1.

After teaching a class about the endocrine system, the instructor determines that the students need
additional instruction when they identify which of the following as an endocrine gland?
a. Pancreas
c. Testes
b. Kidneys
d. Adrenal gland
2. Which of the following hormones would the nurse identify as being secreted by the thyroid gland?
a Thyroxine
c Somatotropin
b Parathormone
d Thymosin
3. A client has been diagnosed with goiter. The nurse looks for documentation of which of the
following in the client's medical record?
a decreased wound healing
c enlarged thyroid gland
b chronic fatigue
d heart damage
4. You are teaching a client about avoiding goitrogens inorder to decrease their risk of having goiter.
Which among the following foods should you instruct the client to avoid?
a Cabbage
c Strawberries
b Radishes
d All of the above
5. Which among the following health teachings on how to avoid goiter is NOT appropriate?
a Encourage client to take in food rich in iodine such as seafood
b Instruct client to avoid goitrogenic foods such as peanuts and cabbage
c Instructing client to add iodized salt while the food is being cooked
d None of the above
6. A patient is admitted to the Endocrine unit. The patient states that he has recently lost 15 lbs over
two and one-half months, although there has been no change in his eating habits, and if anything,
his appetite has increased. The patient also complains of palpitations, and says that his eyes look
like they are going to pop out. Based on this data, the nurse can infer that this patient is most
likely exhibiting symptoms of:
a Hyperparathyroidism
c Hypothyroidism
b Hyperthyroidism
d Addisonian crisis
7. Which statement made by the client alerts the nurse to the possibility of hypothyroidism?
a. My sister has thyroid problems
b. I seem to feel the heat more than other people
c. Food just doesnt taste good without a lot of salt
d. I am always tired, even when I get 10 or 12 hours of sleep
8. The nurse is obtaining a health history on a 36-year old female who reports an increase in appetite,
weight loss, intolerance to heat, and nervousness. On physical assessment, the client is noted to
have thin hair and moist skin. Based on this information, the nurse would suspect which of the
following?
a Hypothyroidism
c Hypoparathyroidism
b Hyperthyroidism
d Hyperparathyroidism
9. Marie is admitted to the hospital because of easy fatigability for the past few months. After a series
of examinations, a diagnosis of hyperthyroidism was confirmed. As assessment was made. The
least symptom she would experience is:
a Fine tremors of the hands
c Palpitation
b Hyperactive
d Drowsiness
10. Nurse Oliver should expect a client with hypothyroidism to report which health concerns?
11. a. Increased appetite and weight loss
13. c. Nervousness and tremors
12. b. Puffiness of the face and hands
14. d. Thyroid gland swelling
15. A clinic nurse is performing an assessment on a client who has hypothyroidism. The nurse would
expect to note which clinical manifestation?
a. complaints of difficulty sleeping
d. complaints of intolerance to cold
b. complaints of diarrhea
weather
c. significant weight loss since the last
clinic visit
16. The client with hyperthyroid symptoms is having hormone studies done to confirm the diagnosis.
Which set of values indicates non-Graves disease hyperthyroidism?
a Elevated T3, elevated T4, high TSH
b Elevated T3, normal T4, low TSH levels
c Elevated T3, low T4, low TSH levels
levels
d Low T3, normal T4, high TSH levels
17. A nurse is monitoring a client with acute hypothyroidism for signs of hypocalcemia. Which of the
following would the nurse note if hypocalcemia is present?
