MSNCB Endocrine Nursing 3

Question 1

A patient with SIADH would be expected to have which serum sodium level?

Accepted Answer

122 mEq/L

Answer

SIADH causes water retention without sodium retention, diluting serum sodium below 135 mEq/L, often significantly lower.

Question 2

Which intervention is the PRIORITY for a patient in thyroid storm (thyrotoxic crisis)?

Accepted Answer

Administer propylthiouracil (PTU) and propranolol

Answer

Thyroid storm treatment prioritizes blocking new thyroid hormone synthesis with PTU and controlling sympathetic symptoms with propranolol.

Question 3

A patient with type 2 diabetes is ordered a fasting lipid panel. The nurse knows the patient's LDL target should be less than:

Accepted Answer

100 mg/dL

Answer

ADA guidelines recommend LDL <100 mg/dL for most patients with diabetes, or <70 mg/dL for those with cardiovascular disease.

Question 4

Which sign/symptom is MOST specific to a pheochromocytoma?

Accepted Answer

Episodic hypertension with headache, diaphoresis, and palpitations

Answer

Pheochromocytoma classically presents with paroxysmal episodes of hypertension, severe headache, diaphoresis, and palpitations due to catecholamine surges.

Question 5

A nurse is caring for a patient receiving insulin glargine. Which statement about this insulin is CORRECT?

Accepted Answer

It provides a steady, peakless 24-hour basal coverage

Answer

Insulin glargine (Lantus) is a long-acting basal insulin with no pronounced peak, providing approximately 24 hours of steady glucose control.

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

MSNCB Endocrine Nursing 3