Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
63. A 30-year-old man has been recently diagnosed with Cushing's syndrome. He asks a nurse if he will be able to continue riding off-road motorcycles. The correct response by the nurse is:
. "Continuing important activities will be beneficial to preventing depression."
. "Because of the potential for obesity of your trunk, a larger bike will be necessary."
. "Muscle weakness and the increased risk for fractures will require a change in activities."
. "Visual changes from the disease will prevent you from riding your motorcycles."
Test-Taking Tip
The "3 Ss" are signs of Cushing's syndrome—too much sugar, salt, and sex hormone, which weaken the client.
Content Area: Adult Health, Endocrine; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Pathophysiology
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because the clinical manifestations of weakness in Cushing's syndrome will interfere with normal activities. There will be mood alterations as a result of the hormone imbalance. Answer 2 is incorrect because continuing the activity will put the client at risk for injury (e.g., fractures). Answer 3 is correct because the overproduction of adrenocortical hormone results in excessive protein breakdown, causing compression fractures and weakness. Answer 4 is incorrect because the risk for falls is greatest because of weakness, not visual problems, although cataracts and glaucoma may result from Cushing's syndrome.