BMTC Endocrine Practice Questions from book
A 50-year-old female patient smokes, is getting a divorce, and is reporting eye problems. On assessment of this
patient, the nurse notes exophthalmos. What other abnormal assessments should the nurse expect to find in this
patient?
A) Puffy face, decreased sweating, and dry hair
B) Muscle aches and pains and slow movements
C) Decreased appetite, increased thirst, and pallor
D) Systolic hypertension and increased heart rate✔✔D) Systolic hypertension and increased heart rate
A patient has been taking oral prednisone for the past several weeks after having a severe reaction to poison ivy.
The nurse has explained the procedure for gradual reduction rather than sudden cessation of the drug. What is the
rationale for this approach to drug administration?
A) Prevention of hypothyroidism
B) Prevention of diabetes insipidus
C) Prevention of adrenal insufficiency
D) Prevention of cardiovascular complications✔✔C) Prevention of adrenal insufficiency
A patient with a severe pounding headache has been diagnosed with hypertension. However, the hypertension is
not responding to traditional treatment. What should the nurse expect as the next step in management of this
patient?
A) Administration of β-blocker medications
B) Abdominal palpation to search for a tumor
C) Administration of potassium-sparing diuretics
D) A 24-hour urine collection for fractionated metanephrines✔✔D) A 24-hour urine collection for fractionated
metanephrines
The nurse is caring for a patient admitted with suspected hyperparathyroidism. Because of the potential effects of
this disease on electrolyte balance, the nurse should assess this patient for what manifestation?
A) Neurologic irritability
B) Declining urine output
C) Lethargy and weakness
D) Hyperactive bowel sounds✔✔C) Lethargy and weakness
The nurse is providing discharge instructions to a patient with diabetes insipidus. Which instructions regarding
desmopressin acetate (DDAVP) would be most appropriate?
A) The patient can expect to experience weight loss resulting from increased diuresis.
B) The patient should alternate nostrils during administration to prevent nasal irritation.
C) The patient should monitor for symptoms of hypernatremia as a side effect of this drug.
D) The patient should report any decrease in urinary elimination to the health care provider.✔✔B) The patient
should alternate nostrils during administration to prevent nasal irritation.
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