Endocrine System

Pituitary Disorders: Acromegaly and SIADH/DI Practice Questions

20 free Pituitary Disorders: Acromegaly and SIADH/DI practice questions for the NCLEX Exam, each with the correct answer and a detailed explanation. Open any question below, or take the full set as an interactive quiz.

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All Pituitary Disorders: Acromegaly and SIADH/DI questions

20 questions
  1. Q1. Which condition is most likely in a patient with a pituitary adenoma presenting with enlarged hands and feet, coarse facial features, and new-onset sleep apnea?
  2. Q2. Which laboratory test is most useful in the initial evaluation of suspected acromegaly?
  3. Q3. What disorder should the nurse suspect in a post-operative patient after pituitary surgery who begins passing very large volumes of very dilute urine and has e…
  4. Q4. In the case of SIADH, what does the nurse expect in terms of findings?
  5. Q5. Which pre-operative nursing assessment is most important for a patient with acromegaly scheduled for transsphenoidal surgery?
  6. Q6. What is a teaching point for a patient diagnosed with SIADH?
  7. Q7. In diabetes insipidus, what specific urinalysis finding does the nurse expect?
  8. Q8. Joint pain and numbness in hands in a patient with acromegaly are recognized as:
  9. Q9. What possible complication should the nurse recognize in the first 48 hours after removal of a GH-secreting pituitary adenoma when the patient has a rapid drop…
  10. Q10. What is a hallmark physical sign of acromegaly?
  11. Q11. In SIADH, what neurological complication related to its main electrolyte disturbance does the nurse monitor for?
  12. Q12. Which therapy is first-line for central diabetes insipidus?
  13. Q13. What lab result would most strongly support the diagnosis of acromegaly in a patient cared for by a nurse?
  14. Q14. Which disorder should the nurse consider if a patient with pituitary surgery develops sudden hyponatremia on day 5 post-op?
  15. Q15. When educating a patient with acromegaly about the condition, what does the nurse emphasize?
  16. Q16. In SIADH, what does the nurse anticipate in terms of the patient’s urine sodium?
  17. Q17. What is the key risk if untreated in a patient with DI admitted with extreme thirst and large urine volume?
  18. Q18. If a patient’s urine output is 300 mL/hour and serum sodium rises to 150 mEq/L on post-op day 2 after transsphenoidal surgery for a pituitary adenoma, what doe…
  19. Q19. What is especially important for a patient with acromegaly receiving a somatostatin analog (octreotide), in terms of nursing assessments?
  20. Q20. When educating a patient with SIADH who is on fluid restriction, what advice does the nurse give the patient?