Question 1

Following thyroid surgery, a patient develops hypercalcemia. The nurse would suspect which etiology?

Accepted Answer

A)   Damage to the part of the thyroid that produces T3 hormone
B)   Stimulation of the area of the thyroid that produces antidiuretic hormone
C)   Damage to parathyroid tissues
D)   Decrease in the amount of available thyroid-stimulating hormone

Question 2

A 70-year-old woman comes to the emergency department with a history of confusion and increasing depression over the last week. Auscultation of the heart and lungs reveals fine crackles and an S3 heart sound. Among other possible etiologies, the nurse considers which endocrine disorder?

Accepted Answer

A)   Hypothyroidism
B)   Graves' disease
C)   Diabetes mellitus
D)   Deficiency of luteinizing hormone

Question 3

A patient reports to the clinic with complaints of nervousness, weight changes, and a general feeling of ill health. History reveals that the patient recently took a demanding new job that requires frequent air travel across the country. The nurse recognizes which risk factors for endocrine disturbance?. Select all that apply.

Accepted Answer

A)   Probable exposure to unfamiliar infection pathogens
B)   Psychological stress from the new job
C)   Physiological stress of travel
D)   Disruption of circadian rhythms
E)   Ingestion of unfamiliar foods and beverages

Question 4

A patient is scheduled for a thyroid scan. The nurse should specifically ask the patient about possible allergy to which substance?

Accepted Answer

A)   Penicillin
B)   Iodine
C)   Citrus fruit
D)   Sulfa drugs

Question 5

During an endocrine assessment, the nurse notes that the patient's heart rate is sustained at 160 beats per minute. The patient reports nervousness but has no loss of consciousness or reduced mentation. What nursing intervention is priority?

Accepted Answer

A)   Ask how long the patient's heart has been beating so fast.
B)   Note the findings in the patient's medical record.
C)   Notify the health care provider immediately.
D)   Have the patient ambulate around the room and reassess.

Question 6

The nurse is preparing to discuss the importance of neuroendrocrine regulation with a group of nurses who work in the endocrine clinic. The nurse will explain that this type of regulation facilitates which essential abilities?. Select all that apply.

Accepted Answer

A)   Ability to think critically
B)   Ability to reason
C)   Ability to reproduce
D)   Ability to adapt to external changes
E)   Ability to grow physically

Question 7

A patient has had surgery to remove a tumor of the anterior pituitary. The nurse plans to assess for dysfunction associated with decreased levels of which hormones?. Select all that apply.

Accepted Answer

A)   Adrenocorticotropic hormone (ACTH) 
B)   Thyroid-stimulating hormone (TSH) 
C)   Gonadotropic hormones
D)   Antidiuretic hormone
E)   Somatostatin

Question 8

A patient with assessment findings suggesting acromegaly is scheduled for a growth hormone suppression test. The nurse would prepare the patient for this test with which information?. Select all that apply.

Accepted Answer

A)   "Several blood samples will be drawn for this test."
B)   "You will be asked to drink a solution of glucose."
C)   "You will be asked to assume several positions as X-rays are taken."
D)   "Contrast media that includes iodine will be administered intravenously."
E)   "Your urine will be collected for 24 hours."

Question 9

The nurse is conducting an endocrine assessment on a patient with cognitive impairment. Which nursing action is indicated?

Accepted Answer

A)   Defer palpation of the thyroid.
B)   Perform the palpation from in front of the patient.
C)   Use standard palpation technique from behind the patient.
D)   Have the caretaker hold the patient's head still during the exam.

Question 10

A patient has not eaten in 12 hours, and the blood sugar is low. The patient's endocrine system has suppressed the production of insulin. Which form of endocrine communication does this condition represent?

Accepted Answer

A)   Positive feedback
B)   Unregulated response
C)   Free steroidal influence
D)   Negative feedback

Exam 45: Nursing Assessment of the Patient Endocrine Disorders

A 70-year-old woman comes to the emergency department with a history of confusion and increasing depression over the last week. Auscultation of the heart and lungs reveals fine crackles and an S3 heart sound. Among other possible etiologies, the nurse considers which endocrine disorder?

Correct Answer
verified

A patient is scheduled for a thyroid scan. The nurse should specifically ask the patient about possible allergy to which substance?

Correct Answer
verified

A patient has had surgery to remove a tumor of the anterior pituitary. The nurse plans to assess for dysfunction associated with decreased levels of which hormones?. Select all that apply.

Correct Answer
verified

Following thyroid surgery, a patient develops hypercalcemia. The nurse would suspect which etiology?

Correct Answer
verified

A patient has not eaten in 12 hours, and the blood sugar is low. The patient's endocrine system has suppressed the production of insulin. Which form of endocrine communication does this condition represent?

Correct Answer
verified

The nurse is preparing to discuss the importance of neuroendrocrine regulation with a group of nurses who work in the endocrine clinic. The nurse will explain that this type of regulation facilitates which essential abilities?. Select all that apply.

Correct Answer
verified

During an endocrine assessment, the nurse notes that the patient's heart rate is sustained at 160 beats per minute. The patient reports nervousness but has no loss of consciousness or reduced mentation. What nursing intervention is priority?

Correct Answer
verified

The nurse is conducting an endocrine assessment on a patient with cognitive impairment. Which nursing action is indicated?

Correct Answer
verified

A patient with assessment findings suggesting acromegaly is scheduled for a growth hormone suppression test. The nurse would prepare the patient for this test with which information?. Select all that apply.

Correct Answer
verified

Correct Answer
verified

Exam 45: Nursing Assessment of the Patient Endocrine Disorders

A 70-year-old woman comes to the emergency department with a history of confusion and increasing depression over the last week. Auscultation of the heart and lungs reveals fine crackles and an S3 heart sound. Among other possible etiologies, the nurse considers which endocrine disorder?

Correct AnswerverifiedShow Answer

A patient is scheduled for a thyroid scan. The nurse should specifically ask the patient about possible allergy to which substance?

Correct AnswerverifiedShow Answer

A patient has had surgery to remove a tumor of the anterior pituitary. The nurse plans to assess for dysfunction associated with decreased levels of which hormones?. Select all that apply.

Correct AnswerverifiedShow Answer

Following thyroid surgery, a patient develops hypercalcemia. The nurse would suspect which etiology?

Correct AnswerverifiedShow Answer

A patient has not eaten in 12 hours, and the blood sugar is low. The patient's endocrine system has suppressed the production of insulin. Which form of endocrine communication does this condition represent?

Correct AnswerverifiedShow Answer

The nurse is preparing to discuss the importance of neuroendrocrine regulation with a group of nurses who work in the endocrine clinic. The nurse will explain that this type of regulation facilitates which essential abilities?. Select all that apply.

Correct AnswerverifiedShow Answer

During an endocrine assessment, the nurse notes that the patient's heart rate is sustained at 160 beats per minute. The patient reports nervousness but has no loss of consciousness or reduced mentation. What nursing intervention is priority?

Correct AnswerverifiedShow Answer

The nurse is conducting an endocrine assessment on a patient with cognitive impairment. Which nursing action is indicated?

Correct AnswerverifiedShow Answer

A patient with assessment findings suggesting acromegaly is scheduled for a growth hormone suppression test. The nurse would prepare the patient for this test with which information?. Select all that apply.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified