A client is experiencing an adrenal crisis due to Addison’s Disease. Which of the following would NOT be a priority nursing intervention for this client?

The client needs replacement of the hormones necessary for the regulation of fluid and electrolyte balance within the body. Which hormones will the nurse expect to replace? Select all that apply.

The nurse walks into a client’s room and notices that their skin is a dark bronze color. The nurse knows this could indicate which of the following diseases?

A client is newly diagnosed with Addison’s disease. The nurse understands that this condition includes a decrease of which of the following hormones? Select all that apply.

The nurse is caring for a client with Addison disease. Which of the following manifestations of this condition should the nurse expect? Select all that apply.

A nurse reads in a client’s H&P that the client is deficient in a hormone that stimulates the adrenal cortex. What is an appropriate term for this hormone?

A nurse is caring for a client who has been diagnosed with Addison’s disease. The nurse is teaching about symptoms of Addisonian crisis in order to best manage and prevent it before it occurs. What symptoms should the client look for that the nurse should include as part of teaching? Select all that apply.

The nurse is caring for a client who is starting a long-term regimen of glucocorticoids for adrenal insufficiency. Which of the following teaching points is appropriate for the nurse to include when educating the client on this medication? Select all that apply.

A client is admitted to the hospital with primary adrenal insufficiency. Which of the following drugs does the nurse anticipate giving for this condition? Select all that apply.

A provider has prescribed hormone replacement therapy for a client who has Addison’s disease. The nurse who is caring for this client understands the difference between Addison’s disease and Cushing’s syndrome as which of the following?

A client with Cushing’s syndrome has become more withdrawn from friends and relatives because of changes in appearance. Upon admission to the healthcare center, the nurse gives the client a nursing diagnosis of Social Isolation related to discomfort with others and feelings of rejection by other people. Which of the following nursing interventions is most appropriate in this situation?

The nurse is caring for a client with Cushing syndrome. The nurse knows to perform which daily activity?

A 79-year-old client with Cushing’s disease has developed some cognitive effects that are impacting his ability to care for himself. Which cognitive effects are most likely to develop in a client with Cushing’s disease?

A client is suffering from excess cortisol excretion as a result of an adenoma on the pituitary gland. Which of the following changes is an expected finding in a client with this condition? Select all that apply.

Which of the following electrolyte imbalances is an expected finding for a client with Cushing’s Syndrome? Select all that apply.

A nurse is caring for a client who has been diagnosed with Cushing’s syndrome. The client is at risk of impaired skin integrity related to skin dryness and edema. Which of the following goals would be most appropriate for this client?

A client reports pain at an intravenous site. What assessment findings would indicate phlebitis? Select all that apply.

The nurse is working with a client who has been diagnosed with Cushing’s syndrome. The nurse has provided teaching about the disease process and management. Which of the following statements by the client demonstrates a need for additional teaching?

The nurse is performing an admission assessment on a client and notes that the client has a moon-shaped face. The nurse understands that this could indicate which of the following?

The nurse is caring for a client with Cushing’s syndrome. The nurse knows that this disease is caused by hypersecretion of which of the following hormones? Select all that apply.

A nurse suspects a client has diabetes insipidus. What are the priority interventions? Select all that apply.

A client who has been diagnosed with diabetes insipidus has been prescribed vasopressin as an antidiuretic replacement. The nurse caring for the client reviews his other medications. Which drug should not be taken with vasopressin?

A client who has suffered a traumatic brain injury (TBI) has developed diabetes insipidus. A home health nurse is seeing the client in his home to help him manage his care at home. Which of the following teaching points would the nurse offer to help prevent injury in this client?

A client with diabetes insipidus must start taking vasopressin. Which information from the nurse is correct when providing teaching about this medication?

The nurse is caring for a client with diabetes insipidus and is preparing to administer a scheduled vasopressin injection. Which of the following is an anticipated outcome for a client with diabetes insipidus receiving this drug?

The neuro ICU nurse is caring for a client with head trauma and subsequent syndrome of inappropriate antidiuretic hormone (SIADH). The nurse notes confusion and muscle weakness, and correctly understands that which of the following is occurring?

The floor nurse is reviewing lab results for a client with syndrome of inappropriate antidiuretic hormone (SIADH) and notes a sodium level of 132 mEq/L. The nurse continues to monitor the client closely for which of the following abnormal signs/symptoms?

