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RN Nursing School · Pharmacology · 200 questions

Medications Affecting the Endocrine System practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Medications Affecting the Endocrine System, practise in the app.

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  1. 1A patient is scheduled to receive their regular insulin (Humulin R) at 0800 with breakfast. The patient's breakfast tray is delayed and will not arrive until 0930. The blood glucose is 200 mg/dL. What is the nurse's best action regarding the insulin administration?Answer →
  2. 2Which contraceptive method provides non-contraceptive benefits by reducing menstrual blood loss and dysmenorrhea?Answer →
  3. 3Which key prescribing consideration is relevant for patients receiving 5-Alpha-1-reductase inhibitors?Answer →
  4. 4A nurse is giving discharge instructions to a patient who is taking levothyroxine. The nurse instructs the patient to notify the physician if which of the following occurs?Answer →
  5. 5What should the nurse include in the teaching for a patient prescribed repaglinide?Answer →
  6. 6A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?Answer →
  7. 7A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?Answer →
  8. 8A nurse is preparing to administer regular insulin to a client. Which of the following actions should the nurse plan to take?Answer →
  9. 9A 28-year-old woman who recently gave birth is breastfeeding her newborn. She is seeking contraception but wants to ensure that it does not interfere with lactation. Which contraceptive method would be MOST suitable for her during lactation?Answer →
  10. 10A 55-year-old patient with type 2 diabetes is experiencing myalgia after starting metformin. Which of the following actions should the nurse take first?Answer →
  11. 11After taking Propylthiouracil (PTU) for 6 weeks and reports recent weight gain, cold intolerance, hair loss, and fatigue. What does the nurse suspect is the cause of these symptoms?Answer →
  12. 12The nurse should tell the patient who is taking levothyroxine to notify the primary health provider if which problem occurs?Answer →
  13. 13Colchicine: Long term management of acute gout arthritisAnswer →
  14. 14Which condition in cisgender females may require induction of puberty through exogenous estrogen therapy?Answer →
  15. 15Match the insulin type with its correct onset of actionAnswer →
  16. 16A patient is receiving a new prescription for prednisone. The nurse knows to monitor for which of the following?Answer →
  17. 17A nurse is educating a client about methotrexate, a disease-modifying antirheumatic drug (DMARD). The nurse should educate the client that which of the following client conditions is a contraindication for DMARD therapy?Answer →
  18. 18Which statement BEST explains how GLP-1 receptor agonists contribute to weight reduction?Answer →
  19. 19A client who uses a transdermal contraceptive calls the clinic because she forgot to apply a new patch three days ago. Which instruction should the nurse provide?Answer →
  20. 20A 30-year-old transgender woman seeks gender-affirmation therapy. Which statement regarding the use of estrogen in this context is accurate?Answer →
  21. 21The nurse is caring for a patient prescribed desmopressin (DDAVP). What should the nurse monitor for?Answer →
  22. 22A nurse is caring for a client who is taking prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this medication?Answer →
  23. 23A 22-year-old breastfeeding woman, 4 weeks postpartum, requests contraception. Which is the BEST option?Answer →
  24. 24Which statement by the patient indicates they understand the nurse's teaching about levothyroxine (Synthroid)?Answer →
  25. 25A child has been taking Somatropin for several years. The nurse will prioritize which of the following assessments for the client?Answer →
  26. 26A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?Answer →
  27. 27A nurse is giving instructions to a patient who is taking levothyroxine. The nurse tells the patient that the best time to take this medication is?Answer →
  28. 28Which intervention is most important for the nurse to implement for a client with type 2 diabetes mellitus receiving insulin lisproAnswer →
  29. 29A nurse is providing instruction to a client who has chronic asthma and a new prescription for prednisone. For which of the following adverse effects should the nurse instruct the client to monitor?Answer →
  30. 30The Nurse knows that Which insulin type has the highest risk for hypoglycemia?Answer →
  31. 31A nurse is teaching a client about potential adverse effects of prednisone. Which of the following statements should the nurse include in the teaching?Answer →
  32. 32A child weighs 99 lb and has an order for IV methylprednisolone sodium succinate. The order is for 0.05 mg/kg/day. How many milligrams of medication should be administered? Round to the nearest tenths place, if required. Enter numeric value only (no commas or labels). MgAnswer →
  33. 33The nurse is preparing to teach a patient about a new prescription for dexamethasone. What should be included in the teaching plan?Answer →
