Question 1

Which laboratory value should the nurse review to determine whether a patient's hypothyroidism is caused by a problem with the anterior pituitary gland or with the thyroid gland?

Accepted Answer

A)   Thyroxine (T?)  level
B)   Triiodothyronine (T?)  level
C)   Thyroid-stimulating hormone (TSH)  level
D)   Thyrotropin-releasing hormone (TRH)  level

Question 2

Which statements will the nurse include when teaching a patient who is scheduled for oral glucose tolerance testing in the outpatient clinic ?

Accepted Answer

A)   "You will need to avoid smoking before the test."
B)   "Exercise should be avoided until the testing is complete."
C)   "Several blood samples will be obtained during the testing."
D)   "You should follow a low-calorie diet the day before the test."
E)   "The test requires that you fast for at least 8 hours before testing."

Question 3

The nurse will teach a patient to plan to minimize physical and emotional stress while the patient is undergoing

Accepted Answer

A)   a water deprivation test.
B)   testing for serum T? and T? levels.
C)   a 24-hour urine test for free cortisol.
D)   a radioactive iodine (I-131)  uptake test.

Question 4

Which action by a new registered nurse (RN) caring for a patient with a goiter and possible hyperthyroidism indicates that the charge nurse needs to do more teaching?

Accepted Answer

A)   The RN checks the blood pressure on both arms.
B)   The RN palpates the neck thoroughly to check thyroid size.
C)   The RN lowers the thermostat to decrease the temperature in the room.
D)   The RN orders nonmedicated eye drops to lubricate the patient's bulging eyes.

Question 5

Which question will provide the most useful information to a nurse who is interviewing a patient about a possible thyroid disorder?

Accepted Answer

A)   "What methods do you use to help cope with stress?"
B)   "Have you experienced any blurring or double vision?"
C)   "Have you had a recent unplanned weight gain or loss?"
D)   "Do you have to get up at night to empty your bladder?"

Question 6

The nurse is caring for a 45-year-old male patient during a water deprivation test.Which finding is most important for the nurse to communicate to the health care provider?

Accepted Answer

A)   The patient complains of intense thirst.
B)   The patient has a 5-lb (2.3 kg)  weight loss.
C)   The patient's urine osmolality does not increase.
D)   The patient feels dizzy when sitting on the edge of the bed.

Question 7

A 35-year-old female patient with a possible pituitary adenoma is scheduled for a computed tomography (CT) scan with contrast media.Which patient information is most important for the nurse to communicate to the health care provider before the test?

Accepted Answer

A)   Bilateral poor peripheral vision
B)   Allergies to iodine and shellfish
C)   Recent weight loss of 20 pounds
D)   Complaint of ongoing headaches

Question 8

A 61-year-old female patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL (3.3 mmol/L) .The nurse will anticipate the need to teach the patient about testing for _____ levels.

Accepted Answer

A)   calcitonin
B)   catecholamine
C)   thyroid hormone
D)   parathyroid hormone

Question 9

A 29-year-old patient in the outpatient clinic will be scheduled for blood cortisol testing.Which instruction will the nurse provide?

Accepted Answer

A)   "Avoid adding any salt to your foods for 24 hours before the test."
B)   "You will need to lie down for 30 minutes before the blood is drawn."
C)   "Come to the laboratory to have the blood drawn early in the morning."
D)   "Do not have anything to eat or drink before the blood test is obtained."

Question 10

A 44-year-old patient is admitted with tetany.Which laboratory value should the nurse monitor?

Accepted Answer

A)   Total protein
B)   Blood glucose
C)   Ionized calcium
D)   Serum phosphate C

Question 11

During the physical examination of a 36-year-old female,the nurse finds that the patient's thyroid gland cannot be palpated.The most appropriate action by the nurse is to

Accepted Answer

A)   palpate the patient's neck more deeply.
B)   document that the thyroid was nonpalpable.
C)   notify the health care provider immediately.
D)   teach the patient about thyroid hormone testing.

Question 12

Which statement by a 50-year-old female patient indicates to the nurse that further assessment of thyroid function may be necessary?

Accepted Answer

A)   "I notice my breasts are tender lately."
B)   "I am so thirsty that I drink all day long."
C)   "I get up several times at night to urinate."
D)   "I feel a lump in my throat when I swallow."

Question 13

A 40-year-old male patient has been newly diagnosed with type 2 diabetes mellitus.Which information about the patient will be most useful to the nurse who is helping the patient develop strategies for successful adaptation to this disease?

Accepted Answer

A)   Ideal weight
B)   Value system
C)   Activity level
D)   Visual changes

Question 14

A 22-year-old patient is being seen in the clinic with increased secretion of the anterior pituitary hormones.The nurse would expect the laboratory results to show

Accepted Answer

A)   increased urinary cortisol.
B)   decreased serum thyroxine.
C)   elevated serum aldosterone levels.
D)   low urinary catecholamines excretion.

Question 15

A nurse will teach a patient who is scheduled to complete a 24-hour urine collection for 17-ketosteroids to

Accepted Answer

A)   insert and maintain a retention catheter.
B)   keep the specimen refrigerated or on ice.
C)   drink at least 3 L of fluid during the 24 hours.
D)   void and save that specimen to start the collection.

Question 16

Which information about a 30-year-old patient who is scheduled for an oral glucose tolerance test should be reported to the health care provider before starting the test?

Accepted Answer

A)   The patient reports having occasional orthostatic dizziness.
B)   The patient takes oral corticosteroids for rheumatoid arthritis.
C)   The patient has had a 10-pound weight gain in the last month.
D)   The patient drank several glasses of water an hour previously. B

Question 17

Which additional information will the nurse need to consider when reviewing the laboratory results for a patient's total calcium level?

Accepted Answer

A)   The blood glucose is elevated.
B)   The phosphate level is normal.
C)   The serum albumin level is low.
D)   The magnesium level is normal.

Question 18

A 30-year-old patient seen in the emergency department for severe headache and acute confusion is found to have a serum sodium level of 118 mEq/L.The nurse will anticipate the need for which diagnostic test?

Accepted Answer

A)   Urinary 17-ketosteroids
B)   Antidiuretic hormone level
C)   Growth hormone stimulation test
D)   Adrenocorticotropic hormone level

Question 19

A 60-year-old patient is taking spironolactone (Aldactone) ,a drug that blocks the action of aldosterone on the kidney,for hypertension.The nurse will monitor for

Accepted Answer

A)   increased serum sodium.
B)   decreased urinary output.
C)   elevated serum potassium.
D)   evidence of fluid overload.

Question 20

An 18-year-old male patient with a small stature is scheduled for a growth hormone stimulation test.In preparation for the test,the nurse will obtain

Accepted Answer

A)   ice in a basin.
B)   glargine insulin.
C)   a cardiac monitor.
D)   50% dextrose solution. D

Exam 48: Nursing Assessment: Endocrine System

Which laboratory value should the nurse review to determine whether a patient's hypothyroidism is caused by a problem with the anterior pituitary gland or with the thyroid gland?

Correct AnswerverifiedShow Answer

Which statements will the nurse include when teaching a patient who is scheduled for oral glucose tolerance testing in the outpatient clinic ?

Correct AnswerverifiedShow Answer

The nurse will teach a patient to plan to minimize physical and emotional stress while the patient is undergoing

Correct AnswerverifiedShow Answer

Which action by a new registered nurse (RN) caring for a patient with a goiter and possible hyperthyroidism indicates that the charge nurse needs to do more teaching?

Correct AnswerverifiedShow Answer

Which question will provide the most useful information to a nurse who is interviewing a patient about a possible thyroid disorder?

Correct AnswerverifiedShow Answer

The nurse is caring for a 45-year-old male patient during a water deprivation test.Which finding is most important for the nurse to communicate to the health care provider?

Correct AnswerverifiedShow Answer

A 35-year-old female patient with a possible pituitary adenoma is scheduled for a computed tomography (CT) scan with contrast media.Which patient information is most important for the nurse to communicate to the health care provider before the test?

Correct AnswerverifiedShow Answer

A 61-year-old female patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL (3.3 mmol/L) .The nurse will anticipate the need to teach the patient about testing for _____ levels.

Correct AnswerverifiedShow Answer

A 29-year-old patient in the outpatient clinic will be scheduled for blood cortisol testing.Which instruction will the nurse provide?

Correct AnswerverifiedShow Answer

A 44-year-old patient is admitted with tetany.Which laboratory value should the nurse monitor?

Correct AnswerverifiedC

During the physical examination of a 36-year-old female,the nurse finds that the patient's thyroid gland cannot be palpated.The most appropriate action by the nurse is to

Correct AnswerverifiedShow Answer

Which statement by a 50-year-old female patient indicates to the nurse that further assessment of thyroid function may be necessary?

Correct AnswerverifiedShow Answer

A 40-year-old male patient has been newly diagnosed with type 2 diabetes mellitus.Which information about the patient will be most useful to the nurse who is helping the patient develop strategies for successful adaptation to this disease?

Correct AnswerverifiedShow Answer

A 22-year-old patient is being seen in the clinic with increased secretion of the anterior pituitary hormones.The nurse would expect the laboratory results to show

Correct AnswerverifiedShow Answer

A nurse will teach a patient who is scheduled to complete a 24-hour urine collection for 17-ketosteroids to

Correct AnswerverifiedShow Answer

Which information about a 30-year-old patient who is scheduled for an oral glucose tolerance test should be reported to the health care provider before starting the test?

Correct AnswerverifiedB

Which additional information will the nurse need to consider when reviewing the laboratory results for a patient's total calcium level?

Correct AnswerverifiedShow Answer

A 30-year-old patient seen in the emergency department for severe headache and acute confusion is found to have a serum sodium level of 118 mEq/L.The nurse will anticipate the need for which diagnostic test?

Correct AnswerverifiedShow Answer

A 60-year-old patient is taking spironolactone (Aldactone) ,a drug that blocks the action of aldosterone on the kidney,for hypertension.The nurse will monitor for

Correct AnswerverifiedShow Answer

An 18-year-old male patient with a small stature is scheduled for a growth hormone stimulation test.In preparation for the test,the nurse will obtain

Correct AnswerverifiedD

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C

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B

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D