A nurse is caring for a client is being treated for SIADH with 3% hypertonic saline to correct a serum sodium of 129 mEq/L, which was drawn approximately 24 hours ago. A new BMP shows the latest sodium is 147 mEq/L. What is the priority nursing intervention at this time?

A nurse is caring for a client who has been diagnosed with syndrome of inappropriate anti-diuretic hormone (SIADH). What type of electrolyte imbalance would the nurse most likely see in this situation?

A client has been diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following is NOT a priority nursing intervention for this client?

A nurse is caring for a client who has had thyroid surgery. The client’s calcium result has returned at 7.5 mg/dL. Which nursing interventions are the most appropriate based on this calcium level? Select all that apply.

A client is being tested for Graves’ disease. The nurse knows that which one of the following lab panels would be used to rule out this condition?

A 40-year-old female client with recent thyroid surgery has been admitted to the hospital with a fever, tremors, profuse sweating, and anxiety. Based on this client’s symptoms, which drug class would be a priority to give to this client?

A client has a TSH level of 5.23 mIU/L and a T4 of 3.4 ug/dL. What signs and symptoms would the nurse expect to assess? Select all that apply.

A client is undergoing a biopsy to check for thyroid cancer. The client tells the nurse that he is very nervous about the procedure. The nurse can tell him that which of the following complications are associated with a biopsy procedure?

Which of the following medications are for thyroid regulation?

A 36-year-old client must undergo a total thyroidectomy for treatment of thyroid cancer. Which of the following has been shown as a complication of this type of surgery?

A nurse is caring for a client who has just returned from a thyroidectomy. What would be the most appropriate position for this client?

A 45-year-old client is preparing to undergo a thyroidectomy for a tumor on the thyroid gland. The nurse provides a decision aid tool for the client as part of surgery. Which best describes how a decision-making tool aids in the process of informed consent?

A client is scheduled to receive a fine needle aspiration of the thyroid gland for a biopsy. Which best describes how the nurse would teach the client about this procedure?

Which of the following are signs and symptoms that a client with hypothyroidism would demonstrate? Select all that apply.

The nurse is preparing to give a client their morning medications. Which medication needs to be given first?

The client is newly diagnosed with Hashimoto’s thyroiditis. The client does not fully understand the disease so which of the following explanations should the nurse provide to the client about Hasmioto’s thyroiditis?

A client has complaints of being tired all the time, weight gain, and that she can’t seem to get warm enough to be comfortable. Which of the following tests would the nurse expect to see ordered to determine a diagnosis for the client? Select all that apply.

A 40-year-old client has thyroid dysfunction and is working with a nurse to determine what lifestyle changes will help this condition. The nurse mentions that vitamins A and D may help to regulate thyroid production. Which of the following foods could the nurse suggest for the client?

A nurse is teaching a patient about his new prescription for levothyroxine (Synthroid). Which of the following should the nurse tell the patient about taking this drug correctly? Select all that apply.

A nurse is caring for a 43-year-old client who has been diagnosed with Hashimoto’s thyroiditis. The nurse expects which of the following findings with Hashimoto’s thyroiditis? Select all that apply.

A 56-year-old client is seen for an enlarged mass on the front of the neck, and is determined to have a goiter. The nurse knows that potential complications from a simple goiter include which of the following? Select all that apply.

A nurse reads in a client’s H&P that the client is deficient in a hormone that stimulates the thyroid gland. What is an appropriate term for this hormone?

A client’s lab results revealed increased TSH. The nurse knows this means that the body is trying to tell the thyroid to produce more thyroid hormones. Which of the following medication would have increased the production of thyroid hormone?

A nurse is working on discharge instructions for the client with Hashimoto’s thyroiditis. Which of the following should be included by the nurse for discharge education the client?

The client is newly diagnosed with Hashimoto’s thyroiditis. The client does not fully understand the disease so which of the following explanations should the nurse provide to the client about Hasmioto’s thyroiditis?

A nurse is caring for a 43-year-old client who has been diagnosed with Hashimoto’s thyroiditis. The nurse expects which of the following findings with Hashimoto’s thyroiditis? Select all that apply.

The nurse is caring for a client that has Hashimoto’s thyroiditis. Which of the following symptoms should the nurse expect to see with this client? Select all that apply.

A nurse received report on the client with Hashimoto’s thyroiditis. Which of the following medications would the nurse expect to administer?

The healthcare provider notifies the nurse that they are testing for hyperparathyroidism. Which of the following tests should the nurse expect to see in the client’s orders?

