Question 1

A patient is scheduled for an ACTH stimulation test as part of endocrine evaluation. What information should the nurse provide as preparation for this test?

Accepted Answer

A)   "At least two blood samples will be drawn."
B)   "Wear comfortable clothing and supportive shoes for this exam."
C)   "You will be asked to swallow some medication during X-ray examination."
D)   "You should not drive for at least 12 hours after this exam."

Question 2

During an endocrine assessment, the nurse asks specific questions about the patient's employment. What rationale would the nurse provide for this line of questioning?

Accepted Answer

A)   Occupational exposure to some toxic chemicals may be implicated in the development of endocrine disorders.
B)   People in occupations that require sitting for long periods are at higher risk for endocrine disorders.
C)   People who are exposed to environmental tobacco smoke are at high risk for development of thyroid disorders.
D)   People working in occupations requiring lifting are at higher risk for development of adrenal disorders.

Question 3

Which example would help the nurse explain hormone regulation directed by circadian rhythm?

Accepted Answer

A)   The regulation of the female menstrual cycle
B)   The release of cortisol to peak in the early morning
C)   The stimulation of insulin production by an increased level of glucose
D)   The increased production of luteinizing hormone (LH)  during the menstrual cycle

Question 4

The nurse understands that an alteration in growth hormone can lead to changes in an individual's physical stature. Which finding would cause the nurse to assess for high levels of growth hormone?

Accepted Answer

A)   Acromegaly
B)   Dwarfism
C)   Hirsutism
D)   Gynecomastia

Question 5

A patient with hormone imbalance is demonstrating symptoms of dehydration and excessive urination. The nurse realizes that which hormone is most directly associated with these symptoms?

Accepted Answer

A)   Antidiuretic hormone (ADH) 
B)   Adrenocorticotropic hormone (ACTH) 
C)   Follicle stimulating hormone (FSH) 
D)   Thyroid-stimulating hormone (TSH)

Question 6

A patient is diagnosed with secondary hypothyroidism. The nurse would expect which laboratory test result?

Accepted Answer

A)   Low triiodothyronine level
B)   Low thyroid-stimulating hormone (TSH)  level
C)   Low thyroxine level
D)   Low thyrotropin-releasing hormone level

Question 7

The patient is scheduled for an MRI using gadolinium contract medium. The nurse would teach the patient that which mild reactions are considered common and can be expected?. Select all that apply.

Accepted Answer

A)   Headache
B)   Nausea
C)   Dizziness
D)   Swelling of the lips
E)   Dyspnea

Question 8

Which information should the nurse provide for a patient scheduled for an MRI procedure as part of endocrine assessment?. Select all that apply.

Accepted Answer

A)   "You will need to take out your earrings when you get in the MRI suite."
B)   "I will remove your transdermal medication patch before you go to the MRI suite."
C)   "Be certain to report any permanent cosmetic or other tattoos to the MRI technologist before you enter the MRI suite."
D)   "I will help you remove your dentures before you go to the MRI suite."
E)   "We will tape over the top of your wedding ring so that you can wear it during the procedure."

Question 9

When caring for a patient diagnosed with Graves' disease, the nurse recognizes the importance of regular monitoring of which laboratory results?

Accepted Answer

A)   Calcium level
B)   Cortisol level
C)   Thyroxine (T4) 
D)   Urine-specific gravity

Question 10

A patient is hospitalized following trauma to the neck that affected the thyroid gland. The nurse would monitor for changes in which hormone levels?. Select all that apply.

Accepted Answer

A)   Androgens
B)   Calcitonin
C)   Triiodothyronine
D)   Thyroxine
E)   Thyomamine

Question 11

The nurse is collecting patient history information as part of the initial clinic visit. Which patient statements would the nurse note as indicating a possible endocrine disorder?. Select all that apply.

Accepted Answer

A)   "I am tired all the time, but I have trouble sleeping at night."
B)   "I have gained 20 pounds since I retired."
C)   "I haven't found very many gray hairs yet."
D)   "My appetite has not been very good recently."
E)   "I have burning when I urinate." A,B,D

Question 12

The nurse is conducting a health history interview with a female patient. To best assess the patient's endocrine system, the nurse asks which question?

Accepted Answer

A)   "Is there a history of cancer in your family?"
B)   "Is your menstrual cycle regular, every 28 days?"
C)   "Have you ever experienced difficulty breathing?"
D)   "Do you have problems with indigestion?" B

Question 13

A patient is scheduled for MRI with gadolinium contrast. The nurse should review the medical record for which essential baseline test?

Accepted Answer

A)   Kidney function
B)   Chest X-ray
C)   CBC with differential
D)   Presence of pedal pulses A

Question 14

A patient presents to the emergency department with reports of suddenly feeling exhausted. The patient reports loss of appetite, inability to sleep, and weight gain of 5 pounds over the last week. Which finding would the nurse evaluate as being least suggestive of an endocrine disorder?

Accepted Answer

A)   Weight gain
B)   Inability to sleep.
C)   Sudden exhaustion
D)   Loss of appetite

Question 15

The nurse is preparing to conduct physical assessment of a patient's endocrine system. The nurse will include palpation of which glands in this assessment?. Select all that apply.

Accepted Answer

A)   Adrenal
B)   Pancreas
C)   Thyroid
D)   Pituitary
E)   Ovaries

Question 16

During an assessment, the nurse notes that the patient's eyes are extremely wide open and bulging. The nurse would conduct additional assessment for which endocrine disorder?

