MSNCB Endocrine Nursing 5

Question 1

A patient taking glucocorticoids long-term should be monitored for which common adverse effect related to glucose metabolism?

Accepted Answer

Steroid-induced hyperglycemia or diabetes

Answer

Glucocorticoids antagonize insulin action and stimulate hepatic gluconeogenesis, causing hyperglycemia and potentially steroid-induced diabetes.

Question 2

Which symptom cluster in a post-thyroidectomy patient should prompt the nurse to assess for laryngeal nerve damage?

Accepted Answer

Hoarse voice, difficulty speaking, and stridor

Answer

Hoarseness, weak voice, and stridor after thyroidectomy suggest recurrent laryngeal nerve injury, which can compromise the airway.

Question 3

A patient with type 2 diabetes reports frequent hypoglycemic episodes before dinner. The nurse should recommend discussing which medication adjustment with the provider?

Accepted Answer

Reducing the lunchtime rapid-acting insulin dose

Answer

Pre-dinner hypoglycemia often indicates excessive lunchtime rapid-acting insulin; reducing that dose addresses the timing and prevents the pattern.

Question 4

Which nursing action is MOST appropriate for a patient with myxedema coma?

Accepted Answer

Provide IV thyroid hormone, keep warm, and monitor for respiratory failure

Answer

Myxedema coma requires IV thyroid hormone replacement, external rewarming, airway support, and close monitoring for respiratory failure due to decreased respiratory drive.

Question 5

When teaching foot care to a patient with diabetes and peripheral neuropathy, which instruction is MOST important?

Accepted Answer

Inspect feet daily and report any sores or changes immediately

Answer

Daily foot inspection is essential because neuropathy masks pain, allowing ulcers to progress undetected; early reporting prevents amputation.

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

MSNCB Endocrine Nursing 5