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A. 2 to 5 g of a simple carbohydrate.
B. 10 to 15 g of a simple carbohydrate.
C. 18 to 20 g of a simple carbohydrate.
D. 25 to 30 g of a simple carbohydrate.
2. A female adult client with a history of chronic hyperparathyroidism admits to being noncompliant. Based on initial
assessment findings, the nurse formulates the nursing diagnosis of Risk for injury. To complete the nursing diagnosis statement
for this client, which “related-to” phrase should the nurse add?
C. Related to edema and dry skin secondary to fluid infiltration into the interstitial spaces
3. Nurse Joey is assigned to care for a postoperative male client who has diabetes mellitus. During the assessment interview, the
client reports that he’s impotent and says he’s concerned about its effect on his marriage. In planning this client’s care, the most
appropriate intervention would be to:
4. During a class on exercise for diabetic clients, a female client asks the nurse educator how often to exercise. The nurse
educator advises the clients to exercise how often to meet the goals of planned exercise?
D. Every day
5. Nurse Oliver should expect a client with hypothyroidism to report which health concerns?
6. 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
7. 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
8. When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:
B. furosemide (Lasix).
C. regular insulin.
D. 10% dextrose.
9. The nurse is aware that the following is the most common cause of hyperaldosteronism?
B. A pituitary adenoma
D. An adrenal adenoma
10. A male client with type 1 diabetes mellitus has a highly elevated glycosylated hemoglobin (Hb) test result. In discussing the
result with the client, nurse Sharmaine would be most accurate in stating:
B. “It looks like you aren’t following the prescribed diabetic diet.”
C. “It tells us about your sugar control for the last 3 months.”
11. Following a unilateral adrenalectomy, nurse Betty would assess for hyperkalemia shown by which of the following?
A. Muscle weakness
B. Tremors
C. Diaphoresis
D. Constipation
12. Nurse Louie is developing a teaching plan for a male client diagnosed with diabetes insipidus. The nurse should include
information about which hormone lacking in clients with diabetes insipidus?
13. 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
14. For a male client with hyperglycemia, which assessment finding best supports a nursing diagnosis of Deficient fluid volume?
15. When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive
catecholamine, nurse April is most likely to detect:
C. bradycardia.
16. A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing
intervention is appropriate?
C. Restricting fluids
17. 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.
18. Which outcome indicates that treatment of a male client with diabetes insipidus has been effective?
19. Jemma, who weighs 210 lb (95 kg) and has been diagnosed with hyperglycemia tells the nurse that her husband sleeps in
another room because her snoring keeps him awake. The nurse notices that she has large hands and a hoarse voice. Which of
the following would the nurse suspect as a possible cause of the client’s hyperglycemia?
A. Acromegaly
C. Hypothyroidism
20. Nurse Kate is providing dietary instructions to a male client with hypoglycemia. To control hypoglycemic episodes, the nurse
should recommend:
21. 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.
22. A male client with type 1 diabetes mellitus asks the nurse about taking an oral antidiabetic agent. Nurse Jack explains that
these medications are only effective if the client:
23. When caring for a female client with a history of hypoglycemia, nurse Ruby should avoid administering a drug that may
potentiate hypoglycemia. Which drug fits this description?
A. sulfisoxazole (Gantrisin)
B. mexiletine (Mexitil)
C. prednisone (Orasone)
24. After taking glipizide (Glucotrol) for 9 months, a male client experiences secondary failure. Which of the following would the
nurse expect the physician to do?
D. Restrict carbohydrate intake to less than 30% of the total caloric intake.
25. 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.”
26. 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.
27. A male client with primary diabetes insipidus is ready for discharge on desmopressin (DDAVP). Which instruction should
nurse Lina provide?
