1. Which of the following statements best describe Cushing Syndrome?
A. A group of sign and symptoms which is caused by an increase in cortisol in the body.
B. A group of sign and symptoms which is caused by a decrease in cortisol in the body.
C. A group of sign and symptoms which is caused by a decrease in melanin in the body.
D. A group of sign and symptoms which is caused by an increase in melanin in the body.
2. Which of the following statements is true about syndrome of inappropriate anti-diuretic hormone secretion (SIADH)?
A. It is characterized by an excessive water retention in the renal tubules.
B. It is characterized by a decrease in water retention in the renal tubules.
C. It is characterized by a decrease in blood calcium levels.
D. It is characterized by an increase in blood calcium levels.
3. Which of the following signs and symptoms would you expect in a client with diabetes insipidus?
A. Polyuria
B. Concentrated urine
C. Fluid volume excess
D. Increase in body weight
4. Which of the following disorders where a client may experience exophthalmos?
A. Hypothyroidism
B. Hyperthyroidism
C. Hyperparathyroidism
D. Hypoparathyroidism
5. Which of the following medications is given to client with hypothyroidism?
A. Levothyroxine
B. Propylthiouracil
C. Lugol’s solution
D. Saturated Solution of Potassium Iodide
CORRECT ANSWER: A
6. All the following symptoms may be experienced by a client who has Addison’s disease except:
A. Hyperglycemia
B. Hyponatremia
C. Hyperkalemia
D. Weight loss
7. Which of the following disorders which is characterized by hyperglycemia due to a decreased in secretion of insulin by the pancreas?
A. Diabetes type 1
B. Diabetes type 2
C. Diabetes Insipidus
D. Gestational Diabetes
Correct answer
A. Diabetes type 1
8. Which of the following would a client experience when there is an excessive glucose in the blood?
A. Anuria
B. Oliguria
C. Polydipsia
D. Diaphoresis
9. A client with asthma has pronounced wheezing upon auscultation. Suspecting an impending asthma attack, a nurse should:
A. have the client cough and deep breathe.
B. prepare to intubate the client.
C. prepare to administer a nebulized beta-2 adrenergic agonist.
D. have the client lay on his or her right side
10. A client, newly diagnosed with asthma is preparing for discharge. Which point should a nurse emphasize during the client’s teaching?
A. Contact care provider only if nighttime wheezing becomes a concern
B. Limit exposure to sources that trigger an attack
C. Use peak flow meter only if symptoms are worsening
D. Use inhaled steroid medication as a rescue inhaler
11. Which finding should a nurse expect when completing an assessment on a client with chronic bronchitis?
A. Minimal sputum with cough
B. Pink, frothy sputum
C. Barrel chest
D. Stridor on expiration
12. A home health nurse is visiting a client whose chronic bronchitis has recently worsened. Which instruction should the nurse reinforce with this client?
A. Increase amount of bedrest
B. Increase fluid intake
C. Decrease caloric intake
D. Reduce home oxygen use
Correct answer
B. Increase fluid intake
13. Following an unrestrained motor vehicle crash, a client presents to an emergency department with multiple injuries, including chest trauma. A physician notifies the care team that the client has progressed to acute respiratory distress syndrome (ARDS) and requests that the family be updated on the client’s condition. The nurse should plan to discuss with the family that:
A. the condition generally stabilizes with positive prognosis.
B. the client can be discharged with home oxygen.
C. the condition is always fatal.
D. the condition is highly life-threatening and that end-of-life concerns should be addressed.
14. A nurse observes for early manifestations of acute respiratory distress syndrome (ARDS) in a client being treated for smoke inhalation. Which signs indicates the possible onset of ARDS in this client?
A. Cough with blood-tinged sputum and respiratory alkalosis
B. Decrease in both white and red blood cell counts
C. Diaphoresis and low SaO2 unresponsive to increased oxygen administration
D. Hypertension and elevated PaO2
15. A client learning about chronic obstructive pulmonary disease self-care at a community health class, asks a nurse why the participants are being taught about the “lip-breathing.” The nurse should respond by explaining that pursed-lip breathing can help to:
A. reduce upper airway inflammation.
B. reduce anxiety through humor.
C. expel trapped carbon dioxide
D. increase effectiveness of inhaled medication
Correct answer
C. expel trapped carbon dioxide