A nurse is reviewing discharge education with a client. Which of the following should the nurse provide to the client diagnosed with hyperparathyroidism?

The nurse is preparing a client for a parathyroidectomy. Which of the following is an appropriate teaching point?

A client with hyperparathyroidism from a tumor is told that the healthcare provider wants to remove the parathyroid glands. The client asks the nurse what will happen if the parathyroid glands are removed. Which of the following is an appropriate answer by the nurse?

The nurse is preparing to receive a postoperative client following parathyroidectomy surgery. The nurse is aware that which of the following are potential occurrences with this type of surgery? Select all that apply.

A nurse is caring for a client who is diagnosed with hyperparathyroidism. Lab values are: Calcium 11.8 mg/dL and phosphate 2.1 mg/dL. Which of the following is the priority nursing intervention?

The nurse is caring for a client with hyperparathyroidism. The nurse knows that the client is at risk for other comorbidities. The nurse is aware that which of the following is a high risk for this client?

A nurse is caring for a client with hypoparathyroidism. The nurse knows that which of the following supplements might be administered to a client for treatment of hypoparathyroidism?

A client is admitted with complications due to hypoparathyroidism. The nurse is aware that which of the following treatments should be implemented?

The nurse is caring for a client who is diagnosed with hypoparathyroidism. The client will receive parathyroid gland replacement therapy. The nurse understands that this therapy accomplishes which of the following? Select all that apply.

A nurse is providing discharge instructions to a client with hypoparathyroidism. Which statement by the client indicates that teaching has not been effective?

A nurse is assigned a client with the diagnosis of hypoparathyroidism. The nurse knows that which of the following would be expected in the client’s test results?

A client that is admitted after surgery to remove the parathyroid glands due to cancer. The nurse is assessing and knows to look for which of the following side effects? Select all that apply.

The nurse providing education to a client who is newly diagnosed with diabetes mellitus. Which of the following should the nurse emphasize? Select all that apply.

A nurse is caring for a client who has diabetes and has developed hypoglycemia. Which vital signs would be most consistent with this condition?

The nurse is caring for a client with poorly managed diabetes mellitus. The nurse is planning education for this client. Which statement by the client indicates a need for more education?

The nurse is teaching foot and skin care to a client with diabetes. Which of the following education points is appropriate?

A nurse is teaching a community class about diabetes prevention and maintenance. The nurse is reviewing the differences between type 1 and type 2 diabetes. Which information would be included in this segment of the teaching?

A nurse is assessing a client with a history of diabetes. The client tells the nurse that she does not feel well. The nurse checks her blood glucose levels and gets a result of 51 mg/dL. What signs or symptoms would the nurse expect to see with this blood glucose level? Select all that apply.

A client arrives at the healthcare clinic for diagnostic testing for diabetes. After reviewing the test results, the provider diagnoses the client with prediabetes. Which information from the nurse would be appropriate to teach this client about prediabetes?

A client with type 1 diabetes has developed peripheral neuropathy as the result of the disease, resulting in altered sensations in the extremities. What nursing interventions would be most appropriate? Select all that apply.

A nurse is educating a newly diagnosed diabetic client about what to do when they are sick. Which of the following statements by the client demonstrates that further education is necessary?

A nurse is caring for a diabetic client who uses an insulin pump. The client is in the hospital for diagnostic testing of kidney disease and the provider has ordered an MRI. Which action of the nurse is most appropriate?

A client with type II diabetes is not following the treatment regimen. Which of the following medications does the nurse anticipate this client will begin taking to help control blood glucose levels?

A client with a history of diabetes has a blood sugar of 54 mg/dL. They are conscious and awake, but feel cold and clammy, diaphoretic, weak, and slightly confused. Which of the following is NOT an appropriate intervention at this time?

Which best describes how high stress levels can impact diabetes management?

The nurse is caring for a client with chronic diabetic neuropathy. The client requests non-pharmacological interventions to cope with the condition. Which of the following is NOT an appropriate intervention for this client?

A nurse is working with a client who is brought in the emergency department with abdominal pain and dehydration. His glucose level is 388 mg/dL and he has positive serum ketones. Based on theses symptoms and lab values, which action would the nurse expect to perform first?

A client with a central line requires urgent replacement of potassium. Which of the following is the best way to give potassium to this client?

A client with altered mental status and fruity breath has been brought into the emergency department. Which of the following is the priority for the nurse to monitor?

