Nursing Care of Patients with Endocrine Disorders: Online Quizzes and Study Guide

Question 1

Which of the following is NOT typically included as a preoperative nursing intervention for a patient with Graves' disease?

Accepted Answer

Restriction of fluids and sodium intake

Answer

Administration of antithyroid medications

Answer

Monitoring for signs and symptoms of thyroid storm

Answer

Patient preparation for thyroidectomy

Question 2

Which nursing intervention is a priority when caring for a patient experiencing hypoglycemia?

Accepted Answer

Providing a carbohydrate snack

Answer

Administering insulin

Answer

Monitoring blood glucose levels

Answer

Restricting physical activity

Question 3

In which type of diabetes can the pancreas no longer produce insulin?

Accepted Answer

Type 1 diabetes

Answer

Type 2 diabetes

Answer

Gestational diabetes

Answer

Type 3 diabetes

Question 4

What is the primary focus of end-of-life care for a patient with an endocrine disorder?

Accepted Answer

Managing symptoms and improving quality of life

Answer

Extending life expectancy

Answer

Minimizing potential complications

Answer

Preventing further endocrine dysfunction

Question 5

What is the primary responsibility of a certified diabetes care and education specialist (CDCES) in patient care?

Accepted Answer

Providing patient education on diabetes management

Answer

Prescribing medical treatment for diabetes

Answer

Conducting research on diabetes

Answer

Advocating for diabetes patients

Question 6

Which medication is commonly used to treat hyperthyroidism?

Accepted Answer

Propylthiouracil

Answer

Metformin

Answer

Hydrochlorothiazide

Answer

Insulin

Question 7

Which of the following is a characteristic sign of Graves' disease?

Accepted Answer

Exophthalmos

Answer

Weight gain

Answer

Muscle weakness

Answer

Bradycardia

Question 8

Identify the priority nursing action for a patient with hyperthyroidism:

Accepted Answer

Monitor for signs of thyroid storm

Answer

Administer antithyroid medication

Answer

Provide rest and comfort measures

Answer

Educate the patient about the disease

Question 9

Select the primary nursing intervention for a patient with adrenal insufficiency:

Accepted Answer

Administer glucocorticoids

Answer

Monitor for signs of shock

Answer

Restrict fluid intake

Answer

Provide emotional support

Question 10

Who typically works together to care for patients with pituitary disorders?

Accepted Answer

Endocrinologist, Nurse, and Neurosurgeon

Answer

Endocrinologist, Nurse, and Dietitian

Answer

Endocrinologist, Nurse, and Physical Therapist

Answer

Endocrinologist, Nurse, and Pharmacist

Question 11

Which hormone is secreted by the pituitary gland and promotes growth and development?

Accepted Answer

Growth hormone

Answer

Thyroid hormone

Answer

Antidiuretic hormone

Answer

Follicle-stimulating hormone

Question 12

When assessing a patient with Addison's disease, which of the following findings is most likely?

Accepted Answer

Darkened skin pigmentation

Answer

Elevated blood pressure

Answer

Slow heart rate

Answer

Moist skin

Question 13

Which of the following medications is used to treat Graves' disease?

Accepted Answer

Anti-thyroid medication

Answer

Thyroid hormone replacement

Answer

Insulin

Answer

Oral contraceptives

Question 14

What is the most frequently performed surgical procedure for treating thyroid disorders?

Accepted Answer

Removal of the thyroid gland (thyroidectomy)

Answer

Removal of the parathyroid glands (parathyroidectomy)

Answer

Removal of the adrenal glands (adrenalectomy)

Answer

Removal of the pancreas (pancreatectomy)

Question 15

Which of the following is a symptom of hypogonadism?

Accepted Answer

Difficulty conceiving a child

Answer

Weak bones

Answer

Weight gain

Answer

Anxiety

Question 16

What type of care plan should be tailored to a patient with end-stage renal disease receiving peritoneal dialysis?

Accepted Answer

Personalized

Answer

Standardized

Answer

Protocol-based

Answer

General

Question 17

How do thyroid hormones primarily regulate metabolism?

Accepted Answer

Binding to receptors in the mitochondria and increasing ATP production.

Answer

Stimulating the sympathetic nervous system, increasing heart rate and blood pressure.

Answer

Inhibiting cortisol production, leading to increased metabolism.

Answer

Increasing growth hormone production, stimulating protein synthesis and muscle growth.