Accepted Answer

A)   Hyperthyroidism
B)   Diabetes mellitus
C)   Hypofunction of the adrenal glands
D)   Hypofunction of the anterior pituitary gland

Question 17

The nurse performing an assessment of a patient's endocrine system expects to address the structure and function of which glands?. Select all that apply.

Accepted Answer

A)   Lacrimal glands
B)   Gonads
C)   Salivary glands
D)   Hypothalamus
E)   Thyroid gland

Question 18

An older adult female has been given instructions concerning an endocrine assessment the nurse will be conducting. Which statement by the patient would indicate that further instruction is necessary?

Accepted Answer

A)   "Because I am already past menopause, there will be no need for a breast exam in this assessment."
B)   "The nurse will look at my skin, nails, and hair."
C)   "I'll be sure to let the nurse know that diabetes runs in my family."
D)   "The nurse will palpate my throat in the front."

Question 19

A patient with several adult-onset endocrine disorders is concerned that his children may develop similar problems as they grow older. Which information should the nurse provide?. Select all that apply.

Accepted Answer

A)   "Endocrine disorders are not known to be genetically transmitted."
B)   "The tendency toward development of some endocrine disorders seems to cluster in families."
C)   "It is too late to worry about that now, so we just need to be certain your children are well taken care of as adults."
D)   "The current thinking is that it takes both a genetic tendency and environmental influences to cause some endocrine disorders."
E)   "Some of these disorders seem to be autoimmune in nature, so genetics is not a factor."

Question 20

A patient is diagnosed with a disorder of autocrine regulation. Which explanation of this condition would the nurse provide to the patient and family?

Accepted Answer

A)   "The cells that produce some of your body's hormones are not recognizing that sufficient hormone is present."
B)   "Your blood is not circulating hormones well enough to get them to the places they need to be in your body."
C)   "Some of your hormones are not able to travel to their neighboring cells to do their work."
D)   "Your nervous system is not working with your endocrine system correctly."

Exam 45: Nursing Assessment of the Patient Endocrine Disorders

A patient is scheduled for an ACTH stimulation test as part of endocrine evaluation. What information should the nurse provide as preparation for this test?

Correct AnswerverifiedShow Answer

During an endocrine assessment, the nurse asks specific questions about the patient's employment. What rationale would the nurse provide for this line of questioning?

Correct AnswerverifiedShow Answer

Which example would help the nurse explain hormone regulation directed by circadian rhythm?

Correct AnswerverifiedShow Answer

The nurse understands that an alteration in growth hormone can lead to changes in an individual's physical stature. Which finding would cause the nurse to assess for high levels of growth hormone?

Correct AnswerverifiedShow Answer

A patient with hormone imbalance is demonstrating symptoms of dehydration and excessive urination. The nurse realizes that which hormone is most directly associated with these symptoms?

Correct AnswerverifiedShow Answer

A patient is diagnosed with secondary hypothyroidism. The nurse would expect which laboratory test result?

Correct AnswerverifiedShow Answer

The patient is scheduled for an MRI using gadolinium contract medium. The nurse would teach the patient that which mild reactions are considered common and can be expected?. Select all that apply.

Correct AnswerverifiedShow Answer

Which information should the nurse provide for a patient scheduled for an MRI procedure as part of endocrine assessment?. Select all that apply.

Correct AnswerverifiedShow Answer

When caring for a patient diagnosed with Graves' disease, the nurse recognizes the importance of regular monitoring of which laboratory results?

Correct AnswerverifiedShow Answer

A patient is hospitalized following trauma to the neck that affected the thyroid gland. The nurse would monitor for changes in which hormone levels?. Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is collecting patient history information as part of the initial clinic visit. Which patient statements would the nurse note as indicating a possible endocrine disorder?. Select all that apply.

Correct AnswerverifiedA,B,D

The nurse is conducting a health history interview with a female patient. To best assess the patient's endocrine system, the nurse asks which question?

Correct AnswerverifiedB

A patient is scheduled for MRI with gadolinium contrast. The nurse should review the medical record for which essential baseline test?

Correct AnswerverifiedA

A patient presents to the emergency department with reports of suddenly feeling exhausted. The patient reports loss of appetite, inability to sleep, and weight gain of 5 pounds over the last week. Which finding would the nurse evaluate as being least suggestive of an endocrine disorder?

Correct AnswerverifiedShow Answer

The nurse is preparing to conduct physical assessment of a patient's endocrine system. The nurse will include palpation of which glands in this assessment?. Select all that apply.

Correct AnswerverifiedShow Answer

During an assessment, the nurse notes that the patient's eyes are extremely wide open and bulging. The nurse would conduct additional assessment for which endocrine disorder?

Correct AnswerverifiedShow Answer

The nurse performing an assessment of a patient's endocrine system expects to address the structure and function of which glands?. Select all that apply.

Correct AnswerverifiedShow Answer

An older adult female has been given instructions concerning an endocrine assessment the nurse will be conducting. Which statement by the patient would indicate that further instruction is necessary?

Correct AnswerverifiedShow Answer

A patient with several adult-onset endocrine disorders is concerned that his children may develop similar problems as they grow older. Which information should the nurse provide?. Select all that apply.

Correct AnswerverifiedShow Answer

A patient is diagnosed with a disorder of autocrine regulation. Which explanation of this condition would the nurse provide to the patient and family?

Correct AnswerverifiedShow Answer

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A,B,D

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A

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