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StudBud Administration
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1
patient comes into the clinic demonstrating symptoms of hypocalcemic tetany.
Measure cap refill
Tap a finger in front of the patient’s ear at the angle of the jaw
Measure pt bp
Place a tuning fork over one of the patient’s fingers.
2
preparing to assess a patient with Cushing syndrome.
jugular vein distention
peripheral edema
auscultatory lung crackles
weight gain
3
Disorder of the pituitary gland
dwarfism
carpal spasms
hyperpigmentation o
enlarged thyroid nodule o
4
screening a group of patients for risk factors related to thyroid cancer.
75-year-old patient with a history of sinus infections in childhood
80-year-old patient whose diet consists largely of red meat
70-year-old patient who refinishes furniture as a hobby
85 and was working out doors with sun screen
5
Asks when weight loss in the legs is going to stop. What is occurring
Strawberries
risk for compression fractures
poor wound healing
muscle wasting
6
ca 10.2 phos 2 normal limits
Persistent generalized lymphadenopathy
There will be a few changes in your lifestyle
hyperparathyroidism
hypoparathyroidism
7
The nurse is assessing a patient for Trousseau sign. Step 3
Wait 2‒5 minutes.
Inflate the cuff.
Note a point greater than systolic
Observe for carpal spasms in the patient’s hands and fingers.
8
Which questions should the nurse ask that focus on genetic factors that influence the endocrine system?
Did you have any difficulties with your pregnancies?
Did you have any problems related to menopause?
Did you have any changes in your breast
What was the pattern and characteristics of your menstrual cycle?
9
Addison disease is experiencing problems with fluid balance
encourage oral fluid intake of 3000 mL/day and increased salt intake.
teach to sit and stand slowly
monitor cardiac monitor rhythm
weigh the patient daily at the same time and in the same clothing
10
. By which route should the nurse expect hormone transport to be conducted in this stress response?
nerve cell extension
portal
paracrine
neuroendocrine
11
A patient has a positive Trousseau sign.
reduced blood flow
difficulty breathing
excessive fluid
pain
12
nurse is developing a plan of care for a patient with hyperparathyroidism and a serum calcium level of 12.0
teaching to increase daily oral intake of fluids
promoting ambulation and mobility
discussing a change from thiazide diuretics to another type of diuretic
Encouraging the use of calcium based antacids
13
genetic influences on the endocrine system what should the nurse ask the pateint
“Has anyone in your family been diagnosed with Hashimoto disease?”
Do you have any family members with diabetes mellitus?”
Is there a pattern of obesity in your family
specific gravity 1.001
14
The nurse suspects that a patient is experiencing a response caused by the hormones of the adrenal medulla.
blood glucose level 142 mg/dL
respiratory rate 24
heart rate 112
cold extremities
15
nurse is conducting a health assessment interview with a patient over the endocrine system
exercise
lifestyle
use of alcohol, drugs, and tobacco
occupation
16
nurse is reviewing the manifestations of hyperparathyroidism with a patient
Kidney stones can develop.”
Calcium is deposited in soft tissues.”
Calcium and phosphorus leave the bones and make them weak.”
Hyperparathyroidism can cause the kidneys to keep calcium and excrete phosp
17
measuring the blood pressure of a hypoparathyroidism, spasm
Chvostek sign
Turner sign
Cullen sign
trousseau sign
18
The nurse is reviewing the function of the pancreas with a patient who is newly diagnosed with diabetes mellitus.
beta cells
alpha cells
f cells
delta cells
19
assessing a patient’s understanding of hyperparathyroidism. The nurse knows further teaching is
the patient has experienced at least two episodes of severe abdominal pain
The pt blood tests show high calcium and high parathyroid hormones
the patient has had the symptoms of hyperparathyroidism for at least 6 mos
all other causes of high blood calcium levels have been ruled out.
20
nurse is assessing a patient diagnosed with hypothyroidism.
your skin feeling rough and dry?”
