MSNCB Endocrine Nursing 2

Question 1

A patient with type 1 diabetes presents with blood glucose of 42 mg/dL, diaphoresis, and confusion. Which intervention should the nurse perform FIRST?

Accepted Answer

Give 15-20g of fast-acting carbohydrate orally

Answer

If the patient can swallow safely, oral fast-acting carbohydrates (15-20g) are the first-line treatment for mild-to-moderate hypoglycemia.

Question 2

Which laboratory finding is MOST consistent with primary hypothyroidism?

Accepted Answer

High TSH and low T4

Answer

Primary hypothyroidism is characterized by elevated TSH (pituitary compensation) and low T4 due to inadequate thyroid gland function.

Question 3

A patient post-thyroidectomy develops perioral tingling and a positive Chvostek's sign. The nurse should anticipate administering:

Accepted Answer

Calcium gluconate IV

Answer

Positive Chvostek's sign with perioral tingling indicates hypocalcemia, a common complication after thyroidectomy due to inadvertent parathyroid removal.

Question 4

When teaching a patient about metformin therapy for type 2 diabetes, the nurse should instruct the patient to withhold the medication before:

Accepted Answer

Iodinated contrast dye procedures

Answer

Metformin should be held 48 hours before iodinated contrast procedures due to the risk of contrast-induced nephropathy leading to lactic acidosis.

Question 5

A patient with Cushing's syndrome would be expected to exhibit which combination of findings?

Accepted Answer

Hypertension, central obesity, and purple striae

Answer

Cushing's syndrome is caused by excess cortisol and presents with hypertension, central obesity, moon face, buffalo hump, and purple striae.

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

MSNCB Endocrine Nursing 2