Endocrine

The nurse is caring for a 50-year-old male patient with hyperthyroidism. Which assessment does the nurse anticipate?

The patient with cystic fibrosis has been ordered to receive pancreatic enzymes. The nurse collaborates with the clinical pharmacist to create which dosing schedule?

The nurse is caring for a 48-year-old male patient with Addison’s disease. Which of the following is the most important component of care for the patient?

A 26-year-old woman is concerned about a lack of menstrual period over the last 8 weeks. Which hormone do you expect will be assessed?

An 18-year-old man arrives at the emergency department with suspected diabetic ketoacidosis. Which of the following is the characteristic breathing for this patient?

Which of the following is not indicative that a patient may be in diabetic ketoacidosis?

A nurse is taking care of a patient who has been on longstanding total parenteral nutrition (TPN). The provider orders the TPN to be discontinued. Shortly after the TPN is stopped, the patient becomes altered and combative. The nurse attributes the change in this patient to which condition?

The nurse is assessing a patient with hypoparathyroidism. Which assessment finding does the nurse expect to see in this patient?

A teenager with type 1 diabetes mellitus presents to the emergency department with worsening illness, vomiting, and fatigue. Upon assessment, the nurse notes a sweet, fruity odor on the patient’s breath and suspects diabetic ketoacidosis (DKA). Which additional symptom(s) would confirm the diagnosis of diabetic ketoacidosis? Select all that apply.

Which is the best indicator of the effectiveness of the treatment plan for a patient with type 2 diabetes mellitus?

Which assessment would prompt the nurse to document gynecomastia?

The nurse is teaching a client with new-onset type 1 diabetes mellitus about his care. Which statement by the client indicates that teaching was effective?

The patient has been diagnosed with hemochromatosis. Which of the following lab values could be used to monitor for complications of the disease? Select all that apply.

Which prenatal test does the nurse administer at the pregnant patient’s 28-week appointment?

Which is the proper treatment for subclinical hyperthyroidism in a pregnant patient?

A 15-year-old patient has been diagnosed with non-mosaic Turner syndrome. The nurse prepares to educate the patient on which medication?

The nurse is assigned a patient with long-standing type 1 diabetes mellitus who has severe pneumonia. Before dinner, the patient receives a larger than normal dose of her insulin NPH by mistake. The following morning, the patient is hyperglycemic. How does the nurse explain this phenomenon to the patient?

The nurse is assigned to a patient who has long-standing type 1 diabetes mellitus who is being hospitalized for severe pneumonia. During the course of the patient’s hospitalization, he acutely develops polydipsia, polyuria, fatigue, generalized weakness, abdominal pain and nausea, as well as significantly elevated blood glucose level, hyperkalemia, and urine ketones. Which of the following best describes this patient’s condition?

A nurse is assigned a patient who is scheduled for a thyroidectomy. Which one of the following electrolyte imbalances typically occur immediately post-procedure as a result of surgical error?

The nurse is taking care of a patient with symptoms concerning for Cushing’s syndrome/disease, namely moon facies, acanthosis nigricans, hair loss, thinning of skin, weight gain, hyperglycemia, hypertension, and osteoporosis. Initial diagnostic tests found the patient’s Cushing syndrome to be ACTH-dependent. Which of the following diagnostic tests would best differentiate between an ectopic ACTH-producing source versus a pituitary source?

The nurse is assigned to a patient who presents with symptoms concerning for diabetes insipidus (DI). Which of the following best describes the diagnostic test used to separate central from nephrogenic DI?

A 10-year-old patient in the pediatrician’s office has dropped from 65 pounds to 55 pounds since last seen in the office three months ago. The patient’s mother tells the nurse, “I just don’t understand how that’s possible. She eats constantly and is always thirsty. My other concern is that she has to urinate frequently; her teacher contacts me weekly to tell me she goes to the bathroom more than her peers.” The nurse anticipates this patient will be diagnosed with which condition?

A 13-year-old patient presents to the emergency department in a disoriented state with tachycardia, tachypnea, hypotension, and hypothermia. Upon assessment, the nurse notes the patient’s breath smells like acetone, the mucous membranes are dry, and the patient has poor skin turgor. The nurse knows which test is the priority?