“Do you have brown, shiny patches
“Is your skin smooth or flushed?”
Does your skin feel clammy?”
21
e nurse is caring for a patient with elevated serum thyroid hormones and new-onset proptosis
altered immunity
Fluid retention
change in appearance
weight gain
22
Which assessment technique should the nurse use to assess the patient’s thyroid gland?
stand in front of the patient and palpate the thyroid
have the patient flex the neck forward and palpate the thyroid
place the patient supine and palpate one side of neck of time
Stand behind the patient and palpate the thyroid.
23
A patient with hypothyroidism is prescribed levothyroxine sodium (Synthroid). diet
restrict high fiber foods
avoid grapefruits
avoid walnuts
take medications 30 min before eating
24
nurse notes that a patient who has hypoparathyroidism has a serum calcium level of 6.8 mg/dL.
Problems with oxygenation
changes in renal function
safety concerns because of confusion
potential for injury
25
An older patient who is seen in the clinic has a palpable thyroid gland.
onset of hypertension
normal finding in the older patient
onset of diabetes mellitus
Explanation of urine output
26
A patient is scheduled for surgery to remove a tumor of the anterior pituitary. hormones affected
adrenocorticotropic hormone (ACTH)
gonadotropin hormones
TSH
Prolactin
27
Lab report: Serum sodium 115 mEq/L H and p: Patient reports fell from bicycle and struck head 5 day /35k in 15 out
The patient’s urine is dark amber in color.
The patient states, “I have a headache.”
The patient states, “I feel thirsty.”
The patient is lethargic and difficult to wake.
28
The nurse is reviewing orders for a patient in myxedema coma. what is questionable
methimazole (Tapazole) 15 mg PO daily
Pulse oximeter
cooling blanket
regular insulin IV at 5 units per hour
29
nurse is assessing a patient with hypothyroidism
left descending coronary artery narrowing per angiogram
decreased stroke volume from 70 mL/beat to 50 mL/beat per echocardiogram
change in heart rate from 80 bpm to 60 bpm on auscultation
new finding of pericardial effusion per chest x-ray
30
A patient is experiencing severe hypertension. The nurse realizes that this finding might indicate a disorder in which
thyroid
parathyroid
adrenal
gonads
31
the nurse determines that a patient with Cushing syndrome requires interventions to for an alteration in carbohydrate
2 L of water ingested in 90 minutes
urine output in one hour 250 mL
fasting blood glucose level 185 mg/dL
Instill artificial tears.
32
An older adult patient tells the nurse she is ingesting a fat-soluble vitamin every day to boost her endocrine system.
The ability to absorb fat-soluble vitamins declines with aging.
Indigestion increas
The ability to absorb fat-soluble vitamins declines with aging.
Older patients have increased resistance to insulin.
33
During an assessment the nurse notes that the patient’s eyes are extremely wide open and bulging
diabetes mellitusm
hyperthyroidism
hypofunction of the adrenal glands
Hypofx of anterior pituitary
34
A patient being treated with medication for a seizure disorder is scheduled for a serum T3 and T4 lev
Indicate parathyroid disease
falsely reduced
falsely elevated
Normal
35
nurse is reviewing the manifestations of hyperparathyroidism with a patient
Kidney stones can develop.”
Hyperparathyroidism can cause the kidneys to keep calcium and excrete phosp
Calcium and phosphorus leave the bones and make them weak.”
Calcium is deposited in soft tissues.”
36
hypoparathyroidism. What actions should the nurse expect to perform to help this patient with a low calcium level?
Restricting fluids
administering intravenous IV calcium gluconate
arranging for a dietary consult regarding foods high in calcium
administering calcium tablets as prescribed
37
A patient is scheduled for a water deprivation test
Abstain from smoking as directed by the health care provider.
Blood and urine samples will be collected every hour during the test.