a hypoactive deep tendon reflexes
c positive Trousseau's sign
b positive Homan's sign
d negative Chvostek's sign
18. Untreated hyperthyroidism during pregnancy may result in all of the following except:
a Premature birth and miscarriage
c Autism
b Low birthweight
d Preeclampsia
19. A self-limiting, painful inflammation of the thyroid gland, usually associated with viral infections is:
a Hashimotos thyroiditis
c Chronic-progressive thyroiditis
b Lymphocytic thyroiditis
d Subacute thyroiditis

20. In contrast to hyperthyroidism, underproduction of thyroxin results in:

a Graves disease
c Cushings disease
b Diabetes insipidus
d Myxedema
21. What is the priority nursing diagnosis for the client newly diagnosed with hyperthyroidism?
a Decreased cardiac output related to
c Hyperthermia related to
tachycardia
hypermetabolism
b Disturbed body image related to
d Fatigue related to energy depletion
weight loss
22. What is the priority nursing diagnosis for the client with hypothyroidism?
a Hypothermia
b Disturbed Body image
c Disturbed thought process
d Imbalanced Nutrition: More than Body Requirements
23. Which clinical manifestation indicates to the nurse the treatment for the client with hypothyroidism
is effective?
a The client is thirsty
b The clients weight has been the same for 3 weeks
c The clients total white blood cell count is 6000 cells/mm3
d The client has had a bowel movement every day for 1 week
24. Which nursing diagnosis takes highest priority for a female client with hyperthyroidism?
25. A. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess
26. B. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing
27. C. Body image disturbance related to weight gain and edema
28. D. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
29. To maintain skin integrity of a patient with hyperthyroidism, the following nursing interventions
should be instituted except:
a Assess skin frequently to detect diaphoresis
b Bathe frequently with cool water; change linens when damp
c Use soap to prevent drying and use lubricant skin lotions over pressure points
d Protect and relieve pressure from bony prominences while immobilized or while hypothermia
blanket is used
30. In collaboration with the dietician, what dietary modification should the nurse suggest for the client
with hyperthyroidism?
a Decrease calories and proteins and increase carbohydrates
b Eliminate carbohydrates and increase proteins and fats
c Increase calories, proteins, and carbohydrates
d No dietary modification is needed
31. The nurse is providing care to a client with myxedema coma. Priority nursing care would include
which of the following?
a Measures to decrease body temperature
b Measures to decrease heart rate
c Measures to maintain airway, fluid and electrolyte balance, and cardiovascular status
d Measure to decrease blood pressure
32. A client was admitted to the emergency room and a diagnosis of myxedema coma is made. Which
action would the nurse prepare to carry out initially?
a Warm the client
c Maintain oxygenation
b Administer fluid replacement
d Administer thyroid hormone
33. During preoperative teaching for a female client who will undergo subtotal thyroidectomy, the
nurse should include which statement?
a The head of your bed must remain flat for 24 hours after surgery.
b You should avoid deep breathing and coughing after surgery.
c You wont be able to swallow for the first day or two.
d You must avoid hyperextending your neck after surgery.
34. A patient, after 3 months, was readmitted to the hospital for thyroidectomy. Prior to surgery, the
doctor prescribed Lugols solution. When administering this medication, the nurse should remember
the following consideration except:
a Not to administer it for more than 10 days
b Telling the patient to take it using a straw
c Crushing the tablet then giving it with sweets to mask the metallic taste
d Instructing the patient to report a brassy taste, sore gums and coryza
35. The primary reason why Lugols solution is administered prior to surgery is to:
a Decrease thyroid (T3 and T4) hormone secretion
b Limit bleeding
c Reduce metabolic rate
d Provide store of thyroxine hormone after surgery
36. Lucy undergoes Subtotal Thyroidectomy for Graves Disease. In planning for the clients return from
the OR, the nurse would consider that in a subtotal thyroidectomy:
a The entire thyroid gland is removed
b A small part of the gland is left intact
c
One parathyroid gland is also removed
d A portion of the thyroid and four parathyroid glands are removed

37. Before a post- thyroidectomy client returns to her room from the OR, the nurse plans to set up
emergency equipment, which should include:
a A crash cart with bed board
c An airway and rebreathing mask
b A tracheostomy set and oxygen
d Two ampules of sodium bicarbonate
38. A client is returning from a subtotal thyroidectomy for the treatment of hyperthyroidism. The
immediate priority in assessing this client would include which of the following?
