Endocrine System Disorders | Diabetes Mellitus | NCLEX Quiz 102

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Questions: 10 | Attempts: 4,644 | Updated: Aug 22, 2023

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Endocrine System Disorders | Diabetes Mellitus | NCLEX Quiz 102 - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

A 50-year-old widower is admitted to the hospital with a diagnosis of diabetes mellitus and complaints of rapid-onset weight loss. elevated blood glucose levels. and polyphagia. the gerontology nurse should anticipate which of the following secondary medical diagnoses?
- A.
  
  Impaired glucose tolerance
- B.
  
  Gestational diabetes mellitus
- C.
  
  Pituitary tumor
- D.
  
  Pancreatic tumor
Correct Answer
D. Pancreatic tumor

Explanation
The onset of hyperglycemia in the older adult can occur more slowly. When the older adult reports rapid-onset weight loss. elevated blood glucose levels. and polyphagia. the healthcare provider should consider pancreatic tumor.

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2.

An older woman with diabetes mellitus visits the clinic concerning her condition. Of which of the following symptoms might an older woman with diabetes mellitus complain?
- A.
  
  Anorexia
- B.
  
  Pain intolerance
- C.
  
  Weight loss
- D.
  
  Perineal itching
Correct Answer
D. Perineal itching

Explanation
Older women might complain of perineal itching due to vaginal candidiasis.

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3.

Gregory is a 52-year-old man identified as high-risk for diabetes mellitus. Which laboratory test should a nurse anticipate a physician would order for him? (Select all that apply.)
- A.
  
  Fasting Plasma Glucose (FPG)
- B.
  
  Two-hour Oral Glucose Tolerance Test (OGTT)
- C.
  
  Glycosylated hemoglobin (HbA1C)
- D.
  
  Finger stick glucose three times daily
Correct Answer(s)
A. Fasting Plasma Glucose (FPG)
B. Two-hour Oral Glucose Tolerance Test (OGTT)

Explanation
When an older person is identified as high-risk for diabetes. appropriate testing would include FPG and OGTT. An FPG greater than 140 mg/dL usually indicates diabetes. The OGTT is to determine how the body responds to the ingestion of carbohydrates in a meal. HbA1C evaluates long-term glucose control. A finger stick glucose three times daily spot-checks blood glucose levels.

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4.

According to the National Diabetes Statistics Report. diabetes remains as one of the leading causes of death in the United States since 2010. Which of the following factors are risks for the development of diabetes mellitus? (Select all that apply.)
- A.
  
  Age over 45 years
- B.
  
  Overweight with a waist/hip ratio >1
- C.
  
  Having a consistent HDL level above 40 mg/dl
- D.
  
  Maintaining a sedentary lifestyle
Correct Answer(s)
A. Age over 45 years
B. Overweight with a waist/hip ratio >1
D. Maintaining a sedentary lifestyle

Explanation
Aging results in reduced ability of beta cells to respond with insulin effectively. Overweight with waist/hip ratio increase is part of the metabolic syndrome of DM II. There is an increase in atherosclerosis with DM due to the metabolic syndrome and sedentary lifestyle.

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5.

During a visit in the hospital. the student nurses are asked which of the following persons would most likely be diagnosed with diabetes mellitus. They are correct if they answered a 44-year-old:
- A.
  
  Caucasian woman.
- B.
  
  Asian woman.
- C.
  
  African-American woman.
- D.
  
  Hispanic male.
Correct Answer
C. African-American woman.

Explanation
Age-specific prevalence of diagnosed diabetes mellitus (DM) is higher for African-Americans and Hispanics than for Caucasians. Among those younger than 75. black women had the highest incidence.

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6.

An ailing 70-year-old woman with a diagnosis of type 2 diabetes mellitus has been ill with pneumonia. The client’s intake has been very poor. and she is admitted to the hospital for observation and management as needed. What is the most likely problem with this patient?
- A.
  
  Insulin resistance has developed.
- B.
  
  Diabetic ketoacidosis is occurring.
- C.
  
  Hypoglycemia unawareness is developing.
- D.
  
  Hyperglycemic hyperosmolar non-ketotic coma.
Correct Answer
D. Hyperglycemic hyperosmolar non-ketotic coma.