Question 18

A patient with a history of Graves' disease arrives at the emergency department with sudden-onset extreme agitation, confusion, and rapid heart rate. Which diagnosis is most likely?

Accepted Answer

Thyroid storm

Answer

Hyperthyroidism

Answer

Myxedema coma

Answer

Addisonian crisis

Question 19

Which of the following is the primary nursing intervention to manage tachycardia in a patient with hyperthyroidism?

Accepted Answer

Administer propranolol

Answer

Encourage the patient to rest

Answer

Monitor the patient's heart rate and rhythm continuously

Answer

Administer iodine solution

Question 20

When assessing a patient with hypothyroidism, which of the following physical examination findings is most indicative of the disorder?

Accepted Answer

Dry and scaly skin

Answer

Increased heart rate

Answer

Rapid weight loss

Answer

Tremors

Question 21

Which of the following is a hallmark sign of diabetic ketoacidosis (DKA)?

Accepted Answer

Elevated ketones in the urine

Answer

Increased thirst

Answer

Absence of ketonuria

Answer

Normal pH level

Question 22

Which medication is primarily used to treat hyperparathyroidism?

Accepted Answer

Cinacalcet

Answer

Levothyroxine

Answer

Metformin

Answer

Insulin

Question 23

Which of the following is a known risk factor for developing adrenal insufficiency?

Accepted Answer

Prolonged use of corticosteroids

Answer

Diabetes mellitus

Answer

Graves' disease

Answer

Healthy lifestyle choices

Question 24

What is the primary nursing intervention when caring for a patient with Cushing's syndrome?

Accepted Answer

Maintain fluid and electrolyte balance

Answer

Control hypertension

Answer

Prevent infection

Answer

Administer medications as prescribed

Question 25

In end-of-life care for a patient with an endocrine disorder, what is the nurse's primary role?

Accepted Answer

Providing emotional and spiritual support

Answer

Educating the patient and family about the disease

Answer

Monitoring vital signs

Answer

Administering medications as prescribed

Question 26

When educating patients with adrenal insufficiency, which aspect of their care plan is most crucial to emphasize?

Accepted Answer

Teaching patients how to manage their medications and monitor their symptoms

Answer

Providing a detailed explanation of the underlying causes of adrenal insufficiency

Answer

Reviewing the potential complications associated with adrenal insufficiency

Question 27

Which nursing intervention is essential for managing symptoms associated with hyperthyroidism?

Accepted Answer

Administering beta-blockers

Answer

Monitoring for weight loss

Answer

Restricting fluid intake

Answer

Providing a high-fiber diet

Question 28

What is the primary objective of preoperative nursing care for diabetic patients undergoing surgery?

Accepted Answer

Optimizing glucose control and minimizing risks

Answer

Maintaining hydration status

Answer

Preventing skin breakdown and infection

Answer

Managing pain and discomfort

Question 29

In the management of diabetic ketoacidosis (DKA), which insulin type is usually administered initially?

Accepted Answer

Rapid-acting insulin

Answer

Intermediate-acting insulin

Answer

Long-acting insulin

Answer

Premixed insulin

Question 30

What is the primary nursing goal when caring for patients with Addison's disease?

Accepted Answer

Maintaining electrolyte balance and preventing dehydration

Answer

Managing pain effectively

Answer

Promoting adequate nutrition

Answer

Providing emotional support

Question 31

Which medication is commonly used to treat patients with hyperparathyroidism?

Accepted Answer

Cinacalcet

Answer

Levothyroxine

Answer

Prednisone

Answer

Metformin

Question 32

In end-of-life care for patients with terminal endocrine disorders, which ethical principle should be the primary guide for nurses' actions and choices?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Non-maleficence

Question 33

What is the primary pathophysiological defect in diabetes insipidus?

Accepted Answer

Deficiency of antidiuretic hormone (ADH)

Answer

Excessive production of antidiuretic hormone (ADH)

Answer

Excessive production of aldosterone

Answer

Deficiency of adrenocorticotropic hormone (ACTH)

Question 34

Which of the following is a common sign of hyperthyroidism?

Accepted Answer

Tachycardia

Answer

Bradycardia

Answer

Weight gain

Answer

Constipation

Question 35

The primary intervention for a patient with hypothyroidism is:

Accepted Answer

Thyroid hormone replacement therapy

Answer

Low-sodium diet

Answer

Monitor weight loss

Answer

Rest and relaxation

Question 36

Which nursing diagnosis should the nurse prioritize for a patient with newly diagnosed type 2 diabetes?

