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NURS 6501 WEEK 9 Quiz Questions with Complete Solutions
Graded A+
When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a effect by a hormone. Selected Answer: Correct Answer:
d. Direct d. Direct
If the patient has a problem with the pineal gland, which substance would the nurse monitor? Selected Answer: Correct Answer:
a. Melatonin a. Melatonin
A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis? Selected Answer: Correct Answer:
a. Fasting plasma glucose levels a. Fasting plasma glucose levels
A 30-year-old male presents to his primary care provider reporting visual disturbances. CT reveals a pituitary tumor and lab tests reveal elevated prolactin. He is diagnosed with prolactinoma. Which of the following treatments would the nurse help implement? Selected Answer: Correct Answer:
a. Dopaminergic agonists a. Dopaminergic agonists
If a patient had a problem with the hypothalamus, which of the following hormones would
• Question 6
1 out of 1 points
• Question 5
1 out of 1 points
• Question^4
1 out of 1 points
• Question^3
1 out of 1 points
be affected?
Selected Answer:
Correct Answer:
c. ACT H c. ACT H
A 30-year-old male is diagnosed with a hormone-secreting tumor of the pancreas alpha cells. Which of the following would the nurse expect to be most likely increased in this patient? Selected Answer: Correct Answer:
b. Glucagon b. Glucagon
A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find? Selected Answer: Correct Answer:
d. Type 2 DM d. Type 2 DM
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. Selected Answer:
Correct Answer:
b. Nephrogeni c b. Nephrogeni c
A patient wants to know what can cause ACTH to be released. How should the nurse respond? Selected d.
- Question 10 1 out of 1 points - Question 9 1 out of 1 points - Question 8 1 out of 1 points - Question 7 1 out of 1 points
A nurse is teaching a patient about insulin. Which information should the nurse include? Insulin is primarily regulated by: Selected Answer: Correct Answer:
b. Serum glucose levels b. Serum glucose levels
A 39-year-old female just had a baby. Which hormone will prevent excessive uterine bleeding? Selected Answer: Correct Answer:
d. Oxytocin d. Oxytocin
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 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state? Selected Answer: Correct Answer:
d. Insulin deficiency promotes lipid metabolism and ketone formation. d. Insulin deficiency promotes lipid metabolism and ketone formation.
A nurse recalls insulin has an effect on which of the following groups of electrolytes? Selected Answer:
Correct Answer:
d. Potassium, magnesium, phosphate d. Potassium, magnesium, phosphate
A 44-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for SIADH. Which of the following assessment findings would be expected in this patient?
- Question 19 1 out of 1 points - Question 18 1 out of 1 points - Question 17 1 out of 1 points - Question 16 1 out of 1 points - Question^15 1 out of 1 points
Selected Answer: Correct Answer:
d. Concentrated urine d. Concentrated urine
What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma? Selected Answer: Correct Answer:
b. Visual disturbances b. Visual disturbances
When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly caused by: Selected Answer: Correct Answer:
c. Parathyroid gland injury c. Parathyroid gland injury
A 3-year-old male was diagnosed with congenital hypothyroidism. The parents ask the nurse if left untreated what will happen. What is the nurse’s best response? If left untreated, the child would have: Selected Answer: Correct Answer:
a. Mental retardation and stunted growth a. Mental retardation and stunted growth
A 45-year-old female has elevated thyroxine production. Which of the following would accompany this condition? Selected Answer: Correct Answer:
d. Decreased thyroid-stimulating hormone (TSH) d. Decreased thyroid-stimulating hormone (TSH)
- Question 24 1 out of 1 points - Question 23 1 out of 1 points - Question 22 1 out of 1 points - Question 21 1 out of 1 points - Question 20 1 out of 1 points
Answer: Low Correct Answer:
b. Low
A 50-year-old male patient is deficient in ADH production. Which of the following assessment findings would the nurse expect to find? Selected Answer:
Correct Answer:
c. ADH is decreased by changes in intravascular volume c. ADH is decreased by changes in intravascular volume
A 35-year-old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find? Selected Answer:
Correct Answer:
a. High levels of circulating thyroid-stimulating antibodies a. High levels of circulating thyroid-stimulating antibodies
A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient? Selected Answer: Correct Answer:
a. Hyponatremia a. Hyponatremia
Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is: Selected Answer:
b. Orbital edema and protrusion of the eyeball
- Question^32 1 out of 1 points - Question 31 1 out of 1 points - Question 30 1 out of 1 points - Question 29 1 out of 1 points
Correct Answer:
b. Orbital edema and protrusion of the eyeball
A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective? Selected Answer: Correct Answer:
a. Neurogenic diabetes insipidus a. Neurogenic diabetes insipidus
A 15-year-old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. What does the nurse suspect as the most likely cause for these assessment findings? Selected Answer: Correct Answer:
a. A pituitary adenoma a. A pituitary adenoma
A 25-year-old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is a dysfunction in the: Selected Answer: Correct Answer:
d. Pituitary stalk d. Pituitary stalk
A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond? Selected Answer: Correct Answer:
c. Cortisol c. Cortisol
**- Question 1
- Question 36** 1 out of 1 points - Question 35 1 out of 1 points - Question 34 1 out of 1 points - Question 33 1 out of 1 points
A 15-year-old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. What does the nurse suspect as the most likely cause for these assessment findings?