The nurse is admitting a client with diabetic ketoacidosis (DKA). The client has a history of type 1 diabetes and informs the nurse that she been taking really good care of herself and her blood glucose has been “really really good.” Which of the following assessment data leads the nurse to question this statement?

Which of the following is considered to be a counterregulatory hormone that works against the effects of insulin in the bloodstream? Select all that apply.

An 8-year-old child is brought into the emergency department with suspected DKA. The nurse is familiar with clinical pathways designed to manage diabetic complications and has already triaged the client as a priority to be seen by the provider. Following admission, which segment of the clinical pathway would the nurse perform first?

The nurse working in the emergency department is receiving report. Out of the following group of clients, which would the nurse be concerned about developing hypovolemic shock?

The nurse is caring for a client with diabetic ketoacidosis (DKA). The client suddenly becomes confused. Which of the following actions should the nurse perform first?

A nurse is working on a busy unit and answers a phone call. The lab is calling with results of a blood glucose level. What should the nurse do?

A nurse is caring for a client who has developed diabetic ketoacidosis. The client has a breathing pattern in which he takes rapid and very deep breaths with large tidal volumes. Which of the following best describes this type of breathing?

A nurse is working with a client brought to the emergency department in a comatose state after developing hyperosmolar hyperglycemic syndrome (HHS). The nurse ensures the client’s airway is patent and vital signs are stable. What is the nurse’s next priority in this situation?

The nurse is caring for a client with diabetes mellitus. Which signs and symptoms would prompt the nurse to immediately check a POC glucose? Select all that apply.

A nurse is caring for a client who was recently diagnosed with diabetes and is receiving treatment for hypoglycemia. The nurse gives the client a nursing diagnosis of Fear related to the diabetes diagnosis based on the client’s behavior and sense of anxiety when she talks about managing her disease. What type of nursing intervention is most applicable for this nursing diagnosis?

A client is admitted to the unit with a tumor on located on the pancreas. The nurse is performing an assessment and knows to assess for which of the following complications?

The nurse is caring for a client with diabetes mellitus. Which signs and symptoms would prompt the nurse to get an immediate point-of-care glucose level? Select all that apply.

A nurse gave a diabetic client insulin with breakfast but the client did not eat any food. Two hours later, the client appeared diaphoretic and had slurred speech. The client became unconscious, so the nurse checked his blood sugar. The blood sugar was 15. Which of the following at is the next step that the nurse should take?

A client presents to the emergency room complaining of abdominal pain. The client states “I feel sick”, then begins dry heaving and suddenly becomes pale and sweaty. What interventions should the nurse prioritize for this client at this time? Select all that apply.

The nurse checks a client’s blood sugar and it is 32mg/dL. The nurse immediately gives the client some orange juice and graham crackers. Which of the following should the nurse do next?

A nurse is assigned 4 clients and receives report. The nurse knows to monitor which of the following clients for hypoglycemia?

A nurse is teaching a diabetic client’s family about what to do in case the client develops hypoglycemia. The client’s mother asks what to give to the client if her blood glucose levels drop too low. Which item is an example that should be given right away for low blood glucose levels? Select all that apply.

A nurse receives report on the following clients and knows that the client with which of the following diagnosis is at the highest risk for developing SIRS?

The following sign and symptoms indicate that a client is having a systemic inflammatory response? Select all that apply.

A client on the unit is diagnosed with SIRS. The client has a history of congestive heart failure and chronic kidney disease. The client has received 2 liters of normal saline in the emergency department and is receiving normal saline at 150/hr. The nurse knows that which of the following orders should be questioned? Select all that apply.

A nurse is teaching student nurses about clients with sepsis. The student nurses make the following responses and the nurse knows that which of the following statements is false?

A client presents after a motor vehicle accident to the intensive care unit. Vitals are as follows: T 99.2, P 140, BP 140/54, RR 30. The clients white blood cell count is 22,000 uL. Which problem should the nurse be concerned about?

A client came in with severe sepsis and is now diagnosed with MODS. Which of the following should the nurse expect the doctor to order?

The nurse is caring for a client whom the provider believes is suffering from sepsis. Which of the following orders would the nurse anticipate receiving for treatment for sepsis? Select all that apply.

The nurse is caring for a client noted to be at high risk for developing sepsis because of which of the following risk factors? Select all that apply.

A nurse receives lab results on a client and knows that which of the following will alert the nurse that the client has sepsis?

