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Exam (elaborations)

Endocrine and metabolic disorders

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1. A patient with diabetes mellitus is receiving insulin. Which of the following symptoms would indicate hypoglycemia? A. Excessive thirst B. Dry skin C. Sweating and tremors D. Frequent urination Answer: C. Sweating and tremors Rationale: Sweating and tremors are common symptoms of hypoglyce...

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  • October 11, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nursing
  • Nursing
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njengamartin399
Questions and Answers

1. A patient with diabetes mellitus is receiving insulin. Which of the following symptoms
would indicate hypoglycemia?

A. Excessive thirst
B. Dry skin
C. Sweating and tremors
D. Frequent urination
Answer: C. Sweating and tremors
Rationale: Sweating and tremors are common symptoms of hypoglycemia. Other signs may
include confusion and weakness.

2. A nurse is teaching a client about the signs and symptoms of hyperthyroidism. Which
symptom should the nurse include?

A. Weight gain
B. Fatigue
C. Increased appetite
D. Cold intolerance
Answer: C. Increased appetite
Rationale: Hyperthyroidism is characterized by increased metabolism, which often leads to
increased appetite despite weight loss.

3. The nurse is caring for a patient with Addison's disease. Which of the following findings
would the nurse expect?

A. Weight gain
B. Hyperpigmentation of the skin
C. Hypertension
D. Increased energy levels
Answer: B. Hyperpigmentation of the skin
Rationale: Addison's disease often results in hyperpigmentation due to increased production of
melanocyte-stimulating hormone.

4. A patient diagnosed with type 1 diabetes is learning about insulin administration. Which
statement by the patient indicates a need for further teaching?

A. "I will store my insulin in the refrigerator."
B. "I should rotate injection sites."
C. "I can mix my long-acting insulin with regular insulin."
D. "I will always carry a source of fast-acting sugar."
Answer: C. "I can mix my long-acting insulin with regular insulin."
Rationale: Long-acting insulin should not be mixed with other insulins in the same syringe.

, 5. A nurse is monitoring a patient with diabetic ketoacidosis (DKA). Which laboratory
value would the nurse expect to find?

A. Elevated blood glucose level
B. Low blood ketone levels
C. Normal arterial blood gases
D. Decreased serum osmolality
Answer: A. Elevated blood glucose level
Rationale: DKA is characterized by elevated blood glucose levels, usually above 250 mg/dL.

6. A patient is diagnosed with hypothyroidism. Which medication is most likely
prescribed?

A. Levothyroxine
B. Methimazole
C. Propylthiouracil
D. Iodine-131
Answer: A. Levothyroxine
Rationale: Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism.

7. A patient presents with Cushing's syndrome. Which finding would the nurse expect to
assess?

A. Low blood pressure
B. Moon facies
C. Weight loss
D. Hyperkalemia
Answer: B. Moon facies
Rationale: Moon facies is a common manifestation of Cushing's syndrome, which is caused by
excess cortisol.

8. The nurse teaches a patient with diabetes about the importance of foot care. Which
statement indicates a correct understanding?

A. "I should check my feet daily for injuries."
B. "I can wear any type of shoes I like."
C. "Foot care is not important as long as my blood sugar is controlled."
D. "I will soak my feet daily to keep them clean."
Answer: A. "I should check my feet daily for injuries."
Rationale: Daily foot inspections are crucial for preventing complications like ulcers and
infections.

9. A patient with hyperparathyroidism is at risk for which of the following complications?

A. Hypoglycemia
B. Osteoporosis

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