Selected Answer: (^) a.
A pituitary adenoma
Correct Answer: (^) a.
A pituitary adenoma
- Question 5
1 out of 1 points
While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually with hypothyroidism.
Selected Answer: (^) b.
Low
Correct Answer: (^) b.
Low
- Question 6
0 out of 1 points
When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a effect by a hormone.
Selected Answer: (^) c.
Biphasic
Correct Answer: (^) d.
Direct
- Question 7
0 out of 1 points
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 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state?
Selected Answer:
c.
Low serum insulin promotes lipid storage and a corresponding release of ketones.
Correct Answer: (^) d.
Insulin deficiency promotes lipid metabolism and ketone formation.
- Question 8
1 out of 1 points
If the patient has a problem with the pineal gland, which substance would the nurse monitor?
Selected Answer: (^) a.
Melatonin
Correct Answer: (^) a.
Melatonin
- Question 9
1 out of 1 points
If a patient had a problem with the hypothalamus, which of the following hormones would be affected?
Selected Answer: (^) c.
ACTH
Correct Answer: (^) c.
ACTH
- Question 10
1 out of 1 points
Selected Answer: (^) c.
Immune destruction of the pancreas
Correct Answer: (^) c.
Immune destruction of the pancreas
- Question 14
1 out of 1 points
When catecholamines are released in a patient, what should the nurse assess for?
Selected Answer: (^) d.
Hyperglycemia
Correct Answer: (^) d.
Hyperglycemia
- Question 15
1 out of 1 points
A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond?
Selected Answer: (^) c.
Cortisol
Correct Answer: (^) c.
Cortisol
- Question 16
1 out of 1 points
A 40-year-old male undergoes surgery for a PTH-secreting tumor in which the parathyroid is removed. Which of the following would the nurse expect following surgery?
Selected Answer: (^) c.
Decreased calcium reabsorption in the kidney
Correct Answer: (^) c.
Decreased calcium reabsorption in the kidney
- Question 17
1 out of 1 points
A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient?
Selected Answer: (^) a.
Hyponatremia
Correct Answer: (^) a.
Hyponatremia
- Question 18
1 out of 1 points
A 45-year-old female has elevated thyroxine production. Which of the following would accompany this condition?
Selected Answer: (^) d.
Decreased thyroid-stimulating hormone (TSH)
Correct Answer: (^) d.
Decreased thyroid-stimulating hormone (TSH)
- Question 19
0 out of 1 points
A 50-year-old male patient is deficient in ADH production. Which of the following assessment findings would the nurse expect to find?
Selected Answer: (^) b.
Dopaminergic agonists
Correct Answer: (^) a.
Dopaminergic agonists
- Question 23
1 out of 1 points
Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is:
Selected Answer: (^) b.
Orbital edema and protrusion of the eyeball
Correct Answer: (^) b.
Orbital edema and protrusion of the eyeball
- Question 24
1 out of 1 points
An endocrinologist isolated a new hormone and found it to be a water-soluble amine. Which of the following is most like this new hormone?
Selected Answer: (^) d.
Epinephrin e
Correct Answer: (^) d.
Epinephrin e
- Question 25
1 out of 1 points
When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly caused by:
Selected Answer: (^) c.
Parathyroid gland injury
Correct Answer: (^) c.
Parathyroid gland injury
- Question 26
1 out of 1 points
A 22-year-old female has a low level of TSH. What condition does the nurse expect the patient is experiencing?
Selected Answer: (^) b.
Secondary hypothyroidism
Correct Answer: (^) b.
Secondary hypothyroidism
- Question 27
1 out of 1 points
A patient has researched lipid-soluble hormones on the Internet. Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane by:
Selected Answer: (^) a.
Diffusion
Correct Answer: (^) a.
Diffusion
- Question 28
1 out of 1 points
A nurse is caring for a patient with SIADH. What severe complication should the nurse assess for?
Selected Answer: (^) c.
Glycosylated hemoglobin measurements
Correct Answer: (^) a.
Fasting plasma glucose levels
- Question 32
0 out of 1 points
Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations?
Selected Answer: (^) a.
Polyuri a
Correct Answer: (^) d.
Thirst
- Question 33
1 out of 1 points
A nurse is teaching a patient about insulin. Which information should the nurse include? Insulin is primarily regulated by:
Selected Answer: (^) b.
Serum glucose levels
Correct Answer: (^) b.
Serum glucose levels
- Question 34
1 out of 1 points
Which principle should the nurse include while planning care for a patient with an ADH problem? ADH release from the posterior pituitary is stimulated by:
Selected Answer: (^) b.
- Question^1 1 out of 1 points
High serum osmolarity sensed by osmoreceptors in the hypothalamus
Correct Answer: (^) b.
High serum osmolarity sensed by osmoreceptors in the hypothalamus
- Question 35
1 out of 1 points
An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond?
Selected Answer: (^) b.
Cancer
Correct Answer: (^) b.
Cancer
- Question 36
1 out of 1 points
If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease?
Selected Answer: (^) b.
ADH
Correct Answer: (^) b.
ADH
Sunday, January 27, 2019 10:59:09 PM EST
When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a effect by a hormone. Selected Answer:
d. Direct
