Addison’s Disease vs Cushing’s quiz. This NCLEX style quiz will test your ability to tell the difference between Addison’s Disease and Cushing Syndrome/Disease.
These endocrine disorders are related to the adrenal cortex which is responsible for secreting steroid hormones (cortisol and aldosterone). Each disorder is related to a problem with either cortisol and/or aldosterone.
For the NCLEX exam, it is important you know how the typical signs and symptoms of each disorder, nursing interventions, and patient education.
This NCLEX quiz will test your knowledge:
- Signs and Symptoms of Addison’s Disease and Cushing’s
- Treatment for Addison’s Disease and Cushing’s
- Patient Education regarding Addison’s Disease and Cushing’s
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Lecture on Addison’s Disease vs Cushing’s
NCLEX Quiz on Addison’s Disease & Cushing’s
1. Which of the following patients are at risk for developing Cushing’s Syndrome?
A. A patient with a tumor on the pituitary gland, which is causing too much ACTH to be secreted.
B. A patient taking glucocorticoids for several weeks.
C. A patient with a tuberculosis infection.
D. A patient who is post-opt from an adrenalectomy
2. Addison’s Disease is:
A. Increased secretion of cortisol
B. Increased secretion of aldosterone and cortisol
C. Decreased secretion of cortisol
D. Decreased secretion of aldosterone and cortisol
3. A patient with Addison’s Disease is being discharged home on Prednisone. Which of the following statements by the patient warrants you to re-educate the patient?
A. “I will notify the doctor if I become sick or experience extra stress.”
B. “I will take this medication as needed when symptoms present.”
C. “I will take this medication at the same time every day.”
D. “My daughter has bought me a Medic-Alert bracelet.”
4. A patient is admitted to the ER. The patient is unconscious on arrival. However, the patient’s family is with the patient and reports that before the patient became unconscious she was complaining of severe pain in the abdomen, legs, and back, and has been experiencing worsening confusion. In addition, they also report the patient has not been taking any medications. The patient was recently discharged from the hospital for treatment of low cortisol and aldosterone levels. On assessment, you note the patient’s blood pressure is 70/45. What disorder is this patient most likely experiencing?
A. Addisonian Crisis
B. Cushing Syndrome
C. Thyroid crisis
D. Hashimoto thyroiditis
5. In the scenario above, what medication do you expect the patient to be started on?
A. IV Solu-Cortef
B. PO Prednisone
C. PO Declomycin
D. IV Insulin
6. A patient with Addison’s Disease should consume which of the following diets?
A. High fat and fiber
B. Low potassium and high protein
C. High protein, carbs, and adequate sodium
D. Low carbs, high protein, and increased sodium
7. In Cushing’s Disease and Syndrome there are:
A. Increased cortisol production
B. Low potassium and glucose levels
C. Increased production of aldosterone and cortisol
D. Decreased production of cortisol and aldosterone
8. A patient with Cushing’s syndrome will be undergoing an adrenalectomy. Which of the following will be included in the patient’s discharge teaching after the procedure?
A. Glucocorticoid replacement therapy
B. Avoiding avocadoes and pears
C. Declomycin therapy
D. Signs and symptoms of Grave’s Disease
9. Which of the following is not a typical sign and symptom of Cushing’s Syndrome?
A. Hyperpigmentation of the skin
B. Hirsutism
C. Purplish striae
D. Moon Face
10. In Cushing’s disease, the _______is secreting too much ACTH (Adrenocorticotropic hormone) which is causing an increase in cortisol production.
A. Adrenal cortex
B. Pituitary gland
C. Thyroid gland
D. Hypothalamus
Answer Key
1. B
2. D
3. B
4. A
5. A
6. C
7. A
8. A
9. A
10. B
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