Endocrine
A nurse is reviewing labs for hyperthyroidism. An elevation of what lab is an indication of this?
a. Triiodothronine d. urine osmolality
b. Plasma-free metanephrine
c. Urine cortisol
Answer: A
Increased triiodothyronine (T3) indicates hyperthyroidism.
What is the expected finding for a person with Graves' disease?
a. Decreased thyrotropin receptor antibodies
b. Decreased thyroid-stimulating hormone (TSH)
c. Decreased free thyroxine index
d. Decreased triiodothyronine
Answer: B
In the presence of Grave's disease, low TSH is expected finding. The pituitary gland decreases the production of TSH when thyroid hormone levels are elevated.
A nurse is assisting with a client who has marginal abrupt placentae. What findings are risk factors?
a. Fetal position. d. Maternal age
b. Blunt abdominal trauma. e. Cigarette smoking
c. Cocaine use
Correct Answer: B, C, and E
A nurse is discussing acute vs. prolonged stress with a client. Which of the following is an acute response? (select all the apply)
a. Chronic pain. b. Depressed immune system
c. Increase blood pressure. d. Panic attacks
e. Unhappiness
Correct Answer:B, C, and E
A nurse is preparing to transfer a client who is 72 hr postoperative. Which information should the nurse include? (select all that apply)
a. Type of anesthesia used. c. V/S on day of admit
b. Advance directives status d. Medical diagnosis
e. Need for specific equipment
Correct Answer: B, D, and E
A nurse is reviewing records for SAIDH. Which labs should the nurse expect? (select all that apply)
a. Low sodium b. High potassium
c. Increased urine osmolality d. High urine sodium
e. Increased urine specific gravity
Answers: A, C, D, E
a. Low sodium due to increase water retention
c. Decrease urine volume result in increase osmolality.
d. Increase water retention result in increase sodium
e. Increase water retention causing increase specific gravity
A client comes to PACU who is post-op following a thyroidectomy. What following equipment should be on hand? (select all that apply)
a. Suction equipment. b. Humidified Oxygen
c. Flashlight. d. Tracheostomy tray
e. Chest tube tray
Correct Answer: A,B and D
A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse expect the provider will prescribe?
a. Ceftriaxone. b.Fluconazole
c. Metronidazole d. Zidovudine
Correct Answer: A
Ceftriaxone IM or doxycycline orally for 7 days is prescribed for the treatment of gonorrhea.
A nurse is caring for a client with substance abuse. Which technique should the nurse identify as a barrier to therapeutic communication?
a. Offering advice. b. Reflecting
c. Listening attentively. d. Giving information
Correct Answer: A
Offering advice to a client is a barrier to therapeutic communication that should be avoided.
A nurse discovers that a client is given an antihypertensive medication in error. Identify appropriate sequence of steps to be followed.
a. Call provider. b. check vital signs
c. Notify risk manager. d. Do an incident report
e. Instruct client to remain in bed
Correct Answer: B, E, A, D, and C
Do vital signs. Instruct to remain in bed to prevent fall due to risk of hypotension. Notify provider. Complete an incident report. Last step to notify risk manager
A nurse is caring for a patient with primary adrenal insufficiency and going for a ACTH simulation test. What finding should the nurse expect?
a. No chg in plasma cortisol
b. Elevated fasting blood glucose
c. Decrease in sodium
e. Increased urinary output
Correct answer: A
No change in plasma cortisol indicates primary adrenal insufficiency (Addisons's disease or hypocortisolism) after IV injection of cosyntropin during ACTH simulation test due to an inadequate production of cortisol.
A nurse is reviewing labs for a client being evaluated for secondary hypothyroidism. Which lab finding should be expected?
a. Elevate T4. b. Decreased T3
c. Elevated thyroid simulating hormone
d. Decreased cholesterol
Correct Answer: B
Decreased levels of T3 in the blood is an expected finding for a client with hypothyroidism
A nurse is assisting with care of client who is receiving nifedipine for prevention of preterm labor. The nurse should monitor the client for which of the following?
a. Blood-tinged sputum. b. Dizziness
c. Pallor. d.Somnolence
Correct Answer: B
Dizziness and lightheadedness are associated with orthostatic hypotension, which occurs when taking nifedipine.
