Sample NCLEX questions for endocrine drugs

Sample NCLEX questions for endocrine drugs 4.4 (7 reviews) Students also studied Terms in this set (20) Science Medicine Save Endocrine/diabetic medication NCL...17 terms wendilynhawk Preview Pharmacology Endocrine Questions...73 terms jamiebanksPreview Endocrine NCLEX questions 121 terms awebstePreview NCLEX 39 terms unk Somatropin (Humatrope) is being given to a female patient with Turner syndrome. Which of the following findings is associated with this medication?

• Decreases ALT and AST level.
• Mild hyperglycemia.
• Hypotension.
• Water intoxication.

Answer: B. Mild hyperglycemia.

Somatropin (Humatrope) is a growth hormone. Excess growth hormone causes insulin resistance and hyperglycemia.

Option A: Elevated AST and ALT is expected.

Option C: Hypertension, not hypotension is a side effect.

Option D is not related symptom to this medication.A nurse provide instructions to a client regarding the administration of the prednisone and instructs the client that the best time to take the medication is during?

• Any time of the day.
• Early morning.
• Lunch.
• Before bedtime.

Answer: B. Early morning.

Prednisone is a corticosteroid (glucocorticoids) is administered early in the morning because it helps in reducing adrenal insufficiency and simulate the burst of glucocorticoids released naturally by the adrenal glands each morning.A client with diabetes insipidus is taking antidiuretic hormone. Which of the following symptoms would alert the need to decrease the dosage?

• Alopecia.
• Jaundice.
• Diarrhea.
• Drowsiness.

Answer: D. Drowsiness.

One of the side effects of taking antidiuretic hormone is water intoxication which is manifested by a headache, drowsiness, light-headedness, and shortness of breath. This could indicate the need to reduce the dosage.Options A, B, and C are not related signs to this medication.

Which of the following medications decreases their action while taking thyroid hormone?

• Metformin.
• Warfarin.
• Zoloft.
• Epinephrine.

Answer: A. Metformin.

Metformin, an oral hypoglycemic drug when taken with a thyroid hormone decreases their action.Options B (anticoagulant), Option C (antidepressant) and Option D (sympathomimetic) increases their action when taken with a thyroid hormone.Prednisone is prescribed for a client with diabetes mellitus who is using Humulin 70/30 daily. Which of the following prescription changes does the nurse expect during the therapy with the prednisone?

• An addition of an oral hypoglycemic medication.
• Increased dosage of prednisone.
• Increased dosage of humulin 70/30.
• Decreased dosage of humulin 70/30.

Answer: C. Increased dosage of humulin 70/30.

Prednisone a glucocorticoid increases blood glucose level hence people with diabetes needs to increase the dosage of their insulin.Options A, B, and D will not help the cause.A nurse is instructing a client regarding intranasal Vasopressin (Pitressin). The nurse tells the client that which of the following is a side effect specific to the medication?

• Runny nose.
• Headache.
• Flushing.
• Nausea.

Answer: A. Runny nose.

Vasopressin administered via intranasal route causes nasal congestion/Runny nose.Options B, C, and D are the side effects of the medication administered intravenously.A nurse is performing an assessment on a newly admit patient who is taking propylthiouracil (PTU) daily. The nurse suspects that the client has a history of?

• Addison's disease.
• Cushing's syndrome.
• Grave's disease.
• Myxedema.

Answer: C. Grave's disease.

Propylthiouracil inhibits the synthesis of thyroid hormone and is used to treat Grave's disease or hypothyroidism.Options A and B are disorders related to adrenal function.Option D indicates hypothyroidism.A nurse is giving discharge instructions a patient who is taking levothyroxine (Synthroid). The nurse instruct the client to notify the physician if which of the following occurs?

• Cold intolerance.
• Tremors.
• Coarse, dry hair.
• Muscle cramps.

Answer: B. Tremors.

Excessive doses of levothyroxine can produce signs and symptoms of hyperthyroidism which includes heat tolerance, tremors, nervousness, tachycardia, chest pain, hyperthermia, and insomnia.Options A, C, and D are signs of hypothyroidism.

A nurse is giving instructions a patient who is taking levothyroxine (Synthroid). The nurse tells the client that the best time to take this medication is?

• During bedtime.
• After lunch.
• Taken with food.
• Taken on an empty stomach.

