Endocrine Questions

---

The LPN recalls which explanation is the most common cause of the client having Cushing syndrome?

A. Adrenal adenoma

B. Excessive production of adrenocorticotropic hormone

C. Iatrogenic result of treating rheumatoid arthritis

D. Insufficient secretion of steroid hormones

The LPN cares for a client diagnosed with hyperthyroidism.  What will the LPN expect to observe? (Select all that apply)

A. Fatigue

B. Weight loss

C. Nervousness

D. Constipation

E. Edema of face and eyes

F. Increased sensitivity to heat

At 0800, the LPN administers 25 units of 70/30 (isophane) insulin to a client with diabetes mellitus. At what time is the client at highest risk for developing hypoglycemia? 

A. 0830

B. 1230

C. 1600

D. 1800

It is reported that a client who had a subtotal thyroidectomy 24 hours ago has a positive Chvostek sign. What is the best description of this finding?

A. Increased deep tendon reflexes on one side of the body

B. Spasm of the facial muscles when the facial nerve is tapped

C. Protrusion of the tongue when the client's neck is stroked

D. Spasm of the hand and lower muscles on one side of the body

The LPN care of a client diagnosed with hyperthyroidism. Which statement by the client should the LPN report to the nurse?

A. "I noticed that my appetite was increased during the last few weeks."

B. "My heart sometimes it is pounding and beating rapidly."

C. "I have noticed my hair is thinner during the last couple of months."

D. "My bowel movements are more frequent now."

The LPN cares for a client diagnosed with Addison disease. LPN recognizes which as the physiological basis for acute adrenal crisis (Addisonian crisis)?

A. Abnormally high secretion of thyroid hormone

B. Sudden decrease in the amount of parathyroid hormone (PTH)

C. Sudden marked decrease in adrenal hormone

D. Development of ketoacidosis

The LPN cares for a client recovering from a cholescystectomy. The client has a history of type 1 diabetes and hypertension. The client becomes shaky, diaphoretic, and drowsy while talking to the client. Which action should the LPN take?

A. Give the client 2 cookies

B. Give the client 4-6 ounces of juice with 2 packets of sugar added

C. Give the client 3-4 teaspoons of sugar

D. Give the client 4-6 ounces of diet soft drink

The LPN cares for a client diagnosed with diabetes insipidus. What will the LPN expect to observe? (Select all that apply.)

A. Increased blood pressure

B. Dry mucous membranes

C. Poor skin turgor

D. Decreased pedal pulse strength

E. Increased urine specific gravity

The LPN expects to find which condition in the history of the client with Graves' disease?

A. Bradycardia

B. Diarrhea

C. Fatigue

D. Weight gain

A client says to the LPN "My blood glucose must be very high." What will the LPN expect to observe? (Select all that apply.)

A. Cold, clammy skin

B. Increased thirst

C. Increased urine output

D. Nervousness and tremors

E. Increased appetite

F. Increased perspiration

The LPN recognizes that the reinforced client education about hypothyroidism is effective if the client makes which statement?

A. "I might become hypertensive in later years."

B. "I might problems with my eyes bulging."

C. "I will need to move to a drier climate to aid my breathing."

D. "I will need to take my medication for the rest of my life."

The LPN cares for a client diagnosed with diabetes mellitus. The client is to have a surgical procedure. The client asks, "why do I have to receive insulin injections after the surgery?" What is the most appropriate response by the LPN?

A. "Your oral diabetic medication will not be effective after surgery."

B. "It will be necessary for you to take insulin for several weeks after surgery."

C. "Your blood glucose may vary after surgery and your glucose will be checked frequently."

D. "It will be more difficult to control your blood glucose due to the risk of infection."

The LPN reinforces teaching of the client diagnosed with hypothyroidism. The teaching is effective if the client identifies which of these symptoms of hypothyroidism? (Select all that apply).

A. Constipation

B. Depression

C. Dry skin

D. Fatigue

E. Tachycardia

F. Weight loss

The LPN reinforces teaching for a client taking levothyroxine sodium. Which statement by the client indicates understanding of the teaching?

A. "I will gain weight while taking this medication."

B. "I should contact my healthcare provider if I develop heart palpitations."

C. "I may develop increased sensitivity to cold temperatures."

D. "Constipation will be more of a problem for me now."

The LPN reinforces teaching with a diabetic client about foot care. Which of the following does the LPN include in the teaching? (Select all that apply.)

A. Buy shoes that are slightly larger.

B. Never cut the toe nails straight across.

C. Remove corns when they appear.

D. Stop smoking or using tobacco products.

E. Wear a clean pair of absorbent footwear daily.

The LPN reinforces reinforces teaching for a client with type 1 diabetes mellitus. Which statement indicates a need for further teaching?

A. "If I feel sweaty or shaky, I should suck on a piece of hard candy."

B. "Even though my diet will change, I can still eat protein everyday."

C. "I should not throw my used insulin needles into the regular thrash."

D. "I will need to hold my insulin if I skip breakfast or lunch."

The LPN expects to find which cardinal signs and symptoms in the history of a client with type 1 diabetes?

A. Polycythemia, polyphagia, polyuria

B. Polydipsia, polyuria, hypoglycemia

C. Polyphagia, weight loss, polydipsia

D. Polyuria, fatigue, irritability

The LPN cares for a client with Cushing syndrome. What will the LPN expect to observe? (Select all that apply.)

A. Low blood pressure

B. Bronze colored skin

C. Rounding of face

D. Weight loss

E. Central obesity

F. Decreased serum sodium

The LPN reviews lab report for a client diagnosed with adrenal insufficiency (Addison's disease) who had a total hip replacement 12 hours ago. The LPN expect to see an abnormal value for which lab test? 

A. Aspartate transaminase 

B. Serum creatinine

C. Serum sodium

D. Serum calcium

The LPN cares for a client diagnosed with Addison disease.  The LPN  recognizes the pathophysiology of Addison's disease is adrenal hyposecretion. Which disease is characterized by adrenal hyposecretion? 

A. Blepharitis 

B. Chron disease

C. Cushing syndrome

D. Hyperpituitarism

A client reports symptoms of accelerated growth, agitation, and sleep disturbances following head trauma three years ago that occurred in a motor vehicle accident. The healthcare provider prescribes a radioimmunoassay to measure the hormone levels in the blood. The LPN believes this is a disorder of which gland?

A. The adrenal glands 

B. The pituitary gland

C. The thymus gland

D. The thyroid gland

The LPN prepares a room for client who had a subtotal thyroidectomy. What equipment is most important to be placed in the room?

A. A tracheostomy insertion tray 

B. An electrocardiogram monitor

C. A closed chest drainage insertion tray

D. A urine specific gravity monitor