A nurse is collecting data from a client following ECT procedure. Which of the following findings should the nurse expect? (select all that apply)
a. Hypotension. b. Paralytic ileus
c. Memory loss. d. Polyuria. e. confusion
Correct Answer: C and E
Transient short-term memory loss is an expected finding immediately following ECT.
Confusion is an expected finding immediately following ECT.
A 6-month-old infant has lactose intolerance. Which findings should the nurse expect? (select all that apply)
a. Abdominal distension. b. Flatus
c. Hypoactive bowel sounds d. Occasional diarrhea
e. Visible peristalsis
Correct Answer: A, B, and D
Abdominal distention, flatus and occasional diarrhea are findings with lactose intolerance.
A water deprivation test is being performed. Which complications should the nurse monitor?
a. Bradycardia c. Neck vein dissension
b. Orthostatic hypotension. d. Crackles in lungs
Answer: B
Monitor for orthostatic hypotension resulting from dehydration during a water deprivation test
A client has Cushing's disease. The client is at an increase risk for which of the following? (select all that apply)
a. Infection b. Electrolyte imbalance
c. Renal calculi d. Bone Fractures e. Dysphagia
Correct Answer: A, B and D
Suppression of immune system increase risk infection
Clients can have electrolyte imbalances such as hypernatremia, hypokalemia, and hyperglycemia
Risk for fractures due to decrease calcium absorption.
A nurse is contributing to the plan of care for a postpartum client with thrombophlebitis. What interventions should nurse recommend?
a. Apply cold compresses to affected extremity.
b. Massage the affected extremity.
c. Allow the client to ambulate
d. Measure leg circumferences.
Correct Answer: D
Plan to measure the circumference of the leg to monitor for changes in the client's condition.
A nurse is discussing the factors for somatic symptom disorder. Which of the following risk factors should she include? (select all the apply)
a. Age older than 65. b. Anxiety disorder
c. Childhood trauma. d. Coronary artery disease
e. Obesity
Correct Answer: B and C
Age 16 to 25 years is a risk factor.
A nurse is caring for a client with level 2 dysphagia diet. Which of the following dietary selections is appropriate?
a. Turkey sandwich. b. Poached eggs
c. Peanut butter crackers. d. Granola
Correct Answer: B
A level 2 diet requires foods that are moist and semi-solid, such as poached eggs.
What is the best response for why the HbA1c is used for medication management?
a. HbA1c measures how well insulin is regulating your blood glucose between meals
b. HbA1c indicates how well blood glucose is regulated over the past 120 days
c. The HbA1c will tell you if you have diabetes
d. It determines if you need your insulin adjusted
Answer: B
HbA1c measures blood glucose control over the past 120 days.
A nurse is caring for a client with DI. Which of the following lab finding should the nurse expect?
a. Presence of glucose
b. Decreased specific gravity
c. Presence of ketones
d.Presence of red blood cells
Correct answer: B
The urine of a client with Di will be dilute with a urine specific gravity of less than 1.005.
A nurse is reinforcing teaching with a client of childbearing age about folic acid supplements. Which defect can occur as a result of deficiency?
a. Iron deficiency anemia. b. Poor bone formation
c. Macrosomic fetus. d. Neural tube defects
Correct answer: D
Neural tube defects are caused by folic acid deficiency. Food sources of folic acid include fresh green leafy vegetables, liver, peanuts, cereals, and whole-grain breads.
The nurse is collecting data during admission of an adolescent client with depression. Which findings should nurse expect? (select all that apply)
a. Fear of being alone. b. Substance abuse
c. Weight gain d. Irritability. e. Aggressiveness
Correct Answer: B, D, and E
Substance abuse, irritability and aggressiveness is an expected association with depression
What are the conditions associated with a vitamin c deficiency? (select all that apply)
a. Dysrhythmias. b. Scurvy. c. Pernicious anemia
d. Megaloblastic anemia e. Bleeding gums
Correct Answer: B and E
Pernicious anemia is associated with vitamin B12
Megaloblastic anemia is associated with folate deficiency