A nurse received report on 4 clients and reviews each diagnosis, labs, and vitals. The nurse knows that of the 4 clients the one with the diagnosis of which of the following is most at risk for sepsis?

The nurse is assigned to an older adult with a urinary tract infection. Which abnormal symptom would cause concern for sepsis? Select all that apply.

A client is being discharged from the hospital after recovering from septic shock. The nurse is providing discharge instructions about what to look for if post-sepsis syndrome develops. Which of the following is a symptom of post-sepsis syndrome?

The nurse is caring for a client who is septic. The ABCs are intact. What is the first action to take?

A nurse is caring for a septic client with hypotension who is tachycardic and tachypneic. The nurse knows that the client is tachypneic for which of the following reasons?

The nurse is caring for a client who is demonstrating signs of sepsis. What is the priority for septic clients? Select all that apply.

A 78-year-old client has been admitted to the hospital with sepsis. The nurse understands that older adults are at a higher risk of developing septic shock when compared to young adults. Which best describes the reason for this risk?

A client is admitted with severe diarrhea and vomiting. The client is very fatigued and weak and hasn’t urinated since early in the morning. The bladder scan reads 134 ml. Which of the following should the nurse consider regarding this client’s condition?

An 86-year-old client is transferred from the long-term care facility to the hospital for treatment after falling in the hallway. The staff tell the nurse that the client is normally not a fall risk and has been healthy and active, with little to no cognitive impairments. Upon admission, the client’s laboratory workup indicates severe dehydration. Which of the following manifestations of dehydration would more likely develop in an older adult? Select all that apply.

A client comes in with severe blood loss due to trauma from a motor vehicle accident. Which of the following is the nurse concerned about occurring with the client?

A nurse is assessing a client for fluid volume overload. The nurse knows that which of the following orders should be implemented to determine if the client is in fluid overload?

A client is admitted for fluid volume overload. The nurse is about to assess the client and knows to expect which of the following symptoms?

Signs and symptoms of volume overload in a client include which of the following? Select all that apply.

You are the perioperative nurse caring for a client under general anesthesia. The nurse anesthetist is concerned that the client is showing signs of malignant hyperthermia. You would expect to see which of the following signs and symptoms? Select all that apply.

The preoperative nurse is preparing a client for a thyroidectomy. Which of the following comments makes the nurse concerned about malignant hyperthermia?

The nurse is caring for a patient suffering from hypovolemic shock as a result of hyperthermia. The nurse understands the priority intervention for this patient is:

A nurses receives report on several clients. The nurse knows to be most concerned about hyperthermia with which of the following client temperatures?

The nurse is monitoring an adult patient. Which of the following signs would indicate a need for further assessment?

A nurse receives a report on 4 clients and knows that which of the following clients is a priority to provide hypothermia prevention education?

A client that spent the day at a theme park in soaking wet clothes on a cold day is diagnosed with hypothermia. The client asks the nurse how it is possible that this happened. Which of the following is the best response by the nurse?

A client is admitted after consuming alcohol and being out in the frigid weather without gloves. The fingers on the assessment are greyish/yellow color. The nurse should be concerned about which of the following?

A nurse caring for a client with scleroderma knows that which of the following side effects might be assessed? Select all that apply.

A client has severe lung fibrosis and as the nurse completes the admission history, which of the following diseases should the client be asked about?

A nurse is assessing a client with scleroderma and knows that the client is at high risk for which of the following?

The client with scleroderma in the vagina is admitted to the hospital for pneumonia. Which of the following care plans should the nurse implement?

A client is admitted with scleroderma. Which of the following medications would the nurse expect to be ordered for the client?

The nurse is caring for a client with fibromyalgia and cellulitis. Which of the following can the nurse delegate to the nursing assistant?

The nurse is caring for a client with fibromyalgia and knows that which of the following can help manage this condition?

The nurse is caring for a client that has a history of fibromyalgia and lupus. The client complains of pain. The nurse knows that which of the following would be an inappropriate question to assess the client’s pain?

A 40-year-old female client is suffering from pain associated with fibromyalgia. Which medication would the provider most likely prescribe as a form of symptom management?

A nurse is assessing a client with fibromyalgia and knows that which of the following is unlikely to be associated with the client’s history of fibromyalgia?

A client with fibromyalgia wants to incorporate massage into her weekly routine to better manage her condition. Which of the following is true of massage as a form of complementary therapy? Select all that apply.

A nurse is caring for a client with fibromyalgia and knows to encourage which of the following to help manage the fibromyalgia?