Nursing Quiz: Pathology Questions on Endocrine System, Quizzes of Pathophysiology

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Nursing 6301 Week 9 Quiz – Patho Questions

- Question 1 A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate? 1 out of 1 points Selecte d Answer : Correc t Answe r: b. Dehydration from polyuria b. Dehydration from polyuria - Question 2 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: 1 out of 1 points Selecte d Answer : Correc t Answe r: a. Mental retardation and stunted growth a. Mental retardation and stunted growth - Question (^3) 1 out of 1 points A patient wants to know what can cause ACTH to be released. How should the nurse respond? Selecte d Answer : Correc t Answe r: d. Acute stresso rs d. Acute stresso rs - Question 4 A 22- year-old

female has a low level of TSH. What condition does the nurse expect the patient is experiencing? (^1) out of 1 points Selecte d Answer : b. Secondary hypothyroidism Correct (^) b.

Answer: (^) Secondary hypothyroidis m

- Question 5 A 45-year-old female has elevated thyroxine production. Which of the following would accompany this condition? 1 out of 1 points Selecte d Answer : Correc t Answe r: d. Decreased thyroid- stimulating hormone (TSH) d. Decreased thyroid- stimulating hormone (TSH) - Question 6 While planning care for a patient with hypothyroidism, which principle 1 out of 1 points should the nurse remember? The basal metabolic rate is unusually with hypothyroidism. Selected (^) b. Answer: Lo w Correct (^) b. Answer: (^) Lo w - Question 7 A 50-year-old male patient is deficient in ADH production. Which of the following assessment findings would the nurse expect to find? 0 out of 1 points Selecte d Answer : Correc t Answer : b. Increased urine osmolality c. ADH is decreased by changes in intravascular volume - Question 8 A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond? 1 out of 1 points Selecte d Answer:

c. C ortis ol Correct (^) c.

Answer: Corti s ol

- Question 9 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: Selecte d Answer : Correc t Answe r: b. Orbital edema and protrusion of the eyeball b. Orbital edema and protrusion of the eyeball - Question (^10) 1 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. Selecte d Answer : Correc t Answe r: d. Dir e ct d. Dir e ct - Question 11 A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH). Which of the following would the nurse also expect to find? 1 out of 1 points Selecte d Answer : Correc t Answe r:

c. S e x u a l dysfunctio n c. Sexual dysfunctio n

- Question (^12) 1 out of 1 points Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations?

Selecte d Answer : Correc t Answe r: d. Thir st d. Thir st

- Question 13 A nurse recalls insulin has an effect on which of the following groups of electrolytes? 1 out of 1 points Selecte d Answer : Correc t Answe r: d. Potassium, magnesium, phosphate d. Potassium, magnesium, phosphate - Question 14 A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the nurse’s best response? 1 out of 1 points Selecte d Answer : Correc t Answe r: c. Immune destruction of the pancreas c. Immune destruction of the pancreas - Question (^15) 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? Selecte d Answer : Correc t Answer:

a. A p i t u i tary adenom a a. A pituitary adenom a

- Question (^16) 1 out of 1 points 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. Selecte d Answer : Correc t Answe r: b. Nephroge nic b. Nephroge nic

- Question 17 A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find? 1 out of 1 points Selecte d Answer : Correc t Answe r: d. Type 2 DM d. Type 2 DM - Question (^18) 1 out of 1 points 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? Selecte d Answer : Correc t Answe r: a. High levels of circulating thyroid-stimulating antibodies a. High levels of circulating thyroid-stimulating antibodies - Question 19 A 25-year-old male presents with fatigue, constipation, and sexual 1 out of 1 points 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: Selecte d Answer:

Correc t Answe r: d. Pituitary stalk d. Pituitary

stalk

- Question 20 When a nurse is assessing the physical features of individuals with Cushing syndrome, these findings will include: 1 out of 1 points Selecte d Answer : Correc t Answe r: b. Truncal obesity and moon face b. Truncal obesity and moon face - Question (^21) 1 out of 1 points 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? Selecte d Answer : Correc t Answe r: a. Dopaminergic agonists a. Dopaminergic agonists - Question 22 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? 1 out of 1 points Selecte d Answer : Correc t Answe r: a. Fasting plasma glucose levels a. Fasting plasma glucose levels - Question (^23) 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 b. Answer:

Correc t Answer : High serum osmolarity sensed by osmoreceptors in the hypothalamus b. High serum osmolarity sensed by osmoreceptors in the hypothalamus

- Question (^24) 1 out of 1 points A nurse is teaching a patient about insulin. Which information should the nurse include? Insulin is primarily regulated by: Selecte d Answer : Correc t Answe r: b. Serum glucose levels b. Serum glucose levels - Question (^25) 0 out of 1 points If a patient had a problem with the hypothalamus, which of the following hormones would be affected? Selecte d Answer : Correc t Answer : a. Cortis ol c. ACTH - Question (^26) 0 out of 1 points 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? Selecte d Answer : Correc t Answer :

c. N e p h rogenic diabetes insipidus a. Neurogenic diabetes insipidus

- Question 27 A 30-year-old male is diagnosed with a hormone-secreting tumor of the 1 out of 1 points pancreas alpha cells. Which of the following would the nurse expect to be most likely increased in this patient?

Selecte d Answer : Correc t Answe r: b. Gluca g on b. Gluca g on

- Question (^28) 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? Selecte d Answer : Correc t Answe r: c. Decreased calcium reabsorption in the kidney c. Decreased calcium reabsorption in the kidney - Question 29 A nurse is caring for a patient with SIADH. What severe complication should the nurse assess for? 1 out of 1 points Selecte d Answer : Correc t Answe r: c. Neurologic damage c. Neurologic damage - Question (^30) 1 out of 1 points If the patient has a problem with the pineal gland, which substance would the nurse monitor? Selecte d Answer : Correc t Answer:

a. M e l aton in a. Melaton in

- Question 31 When catecholamines are released in a patient, what should the nurse assess for? 1 out of 1 points

Selecte d Answer : Correc t Answe r: d. Hypergly ce mia d. Hypergly ce mia

- Question (^32) 1 out of 1 points A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect? Selecte d Answer : Correc t Answe r: c. Hypokale mia c. Hypokale mia - Question 33 A patient wants to know why ADH is important in the body. What is the nurse’s best response? ADH is important in: 1 out of 1 points Selecte d Answer : Correc t Answe r: a. The body’s water balance and urine concentration a. The body’s water balance and urine concentration - Question (^34) 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? Selecte d Answer : Correct Answer:

a. I n c r eased insulin levels promote protein breakdown and ketone formation. d. Insulin deficiency promotes lipid metabolism and ketone formation.

- Question 35

1 out of 1 points If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease? Selected (^) b. Answer: (^) AD H Correct (^) b. Answer: (^) AD H