a Assess for respiratory distress
c Assess neurological status
b Asses fluid volume status
d Assess for pain
39. A nurse taking care of a patient from the OR. You asked questions as soon as the patient regained
consciousness from thyroidectomy primarily to assess the evidence of:
a Thyroid storm
c Damage to the laryngeal nerve
b Mediastinal shift
d Hypocalcemia tetany
40. A nurse is caring for a client following thyroidectomy and is monitoring for complications. Which of
the following if noted in the client, would indicate a need for physician notification?
a surgical pain in the neck area
c numbness and tingling around the
b voice hoarseness
mouth
d weakness of the voice
41. A client is suspected to develop tetany after subtotal thyroidectomy. Which of the following
symptoms might indicate tetany?
a Tingling in the fingers
c Tension on the suture lines
b Pain in the hands and feet
d Bleeding on the back of the dressing
42. A nurse is monitoring a client for complications following thyroidectomy. The nurse notes that the
client's voice is very hoarse, and the client is concerned about the hoarseness and asks the nurse
about it. The nurse makes which response to alleviate the client's concern?
a hoarseness and weak voice indicate permanent damage to the nerves
b this complication is expected
c this problem is temporary and will probably subside in a few days
d it is best that you not talk at all until the problem is further evaluated
43. 8 hours post thyroidectomy, the nurse assesses the patient for laryngeal nerve damage by:
a Asking the patient to hyperextend the knees and palpating for hematoma or edema
b Asking the patient to state his name
c Asking the patient to make small sips of water and observe if the patient can swallow without
difficulty
d Testing the patients gag and swallow reflex
44. The nurse is caring for a 45 year old patient who had a thyroidectomy 12 hours ago for treatment of
Graves disease. The nurse would be most concerned if which of the following was observed?
a BP of 140/80 mmHg; RR of 16cpm; Oral Temp of 99 Degrees F
b The patient supports his head and neck when turning his head to the right
c The client spontaneously flexes his wrist when the blood pressure is obtained
d The client is drowsy and complains of a sore throat
45. Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, nurse Tina
assesses the client, who now has nausea, a temperature of 105 F (40.5 C), tachycardia, and
extreme restlessness. What is the most likely cause of these signs?
a Diabetic ketoacidosis
c Hypoglycemia
b Thyroid crisis
d Tetany
46. On the second postoperative day after the subtotal thyroidectomy, the client tells the nurse that he
feels numbness and tingling around the mouth. What is the nurses best first action?
b Offer mouth care
e Document the finding as the only
c Loosen the dressing
action
d Notify the physician
47. After undergoing a thyroidectomy, a client develops hypocalcemia and tetany. Which electrolyte
should the nurse anticipate administering?
a Sodium phosphorus
c Calcium gluconate
b Sodium bicarbonate
d Potassium chloride
48. The doctor prescribed an anti-thyroid drug which would be:
a Cytomel
c Synthroid
b Tapazole
d Tagamet
49. The client is receiving an antithyroid medication to treat hyperthyroidism. Which of the following
should be included in client education regarding the initiation of this therapy?
a Increased need for sleep or not tolerating cold like you used to can occur when taking this
medication. If it does, notify your physician.
b Nausea and vomiting are serious complication of the medication you are taking.
c Take your pulse everyday, as you were taught. If it is too fast, call your doctor
d This medication may cause dyspnea or vertigo. Notify your health care provider if this occurs.
50. After undergoing a subtotal thyroidectomy, a female client develops hypothyroidism. Dr. Smith
prescribes levothyroxine (Levothroid), 25 mcg P.O. daily. For which condition is levothyroxine the
preferred agent?
a Primary hypothyroidism
b Graves disease

c Thyrotoxicosis
d Euthyroidism
51. A client on antithyroid drug therapy presents palpitations and dry mouth. He as cough. What
medication would you discourage?