  34. 34The nurse is providing education to the parents of a child prescribed Somatropin. Which of the following statements should the nurse include in the teaching?Answer →
  35. 35Why is hormone therapy (HT) NOT recommended as a first-line treatment for the prevention of osteoporosis in all postmenopausal women?Answer →
  36. 36A patient who experiences gout has a serum urate level of 5 mg/dL and inadequate urate excretion. Which medication indicated in the treatment of gout is the best choice to improve the excretion of urate for this patient?Answer →
  37. 37The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?Answer →
  38. 38A client is seen in the clinic with reports of weight loss, tremors, frequent diarrhea, and bulging eyes. The patient's thyroid stimulating hormone (TSH) level is low. Which of the following medications does the nurse anticipate the provider will prescribe?Answer →
  39. 39A nurse is preparing to educate a client on self-administering insulin injections. Which of the following actions should the nurse take first?Answer →
  40. 40Corticosteroids are associated with which of the following adverse effects? (Select all that apply.)Answer →
  41. 41A hospitalized patient with a history of diabetes is receiving methylprednisolone through IV for a COPD exacerbation. The patient asks the nurse why his blood sugar is so high even though he hasn't eaten all day. What is the nurse's best response?Answer →
  42. 42A 55-year-old man with type 2 diabetes presents with erectile dysfunction (ED). He has tried lifestyle modifications and counseling without improvement. The NP considers starting pharmacologic therapy. Which of the following BEST describes the mechanism of action of sildenafil?Answer →
  43. 43A nurse is teaching a client who is experiencing menopausal manifestations about hormone replacement therapy (HRT). Which of the following outcomes should the nurse explain is the main goal of HRT?Answer →
  44. 44Which contraceptive method is contraindicated in a patient with a current pelvic inflammatory disease (PID)?Answer →
  45. 45A nurse is assessing a client who is taking prednisone to manage an autoimmune disorder. Which of the following findings should the nurse identify as a Cushingoid manifestation due to long-term corticosteroid use?Answer →
  46. 46Which of the following medications is a mineralocorticoid agent often used in the treatment regimen of Addison's Disease?Answer →
  47. 47A nurse is developing a plan of care for a client who has been diagnosed with gout. Which of the following medication classes is effective for decreasing serum uric acid levels and preventing gouty arthritis?Answer →
  48. 48The nurse administers risedronate to a client with osteoporosis at 0700 The client asks for a glass of milk to drink with the medication Which action should the nurse takeAnswer →
  49. 49This drug acts as a synthetic T4 hormone:Answer →
  50. 50A patient with a history of chronic obstructive pulmonary disease (COPD) and type 2 diabetes has been treated for pneumonia for the past week. The patient has been receiving intravenous corticosteroids as well as antibiotics as part of his therapy. At this time, the pneumonia has resolved, but when monitoring the blood glucose levels, the nurse notices that the level is still elevated. What is the best explanation for this elevation?Answer →
  51. 51A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin IV. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider (HCP)?Answer →
  52. 52A nurse is reviewing the electronic medication administration record (EMAR) of a client who has symptomatic gout. Which of the following medications should the nurse identify as a first-line therapy for managing this client's condition?Answer →
  53. 53A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?Answer →
  54. 54The client has an order for Regular insulin 20 units/hr IV. The medication available is Regular insulin 200 units in 500 mL 0.9% sodium chloride. At what rate will the nurse set the infusion? ______ mL/hr (If needed, round to the nearest whole number.)Answer →
  55. 55In women who are not candidates for hormone therapy, which of the following is considered an evidence-based non-hormonal option for vasomotor symptoms?Answer →
  56. 56A patient with type 2 diabetes mellitus is prescribed canagliflozin (Invokana). Which statement best describes how this medication works?Answer →
  57. 57A 55-year-old man presents with concerns about his prostate health. He is interested in medication that may help prevent prostate cancer. Which drug should the NP discuss with the patient?Answer →
  58. 58The home health nurse reviews the types of insulin prescribed to the patient diagnosed with diabetes mellitus type 1. Which of the following insulins experiences peak action at about 6 hours?Answer →
  59. 59A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent patient with type 1 diabetes mellitus. At what time should the nurse anticipate the onset of action of this insulin?Answer →
  60. 60A nurse is reviewing the pharmacodynamics of a medication prescribed to a client who has chronic inflammation due to rheumatoid arthritis. Which of the following medication classes should the nurse explain as working by selectively inhibiting an enzyme that contributes to the inflammatory response in the joints?Answer →
