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TOPRANK REVIEW ACADEMY INC 1 * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * PRE-TEST ENDOCRINOLOGIC NURSING NAME: 1. Lorelei is patient with diabetes mellitus has an Hba1c level of 8%. On the basis of this test result, the nurse plans to teach the client about the need for which measure? A. Avoiding infection B. Taking in adequate fluids C. Preventing and recognizing hypoglycemia D. Preventing and recognizing hyperglycemia 2. Sandra has been diagnosed with hypothyroidism (myxedema) for 3 years and is receiving levothyroxine. Which finding should nurse Hans recognize as an adverse drug effect? A. Dysuria B. Leg cramps C. Tachycardia D. Blurred vision 3. Harold was diagnosed with diabetes insipidus recently due to a brain tumor. Surgical and pharmacologic treatment was done. Which of the following signs indicate successful outcome? A. Fluid intake is less than 2,500 ml/day. B. Urine output measures more than 200 ml/hour. C. Blood pressure is 90/50 mm Hg. D. The heart rate is 126 beats/minute. 4. Linda is 50 year old with uncontrolled diabetes. She asks the nurse educator how often to exercise to help her control her blood sugar. The nurse educator advises the clients to exercise how often to meet the goals of planned exercise? A. At least once a week B. At least three times a week C. At least five times a week D. Every day 5. Hazel has undergone a subtotal thyroidectomy a few hours ago due to an adenoma of the thyroid. During rounds, nurse Ella assesses the client, who now has nausea, a temperature of 41° C, tachycardia, and extreme restlessness. What is the most likely cause of these signs? A. Diabetic ketoacidosis B. Thyroid crisis C. Hypoglycemia D. Tetany 6. Vienna who weighs 85 kg was found out to be hyperglycemic during a clinic visit. Her husband reports her loud snoring at night. Which of the following describes the diagnosis? A. Acromegaly B. Type 1 diabetes mellitus C. Hypothyroidism D. Deficient growth hormone 7. Sandra was found lying on a street, incoherent, and was brought to the emergency department. Assessment reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia and nonpitting edema of the face and pretibial area. The patient was known to have a history of hypothyroidism. Which of the following complications should you be prepared for? A. Thyroid storm. B. Cretinism. C. Myxedema coma. D. Hashimoto’s thyroiditis. 8. Felix has a history of hypoglycemia and has a growth hormone deficiency. Nurse Peng should avoid administering a drug that may potentiate hypoglycemia. Which drug fits this description? A. sulfisoxazole (Gantrisin) B. mexiletine (Mexitil) C. prednisone (Orasone) D. lithium carbonate (Lithobid) 9. Kelly is currently taking repaglinide. After the health teaching, nurse Kira evaluates the patient’s knowledge. Which of the following indicates further teaching is needed? A. “I must not skip the dose when a meal is not taken” B. “I may feel dizziness while taking it” C. “This drug can act quicker but has shorter duration of action” D. “This is used to treat type II diabetes mellitus” 10. A student nurse asks you about contraceptive pills. She asks you which pill has a constant dose of estrogen with varying doses of progestin. You answer that these are: A. monophasic pills

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