MDC 2 Final Exam NCLEX Style Practice Endocrine D/O(No diabetes included)questions and answers
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MDC 2 NCLEX Style
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MDC 2 NCLEX Style
The nurse is reviewing the laboratory test results for a client with a possible pituitary disorder. Which information requires immediate intervention by the nurse?
a.Blood glucose 125 mg/dL (6.9mmol/L)
b.Blood urea nitrogen (BUN) 40 mg/dL (14.3 mmol/L)
c.Serum potassium 5.0 mEq/L (5.0 mmol/L
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mdc 2 final exam nclex style practice endocrine dono diabetes includedquestions and answers
the nurse is reviewing the laboratory test results for a client with a possible pituitary disorder which
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MDC 2 Final Exam NCLEX Style Practice
Endocrine D/O
The nurse is reviewing the laboratory test results for a client with a possible pituitary
disorder. Which information requires immediate intervention by the nurse?
The charge nurse on the medical-surgical unit is making client assignments for the shift.
Which client is the most appropriate to assign to an LPN/LVN?
a.Client with Cushing's syndrome who requires orthostatic vital signs assessments
b.Client with diabetes mellitus who was admitted with a blood glucose of 35 mg/dL (1.9
mmol/L)
c.Client with exophthalmos who has many questions about endocrine function
d.Client with possible pituitary adenoma who has just arrived on the nursing unit -
Answer a.Client with Cushing's syndrome who requires orthostatic vital signs
assessments
A client with an endocrine disorder says, "I can't, you know, satisfy my wife anymore."
What is the nurse's best response?
a."Can you please tell me more?"
b."Don't worry. That is normal."
c."How does she feel?"
d."Can I make an appointment for you with a counselor?" - Answer a."Can you please
tell me more?"
The nurse is teaching a client about proper nutrition to prevent an endocrine disorder.
Which food does the nurse suggest adding to the diet when the client indicates a dislike
of fish?
a.Iodized salt
b.Red meat
c.Soy products
d.Salt substitute - Answer a.Iodized salt
A client is hospitalized for pituitary function testing. Which nursing action included in the
client's plan of care will be most appropriate for the RN to delegate to the LPN/LVN?
,a.Assess the client for clinical manifestations of hypopituitarism.
b.Administer regular insulin for the growth hormone stimulation test.
c.Palpate the thyroid gland for size and firmness.
d.Teach the client about the adrenocorticotropic hormone stimulation test. - Answer
b.Administer regular insulin for the growth hormone stimulation test.
When caring for the older adult with decreased antidiuretic hormone (ADH) production,
the nurse would include which of these in the plan of care?
a.Encourage fluids every 2 hours.
b.Plan for weight-bearing activities.
c.Inspect the feet and legs for ulcers.
d.Increase fiber in the diet. - Answer a.Encourage fluids every 2 hours.
The nurse is caring for a client who has frequent episodes of hypoglycemia with loss of
consciousness. During interdisciplinary rounds, which of these does the nurse suggest
the client's family learn to use?
The nurse is instructing a client who will undergo an adrenal suppression test. Which
statement by the client indicates that teaching was effective?
a."I am being tested to see whether my hormone glands are hyperactive."
b."I am being tested to see whether my hormone glands are hypoactive."
c."I am being tested to see whether my kidneys work at all."
d."I will be given more hormones as a trigger." - Answer a."I am being tested to see
whether my hormone glands are hyperactive."
A client is hospitalized with a possible disorder of the adrenal cortex. Which nursing
activity is best for the charge nurse to delegate to an experienced nursing assistant?
a.Ask about risk factors for adrenocortical problems.
b.Assess the client's response to physiologic stressors.
c.Check the client's blood glucose levels every 4 hours.
d.Teach the client how to do a 24-hour urine collection. - Answer c.Check the client's
blood glucose levels every 4 hours.
The nurse is teaching a client about the correct procedure for a 24-hour urine test for a
hormone level. Which statement by the client indicates a need for further teaching?
a."I need to keep the urine container cool in a separate refrigerator or cooler."
b."I will not eat any protein when I am collecting urine for this test."
c."I won't save the first urine sample of the day."
, d."To end the collection, I must empty my bladder and add this urine to the collection." -
Answer b."I will not eat any protein when I am collecting urine for this test."
The client tells the visiting nurse his blood glucose values over the last week have been
excellent. Which of these resources does the nurse evaluate to verify the client's
statement?
The nurse is caring for a client with a parathyroid dysfunction. Which comment by the
client indicates a need for further assessment?
a."I am worried about my bones breaking down."
b."Lately, I lose my temper more quickly."
c."The doctor will need to check my vitamin D levels."
d."My weight has been stable these past few years." - Answer b."Lately, I lose my
temper more quickly."
A client with Cushing's disease begins to laugh loudly and inappropriately, causing the
family in the room to be uncomfortable. What is the nurse's best response?
a."Don't mind this. The disease is causing this."
b."I need to check the client's cortisol level."
c."The disease can sometimes affect emotional responses."
d."Medication is available to help with this." - Answer c."The disease can sometimes
affect emotional responses."
The charge nurse is making client assignments for the medical-surgical unit. Which
client will be best to assign to an RN who has floated from the pediatric unit?
a.Client who is receiving IV hydrocortisone for an Addisonian crisis
b.Client admitted with syndrome of inappropriate antidiuretic hormone (SIADH)
secondary to lung cancer
c.Client being discharged after a unilateral adrenalectomy to remove a
pheochromocytoma
d.Client with Cushing's syndrome who requires frequent glucose monitoring and
administration of insulin - Answer d.Client with Cushing's syndrome who requires
frequent glucose monitoring and administration of insulin
A client with iatrogenic Cushing's disease is a resident in a long-term care facility. Which
nursing action included in the plan of care is most appropriate to delegate to unlicensed
assistive personnel (UAP)?
a.Assist with personal hygiene and skin care.
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