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Question 1<\/p>\n

A patient wants to know what can cause ACTH to be released.<\/a>How should the nurse respond?<\/p>\n

a. High serum levels of cortisol
\nb. Hypotension
\nc. Hypoglycemia
\nd. Stress<\/p>\n

Question 2<\/p>\n

A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid.<\/a>\u00a0How should the instructor respond?<\/p>\n

a. Aldosterone
\nb. Testosterone
\nc. Cortisol
\nd. Prolactin<\/p>\n

Question 3<\/p>\n

A patient has researched lipid-soluble hormones on the Internet.<\/a>\u00a0Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane by:<\/p>\n

a. Diffusion
\nb. Osmosis
\nc. Active transport
\nd. Endocytosis<\/p>\n

Question 4<\/p>\n

A 45-year-old female has elevated thyroxine production.<\/a>Which of the following would accompany this condition?<\/p>\n

a. Increased thyroid-releasing hormone (TRH)
\nb. Increased anterior pituitary stimulation
\nc. Decreased T4
\nd. Decreased thyroid-stimulating hormone (TSH)<\/p>\n

Question 5<\/p>\n

A 40-year-old male undergoes surgery for a PTH-secreting tumor in which the parathyroid is removed.<\/a>\u00a0Which of the following would the nurse expect following surgery?<\/p>\n

a. Increased serum calcium
\nb. Decreased bone formation
\nc. Decreased calcium reabsorption in the kidney
\nd. Increased calcitonin<\/p>\n

Question 6<\/p>\n

A 35-year-old female with Graves disease is admitted to a medical-surgical unit.<\/a>\u00a0While the nurse is reviewing the lab tests, which results would the nurse expect to find?<\/p>\n

a. High levels of circulating thyroid-stimulating antibodies
\nb. Ectopic secretion of thyroid-stimulating hormone (TSH)
\nc. Low circulating levels of thyroid hormones
\nd. Increased circulation of iodine<\/p>\n

Question 7<\/p>\n

A 12-year-old male is newly diagnosed with type 1 DM.<\/a>\u00a0Which of the following tests should the nurse prepare the patient to best confirm the diagnosis?<\/p>\n

a. Fasting plasma glucose levels
\nb. Random serum glucose levels
\nc. Genetic testing
\nd. Glycosylated hemoglobin measurements<\/p>\n

Question 8<\/p>\n

A 25-year-old male presents with fatigue, constipation, and sexual dysfunction.<\/a>\u00a0Tests reveal all pituitary hormones are normal and no masses are present.<\/a>The nurse suspects the most likely cause of his symptoms is a dysfunction in the:<\/p>\n

a. Anterior pituitary
\nb. Posterior pituitary
\nc. Pars intermedia
\nd. Pituitary stalk<\/p>\n

Question 9<\/p>\n

While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is _____ diabetes insipidus.<\/a><\/p>\n

a. Neurogenic
\nb. Nephrogenic
\nc. Psychogenic
\nd. Allogenic<\/p>\n

Question 10<\/p>\n

When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs.<\/a>\u00a0This is an example of a _____ effect by a hormone.<\/a><\/p>\n

a. Pharmacologic
\nb. Permissive
\nc. Biphasic
\nd. Direct<\/p>\n

Question 11<\/p>\n

Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations?<\/p>\n

a. Polyuria
\nb. Edema
\nc. Vomiting
\nd. Thirst<\/p>\n

Question 12<\/p>\n

An endocrinologist isolated a new hormone and found it to be a water-soluble amine.<\/a>\u00a0Which of the following is most like this new hormone?<\/p>\n

a. Growth hormone (GH)
\nb. Luteinizing hormone (LH)
\nc. Antidiuretic hormone (ADH)
\nd. Epinephrine<\/p>\n

Question 13<\/p>\n

A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH).<\/a>Which of the following electrolyte imbalances would be expected in this patient?<\/p>\n

a. Hyponatremia
\nb. Hyperkalemia
\nc. Hypernatremia
\nd. Hypokalemia<\/p>\n

Question 14<\/p>\n

A patient wants to know why ADH is important in the body.<\/a>What is the nurse\u2019s best response? ADH is important in:<\/p>\n

a. The body\u2019s water balance and urine concentration
\nb. Maintaining electrolyte levels and concentrations
\nc. Follicular maturation
\nd. Regulation of metabolic processes<\/p>\n

Question 15<\/p>\n

A 35-year-old female took corticosteroid therapy for several months.<\/a>\u00a0Which of the following would the nurse expect to find?<\/p>\n

a. Renal toxicity
\nb. Episodes of hypoglycemia
\nc. Hypotension
\nd. Type 2 DM<\/p>\n

Question 16<\/p>\n

If the patient has a problem with the pineal gland, which substance would the nurse monitor?<\/p>\n

a. Melatonin
\nb. Epinephrine
\nc. Cortisol
\nd. Somatostatin<\/p>\n

Question 17<\/p>\n

A 50-year-old male patient presents with polyuria and extreme thirst.<\/a>\u00a0He was given exogenous ADH.<\/a>\u00a0For which of the following conditions would this treatment be effective?<\/p>\n

a. Neurogenic diabetes insipidus
\nb. Psychogenic diabetes insipidus
\nc. Nephrogenic diabetes insipidus
\nd. SIADH<\/p>\n

Question 18<\/p>\n

While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually _____ with hypothyroidism.<\/a><\/p>\n

a. High
\nb. Low
\nc. Steady
\nd. Variable<\/p>\n

Question 19<\/p>\n

If a patient\u2019s posterior pituitary is removed, which hormone would the nurse expect to decrease?<\/p>\n

a. PRF
\nb. ADH
\nc. ACTH
\nd. GH<\/p>\n

Question 20<\/p>\n

An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion.<\/a>\u00a0How should the nurse respond?<\/p>\n

a. Autoimmune disease
\nb. Cancer
\nc. Pregnancy
\nd. Heart failure<\/p>\n

Question 21<\/p>\n

What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?<\/p>\n

a. Coma
\nb. Visual disturbances
\nc. Confused states
\nd. Breathing abnormalities<\/p>\n

