Question 1

Which of the following is an age-related change affecting the endocrine system?

Accepted Answer

A)   Increase in TSH secretion
B)   Decreased parathyroid secretion
C)   Increased glucose intolerance
D)   Decreased secretion of norepinephrine

Question 2

A patient is scheduled for a 24-hour urine collection for 17-ketosteroids.The nurse will plan to do which of the following?

Accepted Answer

A)   Insert a retention catheter.
B)   Keep the specimen on ice.
C)   Have the patient void and save that specimen to start the collection.
D)   Encourage the patient to drink 2 to 3 L of fluid during the 24 hours. B

Question 3

Which hormone is an example of positive feedback in the regulation of hormonal secretion?

Accepted Answer

A)   Insulin
B)   Oxytocin
C)   Thyroid-stimulating hormone (TSH) 
D)   Thyroid-releasing hormone

Question 4

Which of the following factors stimulates the secretion of insulin?

Accepted Answer

A)   Decreased glucose levels
B)   Increased somatostatin levels
C)   Decreased amino acid levels
D)   Increased vagal stimulation

Question 5

A patient is scheduled for a growth hormone (GH) stimulation test.In preparation for the test,which of the following will the nurse obtain?

Accepted Answer

A)   Vial of 50% dextrose solution
B)   Vial of glargine insulin
C)   Cardiac monitor
D)   Basin of ice

Question 6

Which action taken by a nursing student when caring for a patient with thyroiditis and a goitre requires that the supervising nurse intervene immediately?

Accepted Answer

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

Question 7

When evaluating the laboratory findings of a patient with increased secretion of the anterior pituitary hormones,what would the nurse expect to find?

Accepted Answer

A)   Increased urinary free cortisol
B)   Decreased serum thyroxine (T4) levels
C)   Low urinary excretion of catecholamines
D)   Increased serum aldosterone levels

Question 8

A patient has a total serum calcium level of 3.3 mmol/L (13.3 mg/dL;6.7 mEq/L) .The nurse understands that this level of calcium normally does which of the following?

Accepted Answer

A)   Indicates hypothyroidism
B)   Stimulates the secretion of calcitonin
C)   Occurs when the parathyroid gland is surgically removed
D)   Can be caused by oversecretion of calcitonin from the thyroid gland

Question 9

Use of nursing interventions to decrease the patient's physical and emotional stress is most important when the patient is undergoing which of the following tests?

Accepted Answer

A)   A water deprivation test
B)   Testing for serum T3 and T4 levels
C)   A 24-hour urine test for free cortisol
D)   A radioactive iodine uptake test

Question 10

When working with a patient who has diabetes mellitus,the nurse uses the results of testing for glycosylated hemoglobin to evaluate which of the following?

Accepted Answer

A)   Glucose levels 2 hours after a meal
B)   Glucose control over the past 3 months
C)   Circulating,nonfasting glucose levels
D)   Episodes of hypoglycemia in the past 2 months B

Question 11

The physician has ordered a serum cortisol level to rule out adrenal dysfunction in a patient who is a night security guard who works from 2300 hours to 0700 hours and normally sleeps from 0800 hours to 1600 hours.To ensure the most reliable test results,when does the nurse arrange the blood specimen to be drawn?

Accepted Answer

A)   At 0300 hours
B)   At 2300 hours
C)   In the early morning
D)   In the late afternoon

Question 12

When caring for a patient having a water deprivation test,which assessment obtained by the nurse will be of greatest concern?

Accepted Answer

A)   The patient complains of intense thirst.
B)   The patient has experienced a 2.5-kg weight loss.
C)   The patient feels dizzy when sitting up on the edge of the bed.
D)   The patient's urine osmolality does not change after antidiuretic hormone is given.

Question 13

When the nurse is describing the effects of insulin on the body to a patient newly diagnosed with diabetes mellitus,which of the following is the best explanation?

Accepted Answer

A)   "Insulin promotes the breakdown of fatty tissue into triglycerides,which can be used for energy."
B)   "When proteins are taken into the body,insulin promotes their breakdown and conversion to fats."
C)   "Insulin stimulates the conversion of stored sugars into blood glucose and the conversion of proteins into glucose."
D)   "When carbohydrates,fats,and proteins are eaten,insulin promotes cellular transport and storage of all these nutrients."

Question 14

What is the most common type of feedback system in the regulation of hormones?

Accepted Answer

A)   Negative
B)   Positive
C)   Complex
D)   Chemical

Question 15

When obtaining the health history,which of the following statements by a patient indicates that the nurse should assess further for a possible problem with the thyroid gland?

Accepted Answer

A)   "I have noticed difficulty in swallowing."
B)   "I get up several times at night to urinate."
C)   "I have noticed my breasts are tender lately."
D)   "I drink about 6 L of water a day."

Question 16

To confirm the diagnosis of reactive hypoglycemia in a patient experiencing symptoms of the disorder,the nurse would expect the patient to be scheduled for which of the following tests?

Accepted Answer

A)   Fasting blood glucose test
B)   2-hour glucose tolerance test
C)   5-hour glucose tolerance test
D)   24-hour urine test for glucose and ketones

Question 17

During a patient assessment,which of the following is a question the nurse can ask that addresses thyroid function?

Accepted Answer

A)   "Do you have to get up at night to urinate?"
B)   "Have you experienced any blurring or double vision?"
C)   "Do you experience fatigue even if you have slept a long time?"
D)   "Can you describe the amount of stress you have at home and work?" C

Question 18

During a physical examination,the nurse finds that a patient's thyroid gland cannot be palpated.What does the nurse interpret this finding as?