a Benzocaine lozenge
c Ibuprofen
b Guaiafenessin
d Pseudoepinephrine
52. When should PTU be given?
a Only at bedtime
c Every 2 hours
b As a single dose
d In divided doses around the clock
53. Which of the following are possible actions of thyroid hormones?
a decreases potency of anticoagulants
c increases potency of anticoagulants
b increases the effectiveness of digitalis
d anti-inflammatory effect
54. Iodine solution may cause which of the following effect?
a Yellow eyes
c Loss of teeth
b Staining of teeth
d Graying of hair
55. Which of the following are evidences of iodine toxicity?
a Swelling of the buccal mucosa, excessive salivation, coryza, skin eruptions
b Gum bleeding, drooling, inflammation of the tongue, skin discoloration
c Decreased salivation, staining of the teeth, coryza, pruritus
d Swelling of the gums, exophthalmos, brittle nails, dry skin and hair
56. A client with hypothyroidism is taking levothyroxine sodium (Synthroid), a thyroid replacement
hormone. Which of the following statements made by the client would indicate additional teaching
is required?
a I know I will be on this medication for the rest of my life.
b I dont eat excessive amounts of cabbage or spinach.
c I take my Synthroid with food
d I take my Synthroid in the mornings
57. A client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50
mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication:
a Should be taken in the morning
c Must be stored in a dark container
b May decrease the clients energy level
d Will decrease the clients heart rate
58. A client newly diagnosed of hypothyroidism is placed on Levothyroxine 0.1 mg PO daily. Follow-up
should include:
a Weekly CBC monitoring
b The client should come back in 4-6 weeks
c The client should have weekly determination of levothyroxine levels
d Client should have monthly CBC to rule out agranulocytosis
59. A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg P.O.
daily. Which finding should nurse Hans recognize as an adverse drug effect?
a Dysuria
c Tachycardia
b Leg cramps
d Blurred vision
60. Which medication should the nurse be prepared to administer to a client with bradycardia as a
result of hypothyroidism?
a Atropine sulfate
c Propranolol
b Levothyroxine sodium
d Epinephrine
61. A client with exophthalmos as a result of Graves disease has expressed a desire for the
medications to hurry up and work so that my eyes will go down. The nurses response to the
client will be based on which of the following?
a Reversal of exophthalmos occurs after a therapeutic level of the antithyroid medication is
achieved.
b Reversal of exophthalmos occurs after treatment with ophthalmic medications.
c Changes in the eyes as a result of Graves disease are not reversible, even after treatment of
the disease.
d Exopthalmos as a result of Graves disease is only a temporary symptom, and should resolve
spontaneously.
62. What are signs of thyroid crisis from Graves disease?
a Weight gain to 155 lbs with height of 5'8"
b Heart rate 90 beats/min and respiratory rate 16 breaths/min
c Hot and moist skin with protrusion of eyeballs
d Constipation and amenorrhea
63. When caring for client in thyroid crisis, the nurse would question an order for:
a IV fluid
c Prophylthiouracil
b Propanolol (Inderal)
d A hyperthermia blanket

64. The client with hypothyroidism as a result of Hashimotos thyroiditis asks the nurse how long she
will have to take thyroid medication. What is the nurses best response?
a You will need to take the thyroid medication until the goiter is completely gone
b the thyroiditis will be cured with antibiotics, and then you will no longer need the thyroid
medication
c you will need thyroid replacement hormone therapy for the rest of your life because thyroid
gland function will not return
d When you thyroid function studies indicate a normal blood level of thyroid hormones, you will
be able to discontinue the medication
65. You see Mrs. Dizon in the clinic. She is 45 years old with a history of hypothyroidism and has been
treated with L-thyroxine 0.15mg daily. From your assessment of hypothyroidism, the following
nursing interventions are included except:
a Encourage to increase fluid intake
b Recommend low residue diet
c Encourage increased mobility within the patients exercise tolerance
d Monitor bowel function by recording frequency and consistency of stool
66. Instructions given to Mrs. Dizon include the following except:
a The need to receive antithyroid therapy for the duration of her life
b How and when to take medications
c Signs and symptoms of insufficient and excessive medications, reinforce teaching by providing
written instructions
d Energy conservation techniques and the need to increase activity
67. An incoherent female client with a history of hypothyroidism is brought to the emergency
department by the rescue squad. Physical and laboratory findings reveal hypothermia,
hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face
and pretibial area. Knowing that these findings suggest severe hypothyroidism, nurse Libby
prepares to take emergency action to prevent the potential complication of:
a. Thyroid storm
c. myxedema coma
b. Cretinism
d. Hashimotos thyroiditis
68. Hashimoto's disease is:
a. Chronic inflammation of the thyroid gland
b. Diagnosed most frequently in Asian-Americans and Pacific Islanders
c. A form of hyperthyroidism
d. A rare form of hypothyroidism
69. A 67-year-old male client has been complaining of sleeping more, increased urination, anorexia,
weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on
these assessment findings, nurse Richard would suspect which of the following disorders?
