Care II Exam II Tutoring

Question 1

Which of the following is NOT a nursing care priority for a patient with AIDS dementia?

Accepted Answer

Leave patient alone since they are easily agitated

Question 2

Which of the following are expected signs and symptoms of hyperthyroidism? SATA:

Accepted Answer

Increased appetite, Increased number of stools, Altered menses

Question 3

What is the hallmark of a pheochromocytoma?

Accepted Answer

Elevated blood pressure

Question 4

Hypoparathyroidism is more common than hyperparathyroidism.

Accepted Answer

False

Question 5

When instructing a patient with newly diagnosed diabetes mellitus, what statement would you correct?

Accepted Answer

I may need more insulin in the beginning before tapering down

Question 6

What is an important teaching for a patient with diabetes before surgery?

Accepted Answer

Stop taking metformin 48-72 hours before any procedures with iodine

Question 7

Which of the following are common s/s of diabetes mellitus? SATA:

Accepted Answer

Polydipsia, Polyuria, Polyphagia

Question 8

Patient presents to the ER with hepatomegaly, increased perspiration, and enlarged lips, nose, and tongue. You suspect:

Accepted Answer

Acromegaly

Question 9

Which of the following would you do when caring for a patient with exophthalmos?

Accepted Answer

Encourage cessation of smoking

Question 10

Which of the following is not proper nursing care for a patient with hyperparathyroidism?

Accepted Answer

Avoid activity to avoid fractures

Question 11

A patient with Cushing's syndrome is at higher risk for which of the following?

Accepted Answer

Infection

Question 12

The Somogyi effect is rebound hyperglycemia at night.

Accepted Answer

True

Question 13

Which manifestation of Cushing's syndrome is related to the altered metabolism of protein?

Accepted Answer

Thin arms and legs

Question 14

What foods would be recommended for a patient with hypoparathyroidism? SATA:

Accepted Answer

Dark green vegetables, Tofu, Soybeans

Question 15

What lab value would you not expect to see in a patient with Addison's disease?

Accepted Answer

Decrased BUN

Question 16

To prevent complications after an adrenalectomy, it is important to teach your patient to:

Accepted Answer

Begin steroid therapy a week prior to surgery

Question 17

A pheochromocytoma is a tumor that causes an overproduction of what?

Accepted Answer

Catecholamines

Question 18

What should a nurse do if they suspect CSF leakage post-hypophysectomy?

Accepted Answer

Test nasal drip for glucose

Question 19

Most people with HIV are aware that they have it.

Accepted Answer

True

Question 20

Pheochromocytomas are the leading cause of hypertension in the general population.

Accepted Answer

False

Question 21

All of the following are important patient teachings following a hypophysectomy except:

Accepted Answer

Bend down to touch toes q2h to prevent atelectasis

Question 22

Conn's Syndrome is an overproduction of aldosterone.

Accepted Answer

True

Question 23

Basal insulin closely mimics endogenous insulin production.

Accepted Answer

True

Question 24

Which patient teaching is incorrect for a patient who is post-adrenalectomy?

Accepted Answer

Begin taking oral cortisol replacement drugs as soon as surgery is over

Question 25

Which of the following are important patient teachings for storing and administering insulin? SATA:

Accepted Answer

In use insulin vials can be stored at room temperature, Soap and water can be used to clean the site prior to home administration

Question 26

What electrolyte level would you expect to monitor in a patient post parathyroidectomy?

Accepted Answer

Calcium

Question 27

What is the best time of day to take levothyroxine?

Accepted Answer

An hour before eating breakfast

Question 28

A patient presents with decreased TSH and normal T3/T4. What do you suspect?

Accepted Answer

Subclinical hyperthyroidism

Question 29

Addison's disease is most commonly an autoimmune process.

Accepted Answer

True

Question 30

Which of the following is important sick day management exclusively for a patient with T1DM?

Accepted Answer

Test urine for ketones every 4 hours

Question 31

Which diuretic would you administer to a patient with hyperaldosteronism?

Accepted Answer

Spironolactone

Question 32

A patient presents to the ER with a moon shaped face, buffalo hump, and purple striae. What do you suspect?

Accepted Answer

Cushing's syndrome

Question 33

What lab values would you expect to see in a patient with hypothyroidism? SATA:

Accepted Answer

Low T3/T4, Elevated triglycerides, Elevated TSH

Question 34

What would be a priority patient teaching for a patient with Addison's disease?

Accepted Answer

How to administer emergency IM injections of hydrocortison

Question 35

What patient statement would you correct for someone with a pheochromocytoma?

Accepted Answer

I will begin my beta-blocker therapy first to control my elevated HR

Question 36

After a thyroidectomy, all of the following are important post-operative teachings except:

Accepted Answer

Avoid neck ROM to prevent damage to surgical site

Care II Exam II Tutoring

Questions 36

Care II Exam II Tutoring

Questions 36