  61. 61A 22-year-old breastfeeding woman, 4 weeks postpartum, requests contraception. Which is the BEST option?Answer →
  62. 62Which instruction should be included in the teaching plan for a patient taking isotretinoin? (Select all that apply)Answer →
  63. 63The nurse knows that which finding is most characteristic of myxedema (severe hypothyroidism)?Answer →
  64. 64A nurse in the intensive care unit (ICU) is caring for a patient with a diagnosed brain tumor who has experienced a sudden neurological decline. The nurse notes changes in level of consciousness, increasing intracranial pressure (ICP), and signs of cerebral edema. The healthcare team suspects that damage to the blood-brain barrier (BBB) has caused fluid and proteins to leak from the vascular system into the brain's interstitial space, worsening the patient's condition. Based on the nurse's assessment findings, the nurse suspects the patient is experiencing vasogenic cerebral edema. Which of the following medications should the nurse anticipate administering to the patient?Answer →
  65. 65A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?Answer →
  66. 66When teaching a patient who is starting metformin (Glucophage), which instruction by the nurse is correct?Answer →
  67. 67A nurse is providing education to a client who has been prescribed allopurinol to treat gout. Which of the following side effects should the nurse inform the client to expect when starting this medication?Answer →
  68. 68A 45-year-old man presents with fatigue, decreased libido, and decreased muscle mass. His morning serum testosterone is confirmed to be low on two separate occasions. He asks about testosterone replacement therapy. Which is the MOST appropriate next step?Answer →
  69. 69During a teaching session for a patient on antithyroid drugs, the nurse will discuss which dietary instructions?Answer →
  70. 70A 30-year-old transgender woman seeks gender-affirmation therapy. Which statement regarding the use of estrogen in this context is accurate?Answer →
  71. 71A patient has been taking a corticosteroid for several years to treat a medical condition. Which of the following assessments would the nurse know are anticipated findings with this type of drug therapy? Select all that apply.Answer →
  72. 72The best time to take levothyroxine is:Answer →
  73. 73Which statement made by a patient diagnosed with Type 1 diabetes would indicate to the nurse the need for further teaching?Answer →
  74. 74Which of the following statements is true regarding the anabolic effects of testosterone?Answer →
  75. 75Why is hormone therapy (HT) NOT recommended as a first-line treatment for the prevention of osteoporosis in all postmenopausal women?Answer →
  76. 76A hospitalized client is prescribed Calcitonin-salmon. The nurse cross-references the clients medical chart to determine why the medication was prescribed. Which of the following conditions is the client receiving this medication for?Answer →
  77. 77A 19-year-old male taking isotretinoin reports headaches, nausea, and blurred vision. Which of the following should the nurse practitioner suspect and do FIRST?Answer →
  78. 78A nurse is preparing to administer hydrocortisone 225 mg IM daily to a client. Available is hydrocortisone 400 mg/2 mL. How many mL should the nurse administer per dose? Round to the nearest tenths place. Enter numeric value only (no commas or labels) mLAnswer →
  79. 79Which of the following is an absolute contraindication to combined hormonal contraceptive use?Answer →
  80. 80A patient is experiencing an episode of hypoglycemia following administration of morning Humalog (insulin lispro). The patient is lethargic and difficult to arouse. What would be the appropriate treatment of this blood glucose?Answer →
  81. 81A nurse in a provider's office is evaluating the effectiveness of alendronate for a client who has osteoporosis. Which of the following diagnostic results should the nurse review?Answer →
  82. 82A nurse is teaching a client who has been prescribed empagliflozin for the management of type 2 diabetes mellitus. Which of the following instructions should the nurse include regarding the administration of this medication?Answer →
  83. 83Which of the following statements by the nurse describes the action of glipizide (Glucotrol)?Answer →
  84. 84A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?Answer →
  85. 85A client with eczema receives a prescription for betamethasone cream Which client statement indicates to the nurse that further teaching is neededAnswer →
  86. 86A patient with diabetes has a morning glucose of 50. The patient is alert but is sweaty, cold, and clammy. Which of the following nursing interventions is a priority?Answer →
  87. 87A 45-year-old man presents with fatigue, decreased libido, and decreased muscle mass. His morning serum testosterone is confirmed to be low on two separate occasions. He asks about testosterone replacement therapy. Which is the MOST appropriate next step?Answer →