a. Diabetes mellitus
c. Hypoparathyroidism
b. Hyperthyroidism
d. Hyperparathyroidism
70. Which client is at greatest risk for hyperparathyroidism?
a 28-year old client with pregnancy-induced hypertension
b 45-year old client receiving dialysis for end-stage renal disease
c 55-year old client with moderate congestive heart failure after myocardial infarction
d 60-year old client on home oxygen therapy for chronic obstructive pulmonary disease
71. While assessing a client with hypoparathyroidism, the nurse taps the client's facial nerve and
observes twitching of the mouth and tightening of the jaw. The nurse would document this finding
as which of the following?
a Positive Trousseau's sign
c Tetany
b Positive Chvostek's sign
d Hyperactive deep tendon reflexes
72. 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
which of the following manifestations?
a. Neurologic irritability
c. Lethargy and weakness
b. Declining urine output
d. Hyperactive bowel sounds
73. The priority nursing diagnosis for a client with hypoparathyroidism would be which of the following?
a Risk for fluid volume excess
c Anxiety related to lack of knowledge
b Risk for injury
d Knowledge deficit
74. A female adult client with a history of chronic hyperparathyroidism admits to being noncompliant.
Based on initial assessment findings, the nurse formulates the nursing diagnosis of Risk for injury.
To complete the nursing diagnosis statement for this client, which related-to phrase should the
nurse add?
a. Related to bone demineralization resulting in pathologic fractures
b. Related to exhaustion secondary to an accelerated metabolic rate
c. Related to edema and dry skin secondary to fluid infiltration into the interstitial spaces
d. Related to tetany secondary to a decreased serum calcium level
75. In providing care for a client being admitted for hyperparathyroidism, the nurse anticipates
implementing which of the following actions?
a Administering intravenous calcium
b Administering large amounts of
gluconate
intravenous saline

c Maintaining strict fluid restriction

d Monitoring for tetany
76. When instructing the female client diagnosed with hyperparathyroidism about diet, nurse Gina
should stress the importance of which of the following?
a. Restricting fluids
c. Forcing fluids
b. Restricting sodium
d. Restricting potassium
69. A nurse provides dietary instructions to a client with a diagnosis of hyperparathyroidism. Which
statement by the client indicates the need for further instructions?
a. I need to drink 3000 ml of fluid per day
c. I should eat foods high in calcium
b. I should drink cranberry juice daily
d. I should eat foods high in fiber
70. What intervention should the nurse use to prevent injury in the client with hyperparathyroidism?
a. Instruct the client to place both hands behind his or her neck when moving
b. Use a lift sheet to assist the client with position changes
c. Instruct the client to use a soft-bristled toothbrush
d. Strain all urine for at least 24 hours
71. The nurse evaluating a client receiving supplemental calcium treatment for hypoparathyroidism
knows that the client has achieved therapeutic effects of the calcium supplement when which of
the following serum calcium levels is obtained?
a 5.6mg/dL
c 9.0mg/dL
b 12.0mg/dL
d 7.0mg/dL
72. A client diagnosed with primary hyperparathyroidism demonstrates that she understands the
teaching plan when the client makes which of the following statements?