Accepted Answer

A)   A normal finding
B)   Evidence of an atrophied thyroid gland
C)   Insignificant in a patient with elevated triiodothyronine (T3) and T4 levels
D)   Abnormal,and confirmation of the finding by another experienced health care provider is necessary

Question 19

Which of the following is a common characteristic of most hormones?

Accepted Answer

A)   Secretion at unpredictable rates
B)   Circulation through the blood
C)   Binding to receptors only on the cell membrane
D)   Binding only to receptors within the cell

Exam 50: Nursing Assessment: Endocrine System

Which of the following is an age-related change affecting the endocrine system?

Correct Answer
verified

A patient is scheduled for a 24-hour urine collection for 17-ketosteroids.The nurse will plan to do which of the following?

Correct Answer
verified
B

Which hormone is an example of positive feedback in the regulation of hormonal secretion?

Correct Answer
verified

Which of the following factors stimulates the secretion of insulin?

Correct Answer
verified

A patient is scheduled for a growth hormone (GH) stimulation test.In preparation for the test,which of the following will the nurse obtain?

Correct Answer
verified

Which action taken by a nursing student when caring for a patient with thyroiditis and a goitre requires that the supervising nurse intervene immediately?

Correct Answer
verified

When evaluating the laboratory findings of a patient with increased secretion of the anterior pituitary hormones,what would the nurse expect to find?

Correct Answer
verified

A patient has a total serum calcium level of 3.3 mmol/L (13.3 mg/dL;6.7 mEq/L) .The nurse understands that this level of calcium normally does which of the following?

Correct Answer
verified

Use of nursing interventions to decrease the patient's physical and emotional stress is most important when the patient is undergoing which of the following tests?

Correct Answer
verified

When working with a patient who has diabetes mellitus,the nurse uses the results of testing for glycosylated hemoglobin to evaluate which of the following?

Correct Answer
verified
B

Correct Answer
verified

When caring for a patient having a water deprivation test,which assessment obtained by the nurse will be of greatest concern?

Correct Answer
verified

When the nurse is describing the effects of insulin on the body to a patient newly diagnosed with diabetes mellitus,which of the following is the best explanation?

Correct Answer
verified

What is the most common type of feedback system in the regulation of hormones?

Correct Answer
verified

When obtaining the health history,which of the following statements by a patient indicates that the nurse should assess further for a possible problem with the thyroid gland?

Correct Answer
verified

To confirm the diagnosis of reactive hypoglycemia in a patient experiencing symptoms of the disorder,the nurse would expect the patient to be scheduled for which of the following tests?

Correct Answer
verified

During a patient assessment,which of the following is a question the nurse can ask that addresses thyroid function?

Correct Answer
verified
C

During a physical examination,the nurse finds that a patient's thyroid gland cannot be palpated.What does the nurse interpret this finding as?

Correct Answer
verified

Which of the following is a common characteristic of most hormones?

Correct Answer
verified

Exam 50: Nursing Assessment: Endocrine System

Which of the following is an age-related change affecting the endocrine system?

Correct AnswerverifiedShow Answer

A patient is scheduled for a 24-hour urine collection for 17-ketosteroids.The nurse will plan to do which of the following?

Correct AnswerverifiedB

Which hormone is an example of positive feedback in the regulation of hormonal secretion?

Correct AnswerverifiedShow Answer

Which of the following factors stimulates the secretion of insulin?

Correct AnswerverifiedShow Answer

A patient is scheduled for a growth hormone (GH) stimulation test.In preparation for the test,which of the following will the nurse obtain?

Correct AnswerverifiedShow Answer

Which action taken by a nursing student when caring for a patient with thyroiditis and a goitre requires that the supervising nurse intervene immediately?

Correct AnswerverifiedShow Answer

When evaluating the laboratory findings of a patient with increased secretion of the anterior pituitary hormones,what would the nurse expect to find?

Correct AnswerverifiedShow Answer

A patient has a total serum calcium level of 3.3 mmol/L (13.3 mg/dL;6.7 mEq/L) .The nurse understands that this level of calcium normally does which of the following?

Correct AnswerverifiedShow Answer

Use of nursing interventions to decrease the patient's physical and emotional stress is most important when the patient is undergoing which of the following tests?

Correct AnswerverifiedShow Answer

When working with a patient who has diabetes mellitus,the nurse uses the results of testing for glycosylated hemoglobin to evaluate which of the following?

Correct AnswerverifiedB

Correct AnswerverifiedShow Answer

When caring for a patient having a water deprivation test,which assessment obtained by the nurse will be of greatest concern?

Correct AnswerverifiedShow Answer

When the nurse is describing the effects of insulin on the body to a patient newly diagnosed with diabetes mellitus,which of the following is the best explanation?

Correct AnswerverifiedShow Answer

What is the most common type of feedback system in the regulation of hormones?

Correct AnswerverifiedShow Answer

When obtaining the health history,which of the following statements by a patient indicates that the nurse should assess further for a possible problem with the thyroid gland?

Correct AnswerverifiedShow Answer

To confirm the diagnosis of reactive hypoglycemia in a patient experiencing symptoms of the disorder,the nurse would expect the patient to be scheduled for which of the following tests?

Correct AnswerverifiedShow Answer

During a patient assessment,which of the following is a question the nurse can ask that addresses thyroid function?

Correct AnswerverifiedC

During a physical examination,the nurse finds that a patient's thyroid gland cannot be palpated.What does the nurse interpret this finding as?

Correct AnswerverifiedShow Answer

Which of the following is a common characteristic of most hormones?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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Correct Answer
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C

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