Answer: D. Taken on an empty stomach.

Levothyroxine is taken on an empty stomach usually before breakfast to enhance the absorption.Desmopressin acetate (DDAVP) is given to a patient with diabetes insipidus. Which of the following therapeutic response should you expect?

• Decreased blood pressure.
• Decreased attention span.
• Decreased urinary output.
• Decreased blood sugar.

10. Answer: C. Decreased urinary output.

The therapeutic response of this medication is decreased urine output because it promotes renal conservation of water.Options A, B, and D are unrelated effect to this medication.A patient adrenal insufficiency is to be discharged and is given Prednisone as a home medication. The nurse instruct the patient the following, except?

• To avoid aspirin-containing products.
• To avoid foods rich in potassium.
• To avoid caffeinated drinks.
• To avoid individuals with respiratory infections.

Answer: B. To avoid foods rich in potassium.

One of the side effects of taking prednisone is hypokalemia so a potassium rich food should be included in the diet.Sildenafil (Viagra) is given to a patient with erectile dysfunction. Which of the following history is contraindicated with the medication?

• Blurred vision.
• Neuralgia.
• Use of vitamins.
• Use of nitroprusside.

Answer: D. Use of nitroprusside.

Sildenafil (Viagra) are contraindicated in patients taking nitrates, nitroprusside, and beta blockers.Options A and B are the side effects of this medication.Option C is not contraindicated with the use of sildenafil.Glipizide (Glucotrol) is prescribed to a patient with diabetes mellitus. The nurse instruct the patient to avoid which of the following?

• Soft drinks.
• Whole grain cereals.
• Alcohol.
• Organ meats.

Answer: C. Alcohol

Alcohol when combined with glipizide, a disulfiram-like reaction (flushing, headache, and nausea) happens. In addition, large amounts of alcohol cause hypoglycemia.Options A, B, and D are not to be avoided.

A nurse is teaching a patient on how to mix regular insulin and NPH insulin in the same syringe. Which of the following actions, if performed by the patient , indicates the need for further teaching?

• Withdraws regular insulin first.
• Withdraws NPH insulin first.
• Injects an amount of air equivalent to the desired dose

of insulin.

• Injects air into the NPH insulin first.

Answer: B. Withdraws NPH insulin first.

The regular insulin is drawn into the syringe first then the NPH, this will avoid contaminating the regular insulin vial with another type.Options A, C, and D are correct actions for preparing regular and NPH insulin.A patient is taking insulin glargine injection daily. The nurse instruct the client that the onset of action will likely happen?

• 2-4 hours after administration.
• 4-12 hours after administration.
• 6-12 hours after administration.
• 18-24 hours after administration.

Answer: A. 2-4 hours after administration.

Insulin glargine is a long-acting insulin with an onset of 2-4 hours, no peak, and its duration of action is 24 hours.A private nurse visits a client who is taking Humulin NPH insulin daily. The client asks the nurse on how is the storage of the unopened vials of insulin. The nurse tells

the client to:

• Store it at room temperature.
• Store it in the freezer.
• Store it in the refrigerator.
• Keep the insulin in a sunlight, dry place.

Answer: C. Store it in the refrigerator.

Unopened insulin is stored in the refrigerator until the expiry date.Option A: Only opened vials are stored at room temperature and it will only last for 28 days.

Option B: It should never be stored in the freezer.

Option D: Insulin are sensitive to light.

A client with diabetes mellitus type I was prescribed with Exenatide (Bydureon). The nurse will take which of the following appropriate actions?

• Withdraw the insulin from the prefilled pen into an

insulin syringe.

• Monitor for signs of nausea, vomiting, and gastric

upset.

• Administer the medication twice a day during pre-

meals.

• Hold the medication and call the physician to question

the prescription.

Answer: D. Hold the medication and call the physician to question the

prescription.Exenatide (Bydureon) is only used to treat diabetes mellitus type 2 only. Therefore, holding the medication and calling the physician to question the order.

Option A: A prefilled pens are ready for injection.

Options B and C: Although are correct about the medication, it should not be

administered in this kind of situation.Which of the following insulin cannot be mixed with any other type of insulin?

• Insulin glargine.
• Insulin aspart.
• Insulin isophane.
• Insulin lispro.

Answer: A. Insulin glargine.

Only insulin glargine cannot be mixed with any other types of insulin.