a I know I must have surgery to remove
b I must take diuretics the rest of my
my parathyroid gland
life
c I must eat a diet low in potassium
d I must limit my daily fluid intake
73. Discharge teaching for the client with hypoparathyroidism should include which of the following
instructions:
b use OTC vitamin D preparation
e avoid diuretics to minimize calcium
c avoid strenuous exercises
loss
d supplement calcium intake
74. During a follow-up visit to the physician, a client with hyperparathyroidism asks the nurse to explain
the physiology of the parathyroid glands. The nurse states that these glands produce parathyroid
hormone (PTH). PTH maintains the balance between calcium and:
a Magnesium
c Sodium
b Phosphorus
d Potassium
75. When taking the blood pressure of a client after a parathyroidectomy, the nurse notes that the
clients hand has gone into flexion contractions. What is the nurses interpretation of this
observation?
a Hypokalemia
c Hyponatremia
b Hyperkalemia
d Hypocalcemia
76. The surgeon was unable to save a patient's parathyroid gland during a radical thyroidectomy. The
nurse should consequently pay particular attention to which of the following components of the
patient's laboratory values?
a. Calcium levels
c. Blood glucose levels
b. Potassium levels
b. Sodium and chloride levels
77. The surgeon was unable to spare a patient's parathyroid gland during a thyroidectomy. Which of the
following assessments should the nurse prioritize when providing postoperative care for this
patient?
a. Assessing the patient's white blood cell levels and assessing for infection
b. Monitoring the patient's hemoglobin, hematocrit, and red blood cell levels
c. Monitoring the patient's serum calcium levels and assessing for signs of hypocalcemia
d. Monitoring the patient's level of consciousness and assessing for acute delirium or agitation
78. The sounds of sirens announce the arrival of the latest trauma to address the trauma center where
you practice nursing. Your heart is pounding, your mouth is dry. What gland is responsible for your
physiologic response?
a. Pineal gland
c. Adrenal glands
b. Thyroid gland
d. Parathyroid gland
79. A patient with a closed head injury secondary to a motorcycle accident has a urine output of 6 to 8
L/day and electrolytes are within normal limits. The nurse draws a serum ADH level and conducts a
water deprivation test. With no intake for 4 hours, there is no change in the patients polyuria. The
serum ADH level is low. These are an indication of:
a neurogenic diabetes insipidus
c psychogenic polydipsia
b syndrome of inappropriate antidiuretic
d osmotically induced diuresis
hormone (SIADH)
80. A nurse assessing a client with SIADH would expect to find laboratory values of:
a Serum Na= 150 mEq/L and low urine
b Serum K= 5 mEq/L and low serum
osmolality
osmolality

Serum Na=120 mEq/L and low serum

d Serum K= 3 mEq/L and high serum
osmolality
osmolality
81. The nurse is evaluating a patient with oat cell adenocarcinoma of the lung for syndrome of
inappropriate antidiuretic hormone (SIADH). Which of the following laboratory values would the
nurse expect to find if the patient had SIADH?
a Hypernatremia and urine hypoc Serum Na+ 120 and serum hypoosmolality
osmolality
b Serum K+ 5 and urine hyperosmolality
d Hypokalemia and serum
hyperosmolality
82. Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic
hormone (SIADH) secretion is experiencing complications?
a. Tetanic contractions
c. Weight loss
b. Neck vein distention
d. Polyuria
83. The nurse is establishing a plan of care for a client newly admitted with syndrome of inappropriate
antidiuretic hormone. The priority diagnosis for this client would be which of the following?
a Fluid volume deficit
c Fluid volume excess
b Anxiety related to disease process
d Risk for injury
84. Which of the following actions by the nurse would be appropriate when caring for a patient who has
a syndrome of inappropriate secretion of antidiuretic hormone (SIADH)?
a Straining the patients urine
c Monitoring the patients blood glucose
b Increasing the patients fluid intake
level
d Increasing the patients sodium intake
85. The family of a client with SIADH asks the nurse if the water restriction is a punishment for the
clients uncooperative behaviour. What is the nurses best response?