B. “Your condition isn’t chronic, so you won’t need to wear a medical identification bracelet.”
C. “You may not be able to use desmopressin nasally if you have nasal discharge or blockage.”
D. “You won’t need to monitor your fluid intake and output after you start taking desmopressin.”
A. Hypocalcemia
B. Hyponatremia
C. Hypokalemia
D. Hypermagnesemia
29. In a 29-year-old female client who is being successfully treated for Cushing’s syndrome, nurse Lyzette would expect a decline
in:
B. Hair loss.
C. Bone mineralization.
D. Menstrual flow.
30. A male client has recently undergone surgical removal of a pituitary tumor. Dr. Wong prescribes corticotropin (Acthar), 20
units I.M. q.i.d. as a replacement therapy. What is the mechanism of action of corticotropin?
A. It decreases cyclic adenosine monophosphate (cAMP) production and affects the metabolic rate of target organs.
C. It interacts with plasma membrane receptors to produce enzymatic actions that affect protein, fat, and carbohydrate
metabolism.
31. 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:
32. A female client with Cushing’s syndrome is admitted to the medical-surgical unit. During the admission assessment, nurse
Tyzz notes that the client is agitated and irritable, has poor memory, reports loss of appetite, and appears disheveled. These
findings are consistent with which problem?
A. Depression
B. Neuropathy
C. Hypoglycemia
D. Hyperthyroidism
33. 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
34. 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
35. Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion
is experiencing complications?
A. Tetanic contractions
C. Weight loss
D. Polyuria
36. A female client with a history of pheochromocytoma is admitted to the hospital in an acute hypertensive crisis. To reverse
hypertensive crisis caused by pheochromocytoma, nurse Lyka expects to administer:
A. phentolamine (Regitine).
B. methyldopa (Aldomet).
C. mannitol (Osmitrol).
D. felodipine (Plendil).
37. 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
38. Nurse Troy is aware that the most appropriate for a client with Addison’s disease?
C. Urinary retention
D. Hypothermia
39. 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:
D. “It’s best if I take the drug with the first bite of a meal.”
40. A female client whose physical findings suggest a hyperpituitary condition undergoes an extensive diagnostic workup. Test
results reveal a pituitary tumor, which necessitates a transsphenoidal hypophysectomy. The evening before the surgery, nurse
Jacob reviews preoperative and postoperative instructions given to the client earlier. Which postoperative instruction should the
nurse emphasize?
41. Dr. Kennedy prescribes glipizide (Glucotrol), an oral antidiabetic agent, for a male client with type 2 diabetes mellitus who
has been having trouble controlling the blood glucose level through diet and exercise. Which medication instruction should the
nurse provide?
B. “Glipizide may cause a low serum sodium level, so make sure you have your sodium level checked monthly.”
C. “You won’t need to check your blood glucose level after you start taking glipizide.”
42. For a diabetic male client with a foot ulcer, the physician orders bed rest, a wet-to-dry dressing change every shift, and blood
glucose monitoring before meals and bedtime. Why are wet-to-dry dressings used for this client?
B. They protect the wound from mechanical trauma and promote healing.
43. 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
44. Which nursing diagnosis takes highest priority for a female client with hyperthyroidism?
A. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess
B. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing
D. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
45. 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?
D. Serum osmolarity
46. 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.”
47. Nurse Noemi administers glucagon to her diabetic client, then monitors the client for adverse drug reactions and
interactions. Which type of drug interacts adversely with glucagon?
A. Oral anticoagulants
B. Anabolic steroids
C. Beta-adrenergic blockers
D. Thiazide diuretics
48. Which instruction about insulin administration should nurse Kate give to a client?
A. “Always follow the same order when drawing the different insulins into the syringe.”
C. “Store unopened vials of insulin in the freezer at temperatures well below freezing.”
49. Nurse Perry is caring for a female client with type 1 diabetes mellitus who exhibits confusion, light-headedness, and aberrant
behavior. The client is still conscious. The nurse should first administer:
D. 10 U of fast-acting insulin.
50. 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