Question 22<\/p>\n

A 50-year-old female presents with lightheadedness and overall abnormal feelings.<\/a>\u00a0Hyperaldosteronism is diagnosed.<\/a>\u00a0Which of the following symptoms would the nurse expect?<\/p>\n

a. Hypovolemia
\nb. Hypotension
\nc. Hypokalemia
\nd. Hyponatremia<\/p>\n

Question 23<\/p>\n

A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg\/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.<\/a>20 (low).<\/a>\u00a0Her parents state that she has been sick with the \u201cflu\u201d for a week.<\/a>\u00a0Which of the following statements best explains her acidotic state?<\/p>\n

a. Increased insulin levels promote protein breakdown and ketone formation.
\nb. Her uncontrolled diabetes has led to renal failure.
\nc. Low serum insulin promotes lipid storage and a corresponding release of ketones.
\nd. Insulin deficiency promotes lipid metabolism and ketone formation.<\/p>\n

Question 24<\/p>\n

A 25-year-old male presents to his primary care provider reporting changes in facial features.<\/a>\u00a0CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH).<\/a>\u00a0Which of the following would the nurse also expect to find?<\/p>\n

a. Decreased IGF-1
\nb. Hypotension
\nc. Sexual dysfunction
\nd. Height increases<\/p>\n

Question 25<\/p>\n

A nurse recalls insulin has an effect on which of the following groups of electrolytes?<\/p>\n

a. Sodium, chloride, phosphate
\nb. Calcium, magnesium, potassium
\nc. Hydrogen, bicarbonate, chloride
\nd. Potassium, magnesium, phosphate<\/p>\n

Question 26<\/p>\n

A 12-year-old female is newly diagnosed with type 1 DM.<\/a>\u00a0When the parents ask what causes this, what is the nurse\u2019s best response?<\/p>\n

a. A familial, autosomal dominant gene defect
\nb. Obesity and lack of exercise
\nc. Immune destruction of the pancreas
\nd. Hyperglycemia from eating too many sweets<\/p>\n

Question 27<\/p>\n

When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly caused by:<\/p>\n

a. Pituitary hyposecretion
\nb. Parathyroid adenoma
\nc. Parathyroid gland injury
\nd. Hypothalamic inactivity<\/p>\n

Question 28<\/p>\n

A 50-year-old male patient is deficient in ADH production.<\/a>Which of the following assessment findings would the nurse expect to find?<\/p>\n

a. Increased blood volume
\nb. Increased urine osmolality
\nc. Increased urine volume
\nd. Increased arterial vasoconstriction<\/p>\n

Question 29<\/p>\n

A 30-year-old male was diagnosed with hypothyroidism.<\/a>Synthesis of which of the following would decrease in this patient?<\/p>\n

a. Corticosteroid B globulin
\nb. Sex hormone-binding globulin
\nc. Thyroid-binding globulin
\nd. Albumin<\/p>\n

Question 30<\/p>\n

A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident.<\/a>\u00a0The injury has caused severe damage to the posterior pituitary.<\/a>\u00a0Which of the following complications should the nurse anticipate?<\/p>\n

a. Dilutional hyponatremia
\nb. Dehydration from polyuria
\nc. Cardiac arrest from hyperkalemia
\nd. Metabolic acidosis<\/p>\n

Question 31<\/p>\n

A patient has high levels of hormones.<\/a>\u00a0To adapt to the high hormone concentrations, the patient\u2019s target cells have the capacity for:<\/p>\n

a. Negative feedback
\nb. Positive feedback
\nc. Down-regulation
\nd. Up-regulation<\/p>\n

Question 32<\/p>\n

A 25-year-old female with Graves disease is admitted to a medical-surgical unit.<\/a>\u00a0Palpation of her neck would most likely reveal:<\/p>\n

a. A normal-sized thyroid
\nb. A small discrete thyroid nodule
\nc. Multiple discrete thyroid nodules
\nd. Diffuse thyroid enlargement<\/p>\n

Question 33<\/p>\n

A 30-year-old male presents to his primary care provider reporting visual disturbances.<\/a>\u00a0CT reveals a pituitary tumor and lab tests reveal elevated prolactin.<\/a>He is diagnosed with prolactinoma.<\/a>\u00a0Which of the following treatments would the nurse help implement?<\/p>\n

a. Dopaminergic agonists
\nb. Calcium
\nc. Insulin
\nd. Radiation<\/p>\n

Question 34<\/p>\n

A 3-year-old male was diagnosed with congenital hypothyroidism.<\/a>\u00a0The parents ask the nurse if left untreated what will happen.<\/a>What is the nurse\u2019s best response? If left untreated, the child would have:<\/p>\n

a. Mental retardation and stunted growth
\nb. Increased risk of childhood thyroid cancer
\nc. Hyperactivity and attention deficit disorder
\nd. Liver, kidney, and pancreas failure<\/p>\n

Question 35<\/p>\n

Visual disturbances are a common occurrence in patients with untreated Graves disease.<\/a>\u00a0The endocrinologist explains to the patient that the main cause of these complications is:<\/p>\n

a. Decreased blood flow to the eye
\nb. Orbital edema and protrusion of the eyeball
\nc. TSH neurotoxicity to retinal cells
\nd. Local lactic acidosis<\/p>\n<\/div>\n<\/div>\n<\/div>\n

<\/div>\n
<\/div>\n \n
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