  88. 88A nurse is educating a client who has been diagnosed with rheumatoid arthritis about the medication options available for treatment. Which of the following medications should the nurse include as an example of a conventional disease-modifying antirheumatic drug (DMARD)?Answer →
  89. 89A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?Answer →
  90. 90A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?Answer →
  91. 91A patient has been prescribed propylthiouracil (PTU) for hyperthyroidism. Which instruction regarding diet should the nurse provide?Answer →
  92. 92A patient with diabetes mellitus received 25 units of premixed combination regular and NPH 70/30 insulin (Humulin 70/30) two hours ago. The patient is awake and exhibits mild confusion, irritability, tremors, and sweating. The blood glucose is 60 mg/dL. What is the best intervention for this patient?Answer →
  93. 93A patient with rheumatoid arthritis has been taking high-dose prednisone for several weeks. During follow-up, the patient reports increased blood glucose and muscle weakness. How should the NP interpret these findings?Answer →
  94. 94A nurse is caring for a client who is 6 hr postpartum following a vaginal birth. Which of the following findings should the nurse recognize is an indication for administration of oxytocin to the client?Answer →
  95. 95Which adverse effect is commonly associated with both finasteride and dutasteride therapy?Answer →
  96. 96A nurse is mixing NPH insulin and regular insulin prior to administration. Which of the following actions should the nurse take first?Answer →
  97. 97Which is the approved indication for testosterone replacement therapy?Answer →
  98. 98Which of the following statements is true regarding the anabolic effects of testosterone?Answer →
  99. 99A client is newly prescribed Finasteride (Proscar). The nurse is verifying the client's medical record and looks at the provider notes and the patients diagnosis list. The nurse correctly identifies that the client was prescribed Finasteride for which of the following conditions?Answer →
  100. 100A 29-year-old transgender woman (assigned male at birth) has been on gender-affirming hormone therapy with oral estradiol 4 mg daily and spironolactone 100 mg twice daily for 12 months. She reports dizziness and muscle weakness. Her blood pressure is 92/58 mmHg, and labs show serum potassium 5.7 mEq/L. Which of the following pharmacologic interventions is most appropriate?Answer →
  101. 101A practitioner performs a health history and identifies the following absolute contraindication:Answer →
  102. 102A nurse is reviewing the medication record of a client who is starting leuprolide for treatment of prostate cancer. Which of the following medication types should the nurse recognize as a contraindication for use with leuprolide?Answer →
  103. 103The patient with adrenal insufficiency is given Prednisone as a home medication. The nurse should instruct the patient to: (Select All That Apply)Answer →
  104. 104Allopurinol : Prevent uric acid production.Answer →
  105. 105The nurse is caring for a patient receiving Desmopressin acetate. The nurse is assessing the patient's current lab results. Which of the following electrolyte abnormalities will most likely occur due to treatment with DDAVP?Answer →
  106. 106A middle-aged female client is experiencing menopause symptoms. The client requests more information about hormone replacement therapy (HRT). Which of the following statements should the nurse include in the teaching?Answer →
  107. 107A nurse is preparing to provide teaching to a client who has a new prescription for injectable medroxyprogesterone. Which of the following instructions should the nurse plan to include in the teaching?Answer →
  108. 108A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?Answer →
  109. 109A middle-aged patient has a body mass index (BMI) of 32 and hypertension. They have been following a structured lifestyle modification program for 6 months with minimal weight loss. Based on the 2016 American Association of Clinical Endocrinology and the American College of Endocrinology (AACE/ACE) obesity guidelines, which approach BEST aligns with evidence-based management?Answer →
  110. 110A client has been taking a corticosteroid for the past 4 weeks for an inflammatory disorder. The healthcare provider left an order to discontinue the medication. Which of the following is the most appropriate action by the nurse?Answer →
  111. 111A patient injects insulin glargine daily for control of diabetes. The patient should be educated that the onset of action is seen at:Answer →
  112. 112A nurse is caring for a client who has severe preeclampsia and has a prescription for a magnesium sulfate infusion. Which of the following assessments should the nurse recognize is the most important during administration of the initial bolus of this medication?Answer →
  113. 113A patient who has been on prednisone (Deltasone) for the last 4 years needs to have emergency abdominal surgery. Which potential effects will the nurse monitor for? (Select all that apply)Answer →