Do not eat or drink anything as directed by the health care provider.
sedative will be provided prior to the beginning of the test.
38
A female comes be seen for fatigue and a cold that “won’t go away,”
an increase in epinephrine secre
an increase in glucocorticoid secretion
a reduction in norepinephrine secr
a drop in mineralocorticoid secretion
39
family of an older patient with hypothyroidism is concerned about the open wounds on the patient’s legs and arms
Use warm water to bathe the patient.”
Follow bath with rubbing alcohol
Use firm consistent strokes
“Make sure she has a daily bath.”
40
patient with suspected Cushing syndrome is prescribed a 24-hour urine collection.
It identifies urine specific gravity changes over a 24-hour period.
It measures the amount of cortisol in the urine over 24 hours.
a 24 hour timeline reduces unwanted effects of medication
At least 2,000 mL of urine is required to perform the test.
41
the nurse is reviewing the laboratory results for a group of patients with hypothyroidism
depressed TSH, elevated T3 and T4
Depressed TSH, depressed T3 and T4
elevated TSH, depressed T3 and T4
elevated TSH, elevated T3 and T4
42
patient with Addison disease is experiencing weakness and abdominal pain and has an oral temperature of 102°F and blood
I take prednisone daily
“I have a pressure ulcer from sleeping in my recliner.”
I have been using a tanning bed.
I had my tonsils out last week.”
43
nurse is assessing a patient with a pituitary disorder.
enlargement of the hands and feet
purple striae over the trunk
Thin, soft hair
excessive growth
44
The nurse is instructing a patient about the symptoms of hyperparathyroidism.
hypertension
dysrhythmias
abdominal pain
Diarrhea
45
manager observes a staff nurse instruct a patient with Cushing syndrome about the risk for infection.
. “Cortisol inhibits collagen synthesis.”
“Epidermal hypertrophy restricts macrophage activity.”
resulting edema impairs blood flow
Cortisol affects protein synthesis.”
46
a focused endocrine assessment, the patient states that her brother has fragile X syndrome.
is a health condition separate from the endocrine system
It is an endocrine disorder having a genetic basis.
It is not a relevant
is a blood disorder
47
adrenal gland alteration does not understand why his skin is tanning when he does not spend any time outdoors in the sun
ask the patient what time of day he is outdoors
ask if the patient is still taking steroids prescribed for another illness
auscultate the patient’s lung sounds
Palpate thyroid gland
48
patient whose thyroid gland produces an insufficient amount of thyroid hormone is concerned about an elevated cholestero
Describe your typical bedtime snack
The thyroid gland malfunction can affect your cholesterol level
“Maybe you don’t realize how much fat is in the foods you eat.”
Elevated cholesterol is a normal part of aging.
49
nurse is describing the manifestations of myxedema coma to a patient with hypothyroidism precipitating factors
Excessive use of thyroid replacement medications
gastrointestinal bleeding
exposure to excessive heat and humidity
pneumonia
50
Older adults be at risk for too much thyroid medication in their blood because of which factor?
kidney alterations that make the organs less efficient at removing medicat
high blood lipid levels
less albumin in the blood to bind to thyroid medication
Poly pharmacy leading to problems with dosing
51
alert for which signs that Cushing syndrome is developing?
muscle weakness and wasting in the extremities
Varicose veins
fat deposits in the abdominal and clavicle regions
delayed wound healing
52
recovering from a closed head injury has a urine specific gravity of 1.010 g/mL. 12k in 1500 output
computed tomography scan of head
3% normal saline at 100 mL per hour
oral fluid restriction of 800 mL per day
desmopressin (Minirin) 0.2 mg by mouth daily
53
nurse is caring for a patient with untreated hypothyroidism. what should nurse assess
hyperglycemia
anemia
elevated serum cholesterol
Hypernatremia
54
A patient is having a 17-keosteroid test performed.