Explanation
Illness. especially with the frail elderly patient whose appetite is poor. can result in dehydration and HHNC. Insulin resistance usually is indicated by a daily insulin requirement of 200 units or more. Diabetic ketoacidosis. an acute metabolic condition. usually is caused by absent or markedly decreased amounts of insulin.

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7.

Daniel is diagnosed of having hyperthyroidism (Graves’ disease). Which of the following is a drug of choice for his condition?
- A.
  
  Furosemide (Lasix)
- B.
  
  Digoxin (Lanoxin)
- C.
  
  Propranolol (Inderal)
- D.
  
  Propylthiouracil (PTU)
Correct Answer
D. Propylthiouracil (PTU)

Explanation
Propylthiouracil (PTU) initially is given in divided doses. and functions to block thyroid hormone synthesis.

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8.

Which of the following medications are most likely to cause hypothyroidism? (Select all that apply.)
- A.
  
  Acetylsalicylic acid (aspirin)
- B.
  
  Furosemide (Lasix)
- C.
  
  Docusate sodium (Colace)
- D.
  
  Rifampin (Rifadin)
Correct Answer(s)
A. Acetylsalicylic acid (aspirin)
B. Furosemide (Lasix)
D. Rifampin (Rifadin)

Explanation
Acetylsalicylic acid (aspirin). Furosemide (Lasix). and Rifampin (Rifadin) are most likely to cause hypothyroidism.

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9.

After visiting the physician. Angela found out that she has a thyroid problem. In line with her condition. which of the following diagnostic studies is done to determine the size and composition of the thyroid gland?
- A.
  
  Thyroid scan with RAI 123I
- B.
  
  Electrocardiography
- C.
  
  Ultrasonography
- D.
  
  Venous duplex Doppler study
Correct Answer
C. UltrasonograpHy

Explanation
Although thyroid scans frequently are done to evaluate the thyroid gland. I 123 is used to destroy overactive thyroid cells such as are seen in thyroid cancer. Ultrasonography can be used early in the evaluation process to rule out Graves’ disease. nodular goiter. or other thyroid dysfunction.

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10.

Nurse Gil is caring for a patient with a diagnosis of hypothyroidism. Which nursing diagnosis should the nurse most seriously consider when analyzing the needs of the patient?
- A.
  
  High risk for aspiration related to severe vomiting
- B.
  
  Diarrhea related to increased peristalsis
- C.
  
  Hypothermia related to slowed metabolic rate
- D.
  
  Oral mucous membrane. altered related to disease process
Correct Answer
C. Hypothermia related to slowed metabolic rate

Explanation
Thyroid hormone deficiency results in reduction in the metabolic rate. resulting in hypothermia. and does predispose the older adult to a host of other health-related issues. One-quarter of affected elderly experience constipation.

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Endocrine System Disorders | Diabetes Mellitus | NCLEX Quiz 102

A 50-year-old widower is admitted to the hospital with a diagnosis of diabetes mellitus and complaints of rapid-onset weight loss. elevated blood glucose levels. and polyphagia. the gerontology nurse should anticipate which of the following secondary medical diagnoses?

An older woman with diabetes mellitus visits the clinic concerning her condition. Of which of the following symptoms might an older woman with diabetes mellitus complain?

Gregory is a 52-year-old man identified as high-risk for diabetes mellitus. Which laboratory test should a nurse anticipate a physician would order for him? (Select all that apply.)

According to the National Diabetes Statistics Report. diabetes remains as one of the leading causes of death in the United States since 2010. Which of the following factors are risks for the development of diabetes mellitus? (Select all that apply.)

During a visit in the hospital. the student nurses are asked which of the following persons would most likely be diagnosed with diabetes mellitus. They are correct if they answered a 44-year-old:

An ailing 70-year-old woman with a diagnosis of type 2 diabetes mellitus has been ill with pneumonia. The client’s intake has been very poor. and she is admitted to the hospital for observation and management as needed. What is the most likely problem with this patient?

Daniel is diagnosed of having hyperthyroidism (Graves’ disease). Which of the following is a drug of choice for his condition?

Which of the following medications are most likely to cause hypothyroidism? (Select all that apply.)

After visiting the physician. Angela found out that she has a thyroid problem. In line with her condition. which of the following diagnostic studies is done to determine the size and composition of the thyroid gland?

Nurse Gil is caring for a patient with a diagnosis of hypothyroidism. Which nursing diagnosis should the nurse most seriously consider when analyzing the needs of the patient?