  114. 114A client arrives at the clinic to discuss their perimenopausal symptoms and the provider prescribes hormone replacement therapy (HRT). The nurse provides medication teaching for HRT to the client. Which of the following statements would indicate to the nurse that the client requires more teaching about HRT?Answer →
  115. 115A 30-year-old female is requesting to begin combination oral contraceptives as birth control. The nurse practitioner performs a health history and identifies the following absolute contraindication:Answer →
  116. 116The patient who is taking Humulin NPH insulin daily asks the nurse on how to store the unopened vials of insulin. The nurse tells the patient to:Answer →
  117. 117The NP prescribes topical vaginal estrogens for a patient in menopause. Which of the following is the appropriate treatment goal?Answer →
  118. 118A nurse is assessing a client's eligibility for teriparatide therapy as part of their osteoporosis treatment plan. Which of the following client factors aligns with the FDA approved indications for the use of teriparatide?Answer →
  119. 119A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus When should the nurse instruct the client and family that glucagon needs to be administeredAnswer →
  120. 120A client is scheduled to have a bilateral adrenal gland removal. Which one of the following intravenous drugs does the nurse expect to administer in the postoperative period to treat adrenal insufficiency?Answer →
  121. 121A nurse is reviewing the treatment plan for a client who has been prescribed alendronate. Which of the following conditions is alendronate primarily indicated for?Answer →
  122. 122Which contraceptive method is MOST appropriate for a 35-year-old woman who smokes one pack of cigarettes per day?Answer →
  123. 123A patient prescribed metformin will likely need what laboratory value monitored routinely?Answer →
  124. 124Misoprostol is absolutely contraindicated in [blank1] because of the drug's impact on the genitourinary/reproductive tract.Answer →
  125. 125Which of the following is the best explanation of why progestin is combined with estrogen therapy in menopause treatment?Answer →
  126. 126A patient experiencing hypoglycemia may present with what signs or symptoms? Select all that apply.Answer →
  127. 127A patient is taking a sulfonylurea medication for new-onset type 2 diabetes mellitus. When reviewing potential adverse effects during patient teaching, the nurse will include information about which of these effects? (Select all that apply.)Answer →
  128. 128A patient has been diagnosed with metabolic syndrome and is started on the biguanide metformin (Glucophage). The nurse knows that the purpose of the metformin, in this situation, is which of these?Answer →
  129. 129Which contraceptive method is contraindicated in a patient with a current pelvic inflammatory disease (PID)?Answer →
  130. 130A nurse is educating a patient with type 2 diabetes mellitus who has been prescribed metformin. Which of the following symptoms should the patient be advised to watch for as a serious adverse effect of metformin and report to their healthcare provider?Answer →
  131. 131Which statement should the nurse practitioner include when counseling a patient starting a GLP-1 receptor agonist for weight management?Answer →
  132. 132A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?Answer →
  133. 133A 55-year-old man presents with concerns about his prostate health. He is interested in medication that may help prevent prostate cancer. Which drug should the NP discuss with the patient?Answer →
  134. 134When caring for a client with a diagnosis of hyperthyroidism, the nurse would expect to document which assessment findings?Answer →
  135. 135A 50-year-old woman is requesting to begin estrogen replacement therapy. What information should the NP obtain prior to prescribing estrogen?Answer →
  136. 136A nurse is caring for a client who has recently started therapy with a bisphosphonate for the treatment of osteoporosis. Which of the following instructions should nurse provide to minimize the risk of esophageal irritation?Answer →
  137. 137Cushing's syndrome can be caused by long-term use of corticosteroids. The signs of Cushing's syndrome may include:Answer →
  138. 138A nurse is explaining the pathophysiology of Paget's disease to a group of newly licensed nurses. Which of the following statements should the nurse include as a characteristic change in the bone remodeling process associated with Paget's disease?Answer →
  139. 139A patient with hyperthyroidism has been given methimazole. Which nurse's considerations are associated with this medication? Select all that applyAnswer →
  140. 140The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?Answer →
  141. 141The NP is selecting a glucocorticoid for a patient who requires long-term suppression of inflammation with once-daily dosing. Which preparation would be MOST appropriate based on biologic half-life?Answer →
  142. 142The client receives a dose of insulin lispro at 0700. At what time would the nurse expect the highest risk for hypoglycemia to occur?Answer →
  143. 143What is a priority nursing assessment for a patient receiving the medication octreotide (Sandostatin)?Answer →