I know this test will be helpful in diagnosing my thyroid problem
I will arrive early to have my blood drawn
I shouldn’t eat or drink anything before this test.”
I will store the specimen container in the refrigerator.”
55
nurse is assessing an older patient with type 2 diabetes mellitus. expected age related change
intolerable to fat
decreased sensitivity to insulin
assess dizzy
more rapid insulin release
56
nurse is reviewing the relationship between thyroid hormone causes iodine deficiency and hypothyroidism further teaching
eat large amounts of turnips or rutabagas.
eat large amounts of shellfish.
live in an area soil deficient iodine
use prescribed lithium carbonate.
57
nurse is caring for a patient with Graves disease
calcium
thyroxine
urine-specific gravity
cortisol
58
being at the lowest risk of developing Cushing syndrome?
The patient who has had an organ transplant
Patient recieving treatment of chemo for brain tumor
The patient who received radioactive iodine treatment for hyperthyroidism
The patient receiving treatment for rheumatoid arthritis
59
recovering from a bilateral adrenalectomy adrenal insufficiency
change the dressing using clean technique
Monitor in and out
question the order for cortisol administration
Place on fluid restriction
60
r nurse is providing care to a patient with a low level of serum parathyroid hormone.
facial grimacing
abdominal cramps
hair loss
dysrythmias
61
patient with hyperparathyroidism who is taking digoxin (Lanoxin)
evidence the medication dose needs to be increased
onset of polyuria
toxic effects of digoxin (Lanoxin)
Muscle weakness.”
62
The nurse in the postanesthesia care area is concerned that a patient recovering from a subtotal thyroidectomy
heart rate 116 beats per minute
high-pitched, squeaky sound with breathing.
I blood pressure 92/56 mmHg
hoarseness
63
is planning to conduct a physical assessment of a patient’s endocrine system.
palpation of the parathyroid
palpation of the pancreas
palpation of the thyroid gland
Percussion of the adrenal
64
nurse is teaching a patient who has a diagnosis of hypothyroidism about the importance of dietary fiber.
I will increase my intake of protein sources such as meat and eggs.
I will take an over-the-counter fiber pill each morning with my levothyroxi
“I will drink a full glass of water with my fiber pill each morning.”
“I will snack on popcorn rather than potato chips.”
65
nurse is planning a teaching session for a patient with a new diagnosis of adrenoleukodystrophy.
the role of anticoagulants in the development of the disorder
why genetic counseling is included in the plan of care
the role of autoimmunity in the development of the disorder
the surgical site for transsphenoidal entry, using a diagram
66
assessing a female patient who has an abnormally high level of parathyroid hormone
diarrhea
muscle weakness
hypotension
muscle atrophy
67
endocrine-focused health assessment interview with an older adult age rt thyroid fx
increased facial hair
inability to tolerate heat and cold
. indigestion and intolerance of fatty
. enlarged nose, hands, and feet
68
assessment, the nurse asks a patient about changes in weight
adrenal
. pituitary
gonads
thyroid
69
nurse is instructing a patient with low levels of circulating thyroid hormone. The nurse should encourage the patient
iodine
phosphorus
vitamin D
calcium
70
35-year-old female patient taking oral contraceptives is prescribed steroid therapy
Avoid salt
These medications do not interact. No changes need to be made.”
Measure your weight daily.”
Consider adding another form of contraception while using both medications
71
patient with elevated serum T3 and T4 levels who receives a new prescription for methimazole (Tapazol) more teach
Take a beta blocker with meds
“I must contact my physician if I plan to become pregnant.”
It may take several weeks for this medication to take effect.”
This medication will increase my metabolism.”
