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Free Practice Quiz Question List

5 Adrenal Disorders and Nursing Care Online Quiz Questions

Use this free practice quiz with 20 questions to review 5 Adrenal Disorders and Nursing Care, test your knowledge, and prepare for your next test or exam.

20 questions
01
Choose one
1 point

A patient with suspected primary adrenal insufficiency has electrolyte abnormalities. Which pattern is most consistent with aldosterone deficiency?

  1. A

    Low sodium with low potassium

  2. B

    Low sodium with high potassium

  3. C

    High sodium with high potassium

  4. D

    High sodium with low potassium

02
Fill in the blank
1 point

A patient with primary adrenal insufficiency has aldosterone deficiency. In addition to cortisol replacement, the patient may need .

03
True or false
1 point

True or false: A rounded face and central fat accumulation are enough to diagnose Cushing syndrome without appropriate cortisol testing.

  1. A

    True

  2. B

    False

04
Choose one
1 point

A patient who has taken glucocorticoids for a prolonged period develops low cortisol after the medication is reduced. Which explanation best fits this history?

  1. A

    Primary adrenal insufficiency, because aldosterone production is always increased

  2. B

    Cushing disease, because glucocorticoids suppress pituitary ACTH

  3. C

    Secondary or tertiary adrenal insufficiency, because prolonged glucocorticoid therapy can suppress the axis

  4. D

    Cushing syndrome, because cortisol production is necessarily low

05
Choose all
1 point

A nurse is reviewing home-care instructions with a patient who has adrenal insufficiency. Which instructions should the nurse include? Select all that apply.

  1. A

    Take medication as prescribed and do not stop long-term glucocorticoids abruptly.

  2. B

    Follow an individualized plan for increased glucocorticoid coverage during illness or other physical stress.

  3. C

    Skip replacement medication whenever appetite is reduced.

  4. D

    Know what to do if vomiting prevents taking oral medication.

06
Fill in the blank
1 point

A patient develops Cushing syndrome while taking prescribed glucocorticoids. If the dose needs to be reduced, it should be done by under the prescriber's direction.

07
Written response
1 point

According to the adult emergency guidance, what is the immediate hydrocortisone dose, in mg, commonly used for adrenal crisis?

08
Choose all
1 point

A patient with adrenal insufficiency is at risk of adrenal crisis when physical stress exceeds hormone replacement. Which situations are recognized potential triggers? Select all that apply.

  1. A

    A febrile infection

  2. B

    Surgery

  3. C

    A low-salt diet

  4. D

    Persistent vomiting or diarrhea

09
True or false
1 point

True or false: When adrenal crisis is suspected, diagnostic testing should be completed before emergency hydrocortisone is administered.

  1. A

    True

  2. B

    False

10
Choose one
1 point

A patient's assessment suggests prolonged cortisol excess, and the medication history includes long-term prescribed glucocorticoids. Which statement best explains how this history relates to Cushing syndrome?

  1. A

    It occurs only when an adrenal tumor produces excess cortisol.

  2. B

    It can result from prolonged exposure to excess cortisol, including from prescribed glucocorticoids.

  3. C

    It is another name for an ACTH-secreting pituitary tumor.

  4. D

    It is caused by inadequate cortisol production.

11
Choose one
1 point

A patient has undergone surgery to treat endogenous Cushing syndrome. Which postoperative nursing plan best addresses an important risk associated with successful treatment?

  1. A

    Monitor only the surgical incision because endocrine complications are unlikely.

  2. B

    Encourage the patient to stop all glucocorticoids immediately after surgery.

  3. C

    Monitor hemodynamic status, glucose, electrolytes, and signs of cortisol deficiency.

  4. D

    Delay assessment of blood pressure and electrolytes until the patient is discharged.

12
Choose one
1 point

Which finding best supports primary rather than secondary or tertiary adrenal insufficiency?

  1. A

    Low cortisol with aldosterone usually preserved

  2. B

    Low cortisol with possible aldosterone deficiency, low sodium, and high potassium

  3. C

    Excess cortisol with low potassium

  4. D

    Excess aldosterone with high sodium

13
Written response
1 point

What is the specific name for Cushing syndrome caused by an ACTH-secreting pituitary tumor?

14
True or false
1 point

True or false: If adrenal crisis is suspected, emergency treatment should not be delayed while waiting for diagnostic test results.

  1. A

    True

  2. B

    False

15
Choose one
1 point

A patient has Cushing syndrome caused by prescribed long-term glucocorticoids. Which instruction is appropriate?

  1. A

    Stop the glucocorticoid immediately to reduce cortisol exposure

  2. B

    Double the dose indefinitely without consulting the prescriber

  3. C

    Follow the prescriber's plan for gradual dose reduction

  4. D

    Replace the glucocorticoid with fludrocortisone without further evaluation

16
Choose one
1 point

A patient with adrenal insufficiency develops an illness and is vomiting. Which teaching best supports safe management?

  1. A

    Keep the usual dose unchanged during any illness and wait for symptoms to resolve

  2. B

    Stop medication whenever fever or nausea occurs

  3. C

    Use an increased dose chosen independently, without following a prescribed plan

  4. D

    Follow the individualized sick-day plan and the prescribed emergency instructions if vomiting prevents oral medication

17
Written response
1 point

According to common adult guidance for adrenal crisis, what immediate parenteral hydrocortisone dose is commonly specified?

18
Choose one
1 point

A patient has several features associated with Cushing syndrome. Which approach best supports an accurate diagnosis?

  1. A

    Diagnose from appearance alone and use imaging as the only confirmation

  2. B

    Use appropriate cortisol testing and investigate the source of excess cortisol

  3. C

    Assume that any weight gain indicates Cushing syndrome

  4. D

    Begin treatment for a pituitary tumor before evaluating cortisol

19
Written response
1 point

In a patient with Cushing syndrome, which skeletal complication should the nurse monitor for because prolonged cortisol excess can contribute to bone loss?

20
Open ended
1 point

A patient with Cushing syndrome has thin skin, frequent bruising, and proximal muscle weakness. Describe two nursing measures that can reduce the patient's risk of injury, and briefly explain why they are appropriate.