid intake is less than 2,500 ml/day.
B. Urine output measures more than 200 ml/hour.
C. Blood pressure is 90/50 mm Hg.
D. The heart rate is 126 beats/minute.
9. An incoherent female client with a history of hypothyroidism is brought to the emergency department by
the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis,
bradycardia, hypotension, and nonpitting edema of the face and pretibial area. Knowing that these findings
suggest severe hypothyroidism, nurse Libby prepares to take emergency action to prevent the potential
complication of:
A. Thyroid storm.
 B. Cretinism.
C. myxedema coma.
D. Hashimoto’s thyroiditis.
10. During preoperative teaching for a female client who will undergo subtotal thyroidectomy, the nurse
should include which statement?
A. “The head of your bed must remain flat for 24 hours after surgery.”
B. “You should avoid deep breathing and coughing after surgery.”
C. “You won’t be able to swallow for the first day or two.”
D. “You must avoid hyperextending your neck after surgery.”
11. Nurse Ronn is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s
syndrome, the nurse would expect to find:
A. Hypotension.
B. Thick, coarse skin.
C. Deposits of adipose tissue in the trunk and dorsocervical area.
D. Weight gain in arms and legs.
12. Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed with
diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At
2 p.m., the client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin.
Nurse Vince should expect the dose’s:
A. Onset to be at 2 p.m. and its peak to be at 3 p.m.
B. Onset to be at 2:15 p.m. and its peak to be at 3 p.m.
C. Onset to be at 2:30 p.m. and its peak to be at 4 p.m.
D. Onset to be at 4 p.m. and its peak to be at 6 p.m.
13. Nurse Ruth is assessing a client after a thyroidectomy. The assessment reveals muscle twitching and
tingling, along with numbness in the fingers, toes, and mouth area. The nurse should suspect which
complication?
A. Tetany
B. Hemorrhage
C. Thyroid storm
D. Laryngeal nerve damage
14. After undergoing a subtotal thyroidectomy, a female client develops hypothyroidism. Dr. Smith
prescribes levothyroxine (Levothroid), 25 mcg P.O. daily. For which condition is levothyroxine the preferred
agent?
A. Primary hypothyroidism
B. Graves’ disease
C. Thyrotoxicosis
D. Euthyroidism
15. A male client with a history of hypertension is diagnosed with primary hyperaldosteronism. This
diagnosis indicates that the client’s hypertension is caused by excessive hormone secretion from which of the
following glands?
A. Adrenal cortex
B. Pancreas
C. Adrenal medulla
D. Parathyroid
16. Acarbose (Precose), an alpha-glucosidase inhibitor, is prescribed for a female client with type 2 diabetes
mellitus. During discharge planning, nurse Pauleen would be aware of the client’s need for additional
teaching when the client states:
A. “If I have hypoglycemia, I should eat some sugar, not dextrose.”
B. “The drug makes my pancreas release more insulin.”
C. “I should never take insulin while I’m taking this drug.”
D. “It’s best if I take the drug with the first bite of a meal.”
17. When instructing the female client diagnosed with hyperparathyroidism about diet, nurse Gina should
stress the importance of which of the following?
A. Restricting fluids
B. Restricting sodium
C. Forcing fluids
D. Restricting potassium
18. A male client with a tentative diagnosis of hyperosmolar hyperglycemic nonketotic syndrome (HHNS)
has a history of type 2 diabetes that is being controlled with an oral diabetic agent, tolazamide (Tolinase).
Which of the following is the most important laboratory test for confirming this disorder?
A. Serum potassium level
B. Serum sodium level
C. Arterial blood gas (ABG) values
D. Serum osmolarity
19. A male client has just been diagnosed with type 1 diabetes mellitus. When teaching the client and family
how diet and exercise affect insulin requirements, Nurse Joy should include which guideline?
A. “You’ll need more insulin when you exercise or increase your food intake.”
B. “You’ll need less insulin when you exercise or reduce your food intake.”
C. “You’ll need less insulin when you increase your food intake.”
D. “You’ll need more insulin when you exercise or decrease your food intake.”
20. For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client for
Chvostek’s sign and Trousseau’s sign because they indicate which of the following?
A. Hypocalcemia
B. Hypercalcemia
C. Hypokalemia
D. Hyperkalemia
21. Doctor’s Order: Infuse 50 mg of Amphotericin B in 250 mL NS over 4 hr 15 min; Drop factor:
12gtt/mL. What flow rate (mL/hr) will you set on the IV infusion pump?
A. 11.8 ml/hr
B. 58.8 ml/hr
C. 14.1 ml/hr
D. 60.2 ml/hr
22. Doctor’s Order: Streptomycin 1.75 mg/ lb IM q 12 hr; Available: Streptomycin 0.35 g / 2.3 mL. How
many mL will you administer a day to a 59 Kg patient?
A. 1.5 ml
B. 2 ml
C. 2.5 ml
D. 3 ml
23. Doctor’s Order: ¼ L of D5W to infuse over 2 hr 45 min; Drop factor: 60 gtt/mL. How many gtt/min will
you regulate the IV?
A. 91 gtt/min
B. 96 gtt/min
C. 125 gtt/min
D. 142 gtt/min
24. Doctor’s Order: Bumex 0.8 mg IV bolus bid; Reconstitution instructions: Constitute to 1000
micrograms/3.1 mL with 4.8mL of 5% Dextrose Water for Injection. How many mL will you
administer?
A. 2 ml
B. 3.5 ml
C. 3 ml
D. 2.5 ml
25. Patient with 50 kg has 30% burns. Calculate total amount of fluid to be given over first 48 hours
A. 7500 ml
B. 8250 ml
C. 8750 ml
D. 9500 ml