NCLEX Endocrine Questions 51-55

NCLEX Endocrine Questions

51. A physician has prescribed propylthiouracil (PTU) for a client with hyperthyroidism and the nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding this medication is to assess for:

a) relief of pain
b) signs of renal toxicity
c) signs and symptoms of hyperglycemia
d) signs and symptoms of hypothyroidism

52. A nurse develops a plan of care for a client with hyperparathyroidism who is receiving calcitonin salmon (Calcimar). Which of the following outcome criteria has the highest priority regarding this medication?

a) relief of pain
b) absence of side effects
c) achievement of normal serum calcium levels
d) verbalization of appropriate medication knowledge



53. A physician prescribes levothyroxine sodium (Synthroid), 0.15 mg orally daily, for a client with hypothyroidism. The nurse will prepare to administer this medication:

a) in the morning to prevent insomnia
b) only when the client complains of fatigue and cold intolerance
c) at various times during the day to prevent tolerance from occurring
d) three times daily in equal doses of 0.5 mg each to ensure consistent serum drug levels

54. A nurse is monitoring a client with diabetes insipidus and desmopressin acetate (DDAVP) has been prescribed for the client. Which of the following outcomes reflects a therapeutic effect of this medication?

a) decreased urine output
b) decreased blood pressure
c) urine osmolality lower than 100 mOsm/kg
d) serum osmolality higher than 320 mOsm/kg

55. A nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which of the following, if exhibited in the client, would indicate hyperglycemia and warrant physician notification?

a) polyuria
b) diaphoresis
c) hypertension
d) increased pulse rate



NCLEX ENDOCRINE QUESTIONS:
ANSWERS AND RATIONALE

51) D

- Excessive dosing with propylthiouracil (PTU) may convert the client from a hyperthyroid state to a hypothyroid state. If this occurs, the dosage should be reduced. Temporary administration of thyroid hormone may be required. Propylthiouracil is not used for pain and does not cause hyperglycemia or renal toxicity.

52) C

- Calcitonin can lower plasma calcium levels in clients with hypercalcemia caused by hyperparathyroidism. The therapeutic effect in this client situation would be a reduction in serum calcium levels. Options A, B, and D are incorrect outcome criteria.

53) A

- Levothyroxine (Synthroid) is a synthetic thyroid hormone that increases cellular metabolism. Levothyroxine should be given in the morning in a single dose to prevent insomnia and should be given at the same time each day to maintain an adequate drug level. Therefore, options B, C, and D are incorrect.

54) A

- Desmopressin acetate (DDAVP) is a synthetic form of antidiuretic hormone that causes increased reabsorption of water, with a resultant decrease in urine output. The therapeutic response to DDAVP would be a decrease in serum osmolality, because more fluid is retained, and an increase in urine osmolality, because less fluid is excreted. Hypotension may be apparent with diabetes insipidus and blood pressure may increase as extracellular fluid volume is restored.

55) A

- Classic symptoms of hyperglycemia include polydipsia, polyuria, and polyphagia. Options B, C, and D are not signs of hyperglycemia.


After you reviewed your answers through its rationale, you can also go back to the first page to start from the beginning:

NCLEX Endocrine Questions (1-7)


Or proceed to the next set of questions:

NCLEX Endocrine Questions (56-60)