A patient presents to the emergency department in diabetic ketoacidosis. The nurse is aware that which intervention is the priority?

A patient who is recovering from diabetic ketoacidosis (DKA) has bacterial pneumonia with a positive sputum culture. Which organism is most likely responsible for this patient’s DKA?

A patient with type 1 diabetes mellitus has food poisoning and develops vomiting and anorexia. Which statement by the nurse is most important?

A child with type 1 diabetes is undergoing treatment for diabetic ketoacidosis. For which life-threatening complications of treatment should the nurse be vigilant? Select all that apply.

A patient with diabetic ketoacidosis who is undergoing fluid resuscitation and normal insulin infusion had a brief period of improved level of consciousness followed by a decrease in level of consciousness. Lab studies show the patient’s metabolic condition is improving. Which medication does the nurse anticipate administering to this patient immediately?

A patient with type 1 diabetes mellitus asks the nurse what causes his hyperglycemia. Which response by the nurse is most appropriate?

The nurse is providing education to the parents of a 4-year-old child newly diagnosed with type 1 diabetes mellitus. Which statement by the parent indicates a need for further teaching?

A patient presents to the clinic complaining of a persistent vaginal yeast infection. Of note, the patient’s BMI is 32 and blood pressure is 134/92 mmHg; other vital signs and assessments are within normal limits. Which test is most appropriate for this patient?

The community health nurse is teaching a class on diabetes mellitus. Which symptoms of diabetes mellitus does the nurse include in the teaching? Select all that apply.

A patient’s fasting plasma glucose level is 130 mg/dL and the 2-hour oral glucose tolerance test is 185 mg/dL. What is the next step in the workup for diabetes mellitus for this patient?

A patient recently diagnosed with type 2 diabetes mellitus has been unable to control blood glucose levels with diet and exercise. Which medication does the nurse anticipate the provider to order?

The nurse is caring for a patient recently diagnosed with type 2 diabetes mellitus. The provider has prescribed metformin. Which lab value, if present in the patient’s chart, prompts the nurse to hold the dose and contact the provider?

A patient with type 2 diabetes mellitus has been prescribed glyburide. Prior to administering the medication, the nurse reviews the patient’s allergies and notes the patient has a history of angioedema following sulfamethoxazole-trimethoprim and breaks out in hives after eating eggs. Which action by the nurse is appropriate?

A patient with type 2 diabetes mellitus has been prescribed insulin detemir. When does the nurse administer the first dose?

The nurse educates the patient with newly-diagnosed type 2 diabetes mellitus about which long-term complications of poorly-controlled diabetes? Select all that apply.

The nurse is planning care for a patient who has been diagnosed with type 2 diabetes mellitus. Which intervention is likely to be most effective for this patient?

A 45-year-old overweight patient has a fasting blood glucose level of 130 mg/dL. Which is the initial therapy for this patient?

The 4-hours-old neonate is brought to the special care nursery from the mother’s room for an assessment. The temperature is 35.4° Celsius. Which initial action does the nurse take?

The nurse is assisting a patient with diabetic neuropathy with daily hygiene practices. Which of the following is most important to ensure safety for the patient?

The nurse is assigned to care for a patient who has long-standing type 1 diabetes mellitus. Which of the following orders for subcutaneous insulin is most appropriate?

The nurse anticipates seeing the effect of which medication most quickly? 

Which finding is expected in the patient with diabetic ketoacidosis (DKA)?

The adult patient with type 1 diabetes mellitus and Parkinson’s disease lives alone. Which patient statement would prompt the nurse to advocate for a delay in discharge from the hospital?

Which patient is appropriate to assign to a licensed practical/vocational nurse (LPN/LVN)?

Which task in the care of a patient newly diagnosed with diabetes is appropriate to delegate to an unlicensed assistive personnel?

Which statement by a patient with type 1 diabetes mellitus indicates understanding of teaching about the recommended diet?

Following brain surgery, the patient is producing massive volumes of dilute urine. The nurse suspects which structure was inadvertently harmed during the surgery?