72
Cushing syndrome is concerned about having a head cold every few weeks.
encourage daily weights
assess for protein and vitamin intake
Plan rest period
Review coping strategies
73
patient with chronic hyperfunction of the adrenal cortex has an infection.
recent weight loss
muscular tremors
general feeling of malaise
Sense of nervous energy”
74
atient comes into the emergency department with manifestations of Addisonian crisis.
blood transfusion
warm blankets
intravenous fluids
Thyroid replacement hormone
75
, the patient learns that an oral glucose tolerance test is cancelled
Normal kidney fx
Norman liver fx
consistently high fasting blood glucose levels
no evidence of type 1 diabetes mellitus
76
instructing a on pain relief, the nurse uses the example of endorphins as endocrine hormones, what route is
paracrine method
direct release into the bloodstream
nerve cell extension into the posterior pituitary
neuroendocrine route
77
assessment of a patient with an endocrine disorder.
height and weight
deep tendon reflexes
skin, hair, and nails
Musculoskeletal
78
nurse is reviewing postoperative care for a patient scheduled for a thyroidectomy.
Plastic surgery may be required to conceal the surgical scar.”
Perform neck flexion exercises for weeks
Use iodized salt when preparing foods.
Avoid the use of iodized salt after your procedure.”
79
Nurse is providing preoperative teaching to a patient scheduled for a subtotal thyroidectomy.
Report signs of constipation.
Take aspirin before surgery
Report sensations of tingling in toes, fingers, or lips.
Report the improvement of hoarseness.
80
hyperthyroidism is experiencing vision changes.
Instill artificial tears.
Apply eye shields.
Wear eyeglasses with tinted lenses.
Notify the health care provider about vision changes.
81
patient is demonstrating signs of exophthalmos.
enlarged thyroid gland
decreased reflexes
dry skin
dry, thick nails
82
A middle-aged female patient is found to have a decrease in her cortisol level
Nothing
Cushing
Addison disease
hyperthyroidism
83
patient with hyperparathyroidism secondary to renal failure is prescribed calcimimetic.
it binds calcium to bile salt
It increases the sensitivity of the calcium-sensing receptors of the parat
It decreases resorption of calcium in the distal renal tubule.
It blocks calcium receptors in the nervous and musculoskeletal systems.
84
The nurse is conducting a health interview with a female patient. What should the nurse ask this patient that focuses on
Are you able to provide for your children?
. “How old were you when your
. “Do you have children?”
“Is your menstrual cycle regular?”
85
physical assessment the nurse suspects a patient is experiencing hypothyroidism.
rough, dry skin
Smooth flushed skin
yellowish cast to the skin
areas of hyperpigmentation
86
thyroid function, the nurse notes smooth, fine hair and warm, dry
Have you been feeling constipated?”
Have you noticed increased bruising?
Have you noticed skin color change
Have you experienced any recent weight loss?”
87
A patient who is scheduled to have a hemoglobin A1C level drawn asks the nurse about the purpose of the test
“It’s to check for pancreas functioning.”
It’s to check for thyroid functions.”
A pregnant woman who has a fractured
“It’s a blood test to check for kidney functioning.”
88
alteration in growth hormone can lead to changes in an individual’s physical stature. High growth hormone
dwarfism
acromegaly
Gynecomastia
hirsutism
89
patient with a non-ACTH-producing adrenal cortex tumor is scheduled for a surgical procedure to remove the tumor.
The adrenal gland with the tumor will be removed.”
CI will need to take adrenal hormones for the rest of my life.”
i will recieve IV cortisol by before the surgry
The tumor will be removed by the transsphenoidal route.”
90
nurse is assessing a patient with Cushing syndrome. Which findings should the nurse report for immediate follow-up?
serum sodium 145 mEq/L and reports of muscle weakness
serum calcium 11 mg/dL and reports of feelings of depression”
serum potassium 2.5 mEq/L and blood pressure 150/90
serum phosphorus 3 mg/dL and hirsutism
91
symptoms of dehydration and excessive urination. Alteration hormone
antidiuretic hormone (ADH)
follicle-stimulating hormone (FSH)
beta-blocker
adrenocorticotropic hormone (ACTH)