Title WORKBOOK- ENDO (SC).pdf ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | 3 COMPREHENSIVE PHASE WORKBOOK ENDOCRINE SYSTEM MAY 2024 Philippine Nurse Licensure Examination Review 1. After pituitary surgery the nurse should assess the client for which of the following? a. Urine specific gravity less than 1.010 b. Urine output between 1 and 2L/day c. Blood glucose level higher than 300mg/100ml d. Urine negative for glucose and ketones 2. Vasopressin is administered to the client with diabetes insipidus (DI) because it a. Decrease blood pressure b. Increase tubular reabsorption of water c. Increases release of insulin from the pancreas d. Decreases glucose production within the liver 3. Which of the following constitutes a priority outcome for the client with DI? a. Maintains normal fluid and electrolyte balance b. Selects American diabetes association diet correctly c. States dietary restrictions d. Exhibits serum glucose level within normal range 4. Immediately after a hypophysectomy, the nurse should be concerned if the client has: a. Sore throat and dysphagia b. Been complaining of feeling hungry c. Complaint of lack of appetite d. Been frequently asking for water to drink 5. Which of the following tests is used to diagnose Diabetes Insipidus? a. Capillary blood glucose test b. Fluid Deprivation Test c. Dexamethasone Suppression Test d. Thallium Scan 6. Which nursing intervention would be included in fluid management for a client diagnosed with syndrome of inappropriate antidiuretic hormone ( SIADH )? a. Rapid IV fluid infusion b. Fluid restriction c. Increased oral fluid intake d. Administration of dextrose fluids IV 7. The change nurse is determining in which room to place a client who is being admitted with hyperthyroidism. Which room assignment would be the best for this client? a. A semi-private room near the elevators, b. A private room near the end of the hall. c. A private room near the nurses’ station. d. A multibed room with one shared bathroom. 8. A 30-year-old woman is receiving levothyroxine sodium (Synthroid) 0.1 mg PO daily. Which of the following findings would indicate to the nurse that the client is getting favorable results from the medication? a. Decreased blood pressure. b. Increased urine output. c. Decreased pulse rate. d. Increased respiratory rate. 9. A 64-year-old client has a previous thyroidectomy and admitted for myxedema (hypothyroidism). Assessment of this client will most likely reveal which of the following findings? a. Puffy appearance b. Increased pulse rate c. Elevated basal metabolic rate d. Hypertension 10. Assessing the client with hyperthyroidism, the nurse will most likely observe which of the following clinical signs? a. Sunken eyeball b. Loss of weight c. Loss of appetite d. Bradycardia 11. The nurse a caring for a client with myxedema. Which of the following would indicate to the nurse that the client’s condition is deteriorating? a. An increase in pulse rate and respirations b. Cold skin and episodes of chills c. Difficulty in arousing the client for medications d. Clients complaints of palpations 12. Thyroidectomy is recommended for a client with hyperthyroidism. Stable iodine preparation (Lugol’s Solution) is ordered. The beneficial effect of this medication on a client with hyperthyroidism is brought about his action which is it: a. Blocks the cell utilization of the thyroid hormone b. Blocks hormone synthesis by preventing iodine and thyroxine form combining c. Destroys the stored thyroid hormone d. Stores thyroid hormones in the thyroid gland 13. While taking care of an immediate post–operative thyroidectomy client, the nurse noted the following observations. Which one should be immediate reported to the physician? a. Crowing respirations b. dysphagia c. Poor intake of fluids d. Sore throat 14. In assessing the client with hyperthyroidism, the most significant serum electrolyte test result that will contribute to its diagnosis is: a. Elevated phosphorous b. Low potassium c. Low sodium d. Elevated calcium 15. In the case of the client with hyperparathyroidism, an associated problem which the nurse should consider in her care plan is: a. Azotemia b. Nephrolithiasis c. Paralysis d. Glomerulonephritis 16. The nurse should include which of the following in the pre- procedure instruction given to the parents of a child scheduled for a thyroid function test? a. NPO after midnight b. A high-carbohydrate meal should be eaten the day before the test c. A concentrated glucose will be given just prior to the test d. It is important that the child remain still during the procedure 17. An adult who is newly diagnosed with Grave’s disease asks the nurse “Why do I need to take Propanolol (Inderal)?” Based on the nurse’s understanding of the medication and Graves disease, the best response would be? a. The medication will limit thyroid hormone secretion b. The medication will inhibit synthesis of thyroid hormones c. The medication will relieve the symptoms of Grave’s disease * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH