Question 1
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?
Selected
Answer:
a.$
Dopaminergic
agonists
Correct
Answer:
a.$
Dopaminergic
agonists
Question 2
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 3
1 out of 1 points
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:
a.$
Fasting plasma glucose
levels
Correct a.$
Answer: Fasting plasma glucose
levels
Question 4
1 out of 1 points
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?
Selected
Answer:
b.$
Dehydration from
polyuria
Correct
Answer:
b.$
Dehydration from
polyuria
Question 5
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.$
Epinephri
ne
Correct
Answer:
d.$
Epinephri
ne
Question 6
1 out of 1 points
Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the
following assessment manifestations?
Selected
Answer:
d.$
Thirs
t
Correct
Answer:
d.$
Thirs
t
Question 7
1 out of 1 points
A nurse is preparing to teach a patient about Addison disease. Which information
should the nurse include? The most common cause of Addison disease is:
Selected
Answer:
a.$
An autoimmune
reaction
Correct
Answer:
a.$
An autoimmune
reaction
Question 8
1 out of 1 points
If a patient’s posterior pituitary is removed, which hormone would the nurse
expect to decrease?
Selected
Answer:
b.$
AD
H
Correct
Answer:
b.$
AD
H
Question 9
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 c.$
Answer:
Decreased calcium reabsorption in the
kidney
Correct
Answer:
c.$
Decreased calcium reabsorption in the
kidney
Question 10
1 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:
d.$
Insulin deficiency promotes lipid metabolism and ketone
formation.
Correct
Answer:
d.$
Insulin deficiency promotes lipid metabolism and ketone
formation.
Question 11
0 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:
c.$
Active
transport
Correct
Answer:
a.$
Diffusion
Question 12
1 out of 1 points
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:
b.$
Glucag
on
Correct
Answer:
b.$
Glucag
on
Question 13
0 out of 1 points
If a patient had a problem with the hypothalamus, which of the following
hormones would be affected?
Selected
Answer:
a.$
ACT
H
Correct
Answer:
c.$
ACT
H
Question 14
1 out of 1 points
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:
a.$
Mental retardation and stunted
growth
Correct
Answer:
a.$
Mental retardation and stunted
growth
Question 15
1 out of 1 points
If the patient has a problem with the pineal gland, which substance would the
nurse monitor?
Selected
Answer:
a.$
Melatoni
n
Correct
Answer:
a.$
Melatoni
n
Question 16
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 17
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 18
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.$
Hyponatre
mia
Correct
Answer:
a.$
Hyponatre
mia
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.$
Increased urine osmolality
Correct
Answer:
c.$
ADH is decreased by changes in
intravascular volume
Question 20
1 out of 1 points
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?
Selected
Answer:
d.$
Concentrated
urine
Correct
Answer:
d.$
Concentrated
urine
Question 21
1 out of 1 points
A 39-year-old female just had a baby. Which hormone will prevent excessive
uterine bleeding?
Selected
Answer:
d.$
Oxytoc
in
Correct
Answer:
d.$
Oxytoc
in
Question 22
1 out of 1 points
What common neurologic disturbances should the nurse assess for in a patient
with a pituitary adenoma?
Selected
Answer:
b.$
Visual
disturbances
Correct
Answer:
b.$
Visual
disturbances
Question 23
1 out of 1 points
A patient wants to know why ADH is important in the body. What is the nurse’s
best response? ADH is important in:
Selected
Answer:
a.$
The body’s water balance and urine
concentration
Correct
Answer:
a.$
The body’s water balance and urine
concentration
Question 24
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?
Selected
Answer:
c.$
Hypokalem
ia
Correct
Answer:
c.$
Hypokalem
ia
Question 25
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.
Selected
Answer:
b.$
Nephroge
nic
Correct
Answer:
b.$
Nephroge
nic
Question 26
0 out of 1 points
A 30-year-old male was diagnosed with hypothyroidism. Synthesis of which of
the following would decrease in this patient?
Selected
Answer:
c.$
Thyroid-binding
globulin
Correct
Answer:
a.$
TSH and TH
Question 27
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.$
Canc
er
Correct
Answer:
b.$
Canc
er
Question 28
1 out of 1 points
A patient wants to know what can cause ACTH to be released. How should the
nurse respond?
Selected
Answer:
d.$
Acute
stressors
Correct
Answer:
d.$
Acute
stressors
Question 29
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 30
1 out of 1 points
When a nurse is assessing the physical features of individuals with Cushing
syndrome, these findings will include:
Selected
Answer:
b.$
Truncal obesity and moon
face
Correct
Answer:
b.$
Truncal obesity and moon
face
Question 31
1 out of 1 points
A 25-year-old female with Graves disease is admitted to a medical-surgical unit.
Palpation of her neck would most likely reveal:
Selected
Answer:
d.$
Diffuse thyroid
enlargement
Correct
Answer:
d.$
Diffuse thyroid
enlargement
Question 32
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?
Selected
Answer:
a.$
High levels of circulating thyroid-stimulating
antibodies
Correct
Answer:
a.$
High levels of circulating thyroid-stimulating
antibodies
Question 33
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.$
High serum osmolarity sensed by osmoreceptors in the
hypothalamus
Correct
Answer:
b.$
High serum osmolarity sensed by osmoreceptors in the
hypothalamus
Question 34
1 out of 1 points
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?
Selected
Answer:
c.$
Sexual
dysfunction
Correct
Answer:
c.$
Sexual
dysfunction
Question 35
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.$
Neurologic
damage
Correct
Answer:
c.$
Neurologic
damage