Accepted Answer

Deficient knowledge

Answer

Ineffective coping

Answer

Hyperglycemia

Answer

Hypoglycemia

Question 37

Which of the following is a situation where insulin administration should be withheld?

Accepted Answer

Hypoglycemia

Answer

Hyperglycemia

Answer

Ketoacidosis

Answer

High blood pressure

Question 38

Which of the following is a sign of Addison's disease?

Accepted Answer

Hyperpigmentation

Answer

Weight gain

Answer

Tachycardia

Answer

Increased appetite

Question 39

The nurse should closely monitor a patient receiving corticosteroids for the risk of developing:

Accepted Answer

Cushing syndrome

Answer

Addison's disease

Answer

Hypothyroidism

Answer

Hyperthyroidism

Question 40

Which nursing intervention is designed to decrease heart rate in a patient with preoperative hyperthyroidism?

Accepted Answer

Administer propranolol

Answer

Encourage a low-fat diet

Answer

Monitor for respiratory distress

Answer

Administer antibiotics

Question 41

What is the primary objective of nursing care for a patient with diabetes experiencing hypoglycemia?

Accepted Answer

Reestablish normal blood glucose levels

Answer

Prevent diabetic ketoacidosis

Answer

Monitor for seizures

Answer

Educate about hypoglycemia symptoms

Question 42

Which clinical presentation suggests the impending onset of thyroid storm?

Accepted Answer

Agitation and tachycardia

Answer

Constipation and abdominal distension

Answer

Lethargy and bradycardia

Answer

Oliguria and edema

Question 43

In the presence of a pulmonary embolism in a patient with Cushing's syndrome, which nursing action takes top priority?

Accepted Answer

Administer oxygen and monitor respiratory status

Answer

Elevate the patient's legs

Answer

Insert an indwelling urinary catheter

Question 44

Which cardiovascular complication is commonly associated with diabetes?

Accepted Answer

Atherosclerosis

Answer

Osteoporosis

Answer

Nephropathy

Answer

Glaucoma

Question 45

In a patient with Graves' disease experiencing atrial fibrillation, which nursing intervention is appropriate?

Accepted Answer

Administer digoxin to control heart rate

Answer

Provide a low-sodium diet

Answer

Restrict fluid intake

Answer

Encourage ambulation

Question 46

Which nursing diagnosis is prioritized for a patient with Addison's disease experiencing an acute adrenal crisis?

Accepted Answer

Deficient fluid volume

Answer

Ineffective airway clearance

Answer

Impaired skin integrity

Answer

Impaired gas exchange

Question 47

Which nursing intervention is most critical for a patient with hypothyroidism experiencing myxedema coma?

Accepted Answer

Administer thyroid hormone replacement therapy

Answer

Provide mechanical ventilation

Answer

Insert a nasogastric tube

Answer

Monitor electrolytes and glucose

Question 48

Which clinical assessment is used to monitor for the onset of diabetic ketoacidosis?

Accepted Answer

Assess for Kussmaul respirations and fruity breath odor

Answer

Observe for peripheral edema

Answer

Palpate for thyroid nodules

Question 49

Which type of insulin is typically administered multiple times throughout the day to control blood sugar levels after meals?

Accepted Answer

Rapid-acting insulin

Answer

Intermediate-acting insulin

Answer

Basal insulin

Answer

Premixed insulin

Question 50

Which of the following is a characteristic physical finding of Cushing's syndrome?

Accepted Answer

Moon face

Answer

Bradycardia

Answer

Polyuria

Answer

Muscle weakness

Question 51

What is the overriding nursing goal for a patient undergoing thyroidectomy?

Accepted Answer

Prevent complications and restore thyroid function

Answer

Promote wound healing

Answer

Provide emotional support

Answer

Manage pain and discomfort

Question 52

Administration of insulin is contraindicated in which of the following situations?

Accepted Answer

Hypoglycemia

Answer

Ketonuria

Answer

Polyuria

Answer

Hyperglycemia

Question 53

A patient with Addison's disease is experiencing an acute adrenal crisis. What is the most important nursing intervention?

Accepted Answer

Administer corticosteroids

Answer

Provide emotional support

Answer

Monitor vital signs

Answer

Educate the patient about the disease