  144. 144The nurse administers glucagon to an unconscious patient whose blood glucose reading is 43 mg/dL. What is the appropriate nursing intervention to maintain patient safety in this situation?Answer →
  145. 145A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis, the nurse would anticipate an order for which of the following medications?Answer →
  146. 146A patient receiving Propylthiouracil (PTU) has a fever of 101.4 and reports a sore throat. What is the priority response by the nurse?Answer →
  147. 147A nurse practitioner is reviewing medication options for weight management with a 14-year-old adolescent who is overweight. Which prescribing decision BEST reflects safe, evidence-based practice?Answer →
  148. 148A patient who is taking propylthiouracil (PTU) for hyperthyroidism wants to know how this medicine works. Which explanation by the nurse is accurate?Answer →
  149. 149A client is evaluated in the emergency department for myxedema coma. Which of the following medications does the nurse recognize is a priority treatment for this condition?Answer →
  150. 150A patient has a diagnosis of primary hypothyroidism. Which statement accurately describes this problem?Answer →
  151. 151A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?Answer →
  152. 152A patient is prescribed steroids for the treatment of a chronic inflammatory condition. Which of the following side effects should the nurse include in the education of the patient regarding steroid use? Select all that apply.Answer →
  153. 153Which contraceptive method is MOST appropriate for a 35-year-old woman who smokes one pack of cigarettes per day?Answer →
  154. 154A client with Diabetes Insipidus is prescribed Vasopressin. Which statement by the client would be most concerning to the nurse?Answer →
  155. 155Which of the following symptoms are typically not present during an episode of hyperglycemia?Answer →
  156. 156A nurse is reviewing the medication regimen for a client who has osteoporosis and has been prescribed raloxifene. Which of the following client conditions should the nurse recognize as a contraindication for the use of raloxifene?Answer →
  157. 157A patient presents with eczema involving the eyelids. They ask whether they can use the same clobetasol 0.05% cream, a super-high potency topical glucocorticoid, that was prescribed previously for their psoriasis. Which teaching point BEST demonstrates the NP's understanding of topical glucocorticoid absorption and potency?Answer →
  158. 158A client who uses a transdermal contraceptive calls the clinic because she forgot to apply a new patch three days ago Which instruction should the nurse provideAnswer →
  159. 159Which of the following is a therapeutic effect of pramlintide (Symlin)?Answer →
  160. 160The nurse is reviewing a patient's medication list and notes that sitagliptin (Januvia) is ordered. The nurse will question an additional order for which drug or drug class?Answer →
  161. 161A patient with type 2 diabetes mellitus is prescribed metformin (Glucophage). What statement should the nurse include in the teaching plan?Answer →
  162. 162A middle-aged patient has a body mass index (BMI) of 32 and hypertension. They have been following a structured lifestyle modification program for 6 months with minimal weight loss. Based on the 2016 American Association of Clinical Endocrinology and the American College of Endocrinology (AACE/ACE) obesity guidelines, which approach BEST aligns with evidence-based management?Answer →
  163. 163A patient whose diabetes has been controlled on 30 units of isophane insulin suspension (NPH) for several years has recently been placed on prednisone (Deltasone). What change to the NPH dosage would the nurse expect from the health care provider?Answer →
  164. 164The nurse is caring for a client who is taking levothyroxine for hypothyroidism. The nurse identifies effectiveness of the medication when the client reports which of the following?Answer →
  165. 165A 75-year-old woman with type 2 diabetes has recently been placed on glipizide (Glucotrol) Sulfonylureas group. She asks the nurse when the best time would be to take this medication. What is the nurse's best response?Answer →
  166. 166A nurse is planning to discharge a client newly diagnosed with diabetes who requires insulin injections. The nurse asks the client which locations are the best for insulin injections. The client states, "I will always give them in my abdomen." How should the nurse respond?Answer →
  167. 167The primary health provider prescribes exenatide (GLP-1 Agonists (Glucagon-like peptide inhibitors) for a patient with type 1 diabetes mellitus who takes insulin, the nurse should plan which most appropriate intervention?Answer →
  168. 168A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin IV Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider (HCP)Answer →
  169. 169The nurse is administering insulin lispro (Humalog) and will keep in mind that this insulin will start to have an effect within which time frame?Answer →
  170. 170A 50-year-old woman is requesting to begin estrogen replacement therapy. What information should the NP obtain prior to prescribing estrogen?Answer →