a no, limiting fluid intake decreases the risk of kidney failure
b no, limiting water intake prevents the client from losing too much fluid by vomiting
c no, limiting fluid intake keeps the clients blood from becoming more dilute and causing other
complications
d no, limiting fluid decreases the clients sense of thirst and prevents him from drinking liquids
that contain an excess of sodium
86. Which medication should the nurse be prepared to administer to a client with the syndrome of
inappropriate antidiuretic hormone (SIADH) secretion?
a Morphine
c Dextrose 5% in water
b Demeclocycline
d Tricyclic antidepressants
87. Diabetes insipidus is a disorder of which of the following?
a Anterior pituitary
c Adrenal cortex
b posterior pituitary
d Adrenal medulla
88. A patient's recent medical history is indicative of diabetes insipidus. The nurse would perform
patient education related to which of the following diagnostic tests?
a. Thyroid scan
c. Oral glucose tolerance
b. Fasting glucose test
d. Water deprivation test
89. Which of the following assessment parameters is of highest priority when caring for a patient
undergoing a water deprivation test?
a. Serum glucose
c. Arterial blood gases
b. Patient weight
d. Patient temperature
90. After several diagnostic tests, a client is diagnosed with DI a nurse performs an assessment on the
client, knowing that which symptom is indicative of this disorder?
a Diarrhea
c Weight gain
b Polydipsia
d Fatigue
91. Vernz is admitted to the unit with diabetes insipidus. Which laboratory result supports this
diagnosis?
a Specific gravity of 1.000
c Glucose of 110mg/dL
b Sodium of 140mEq/L
d Potassium of 3.8mEq/L
92. Nurse Louie is developing a teaching plan for a male client diagnosed with diabetes insipidus. The
nurse should include information about which hormone lacking in clients with diabetes insipidus?
a. antidiuretic hormone (ADH)
c. follicle-stimulating hormone (FSH)
b. thyroid-stimulating hormone (TSH)
d. luteinizing hormone (LH)
93. When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:
a. vasopressin (Pitressin Synthetic)
c. regular insulin
b. furosemide (Lasix)
d. 10% dextrose
94. The nurse is planning care for a child recently diagnosed with Diabetes Insipidus. Which of the
following should be included?
a Encourage the child to wear medical alert identification
b Discuss with the child and family ways to limit fluid intake
c Teach the child and family how to do required urine testing
d Reassure the child and family that this is usually not a chronic or life-threatening illness

95. Following the surgery for a pituitary tumor, the client develops diabetes insipidus. Which of the
following drugs would the nurse expect to administer?
a Atropine
c NPH insulin
b Valium
d Desmopressin
96. Under what circumstances does antidiuretic hormone act to cause vasoconstriction?
a When urine output is less than 20 ml per hour
b When serum osmolality is increased
c When osmotic and oncotic pressures are increased
d When vasopressin is given pharmacologically
97. Which of the following clinical manifestations alerts the nurse to the possibility of side effects of
desmopressin acetate (DDAVP) therapy, taken nonparenterally by a client with diabetes insipidus?
a Fibrosis at injection site
c Decreased urine output
b Orthostatic hypotension
d Nasal ulceration
98. The nurse administering vasopressin (Pitressin) to a client with diabetes insipidus anticipates
implementing which of the following actions for this medication?
a Maintaining fluid restriction
c Administering intravenous hypertonic
b Monitoring urine output
fluids
d Maintaining NPO status
99. Which outcome indicates that treatment of a male client with diabetes insipidus has been effective?
a. Fluid intake is less than 2,500 ml/day
c. Blood pressure is 90/50 mm Hg
b. Urine output measures more than 200
d. The heart rate is 126 beats/minute
ml/hour
100.
Which client responses demonstrate to the nurse that the treatment for diabetes insipidus is
effective?
a Urine output is increased; specific gravity is increased
b Urine output is increased; specific gravity is decreased
c Urine output is decreased; specific gravity is increased
d Urine output is decreased; specific gravity is decreased
101.
102.
103.
104.
105.
There are no secrets to success. It is the result of preparation and hard work
106.
-General Colin Powell
107.
108.
109.
GOOD LUCK AND GOD BLESS!

110.