  171. 171Levothyroxine (Synthroid) has been prescribed for a patient with hypothyroidism. The nurse reviews the patient's current medications for potential interactions. Which of these drugs or drug classes interact with levothyroxine? (Select all that apply.)Answer →
  172. 172Which of the following insulins cannot be mixed with any other type of insulin?Answer →
  173. 173The nurse recognizes that a client with a blood sugar level of 60 mg/dL would experience stimulation of which hormone to be released from the pancreas?Answer →
  174. 174Which condition in cisgender females may require induction of puberty through exogenous estrogen therapy?Answer →
  175. 175A 19-year-old student was diagnosed with hypothyroidism and has started thyroid replacement therapy with levothyroxine (Synthroid). After 1 week, she called the clinic to report that she does not feel better. Which response from the nurse is correct?Answer →
  176. 176Which intervention is most important for the nurse to implement for a client with type 2 diabetes mellitus receiving insulin lispro?Answer →
  177. 177The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?Answer →
  178. 178A client has been taking Testosterone Cypionate for hypogonadism. Which of the following side effects should the nurse assess for in a client taking Testosterone Cypionate?Answer →
  179. 179Which of the following symptoms are typically not present during an episode of hyperglycemia?Answer →
  180. 180The nurse is assessing the client. The client's A and B are the priority findings.Answer →
  181. 181A client is treated with Prednisone. If the dose is too high, which of the following side effects would the nurse anticipate in the client?Answer →
  182. 182A patient is starting pioglitazone (Actos). Which nursing consideration is most important when monitoring this patient?Answer →
  183. 183The home health nurse reviews the types of insulin prescribed to the patient diagnosed with diabetes mellitus type 1. Which of the following insulins experiences peak action between 4 and 14 hours?Answer →
  184. 184The nurse is caring for a patient who suffered head trauma in a motor vehicle accident. Today, the patient developed excessive urine output that is dilute and is very thirsty. The nurse assesses the client and notifies the provider about the change in patient status. The provider suspects Diabetes insipidus and prescribes which of the following medications to treat this condition?Answer →
  185. 185The nurse is teaching a group of patients about self-administration of insulin. What content is important to include?Answer →
  186. 186A patient is taking insulin glargine injection daily. The onset of action is seen at:Answer →
  187. 187The nurse is providing teaching to a patient who has diabetes mellitus and a new prescription for insulin glargine (Lantus). What instruction should the nurse provide regarding this type of insulin?Answer →
  188. 188A client receives a prescription for allopurinol Which information provided by the client requires additional instruction by the nurseAnswer →
  189. 189A patient with type 2 diabetes mellitus is prescribed metformin (Glucophage) and repaglinide. The healthcare provider scheduled a chest computerized tomography (CT) with contrast in the morning to evaluate shortness of breath. What is the appropriate intervention?Answer →
  190. 190A patient with rheumatoid arthritis receives an intra-articular glucocorticoid injection in the knee. At the next visit, the patient reports that pain and stiffness have improved so much that they have resumed vigorous exercise. What is the MOST appropriate response by the NP?Answer →
  191. 191Which of the following statements most accurately describes pharmacologic therapy considerations for hypothyroidism?Answer →
  192. 192Which medication may be prescribed to treat hypothyroidism?Answer →
  193. 193Which of the following statements correctly describe the thyroid negative feedback loop? Select all that applyAnswer →
  194. 194What should be included in the discharge instructions for a patient beginning acarbose?Answer →
  195. 195A nurse is teaching a client about how to mix regular insulin and NPH insulin in the same syringe. Which of the following actions, if performed by the client, indicates the need for further teaching?Answer →
  196. 196A patient, newly diagnosed with hypothyroidism, receives a prescription for a thyroid hormone replacement drug. The nurse assesses for which potential contraindication to this drug?Answer →
  197. 197A client is taking Levothyroxine. During a follow-up appointment, which assessment data would support that the client's dosage may be too high?Answer →
  198. 198A patient with rheumatoid arthritis receives an intra-articular glucocorticoid injection in the knee. At the next visit, the patient reports that pain and stiffness have improved so much that they have resumed vigorous exercise. What is the MOST appropriate response by the NP?Answer →
  199. 199A nurse is preparing an educational brochure for clients about combined estrogen-progestin contraceptives. Which of the following information should the nurse include?Answer →
  200. 200Which patient condition would the nurse identify as a being a contraindication for the use of Afrezza?Answer →