Question 1

Which gland secretes epinephrine and norepinephrine?

Accepted Answer

A)  Thyroid 
B)  Pituitary 
C)  Pancreas 
D)  Adrenal medulla 
A)  Thyroid 
B)  Pituitary 
C)  Pancreas 
D)  Adrenal medulla D

Question 2

The nurse is caring for a patient who is scheduled to undergo a computed tomography (CT)scan with contrast within the hour.Which statement requires the nurse's immediate attention?

Accepted Answer

A)  "I forgot that I was not supposed to eat anything." 
B)  "I left my potassium supplements off of my home medication list." 
C)  "Did I tell you that I cannot eat lobster?" 
D)  "I take my daily blood pressure medication at night." 
A)  "I forgot that I was not supposed to eat anything." 
B)  "I left my potassium supplements off of my home medication list." 
C)  "Did I tell you that I cannot eat lobster?" 
D)  "I take my daily blood pressure medication at night." C

Question 3

The nurse is caring for a patient undergoing the fluid deprivation test.This test is designed to confirm which condition?

Accepted Answer

A)  Diabetes insipidus 
B)  Diabetes mellitus 
C)  Hypothyroidism 
D)  Hyperparathyroidism 
A)  Diabetes insipidus 
B)  Diabetes mellitus 
C)  Hypothyroidism 
D)  Hyperparathyroidism A

Question 4

Which hormone acts on bone to release calcium into the blood?

Accepted Answer

A)  Thyroxine (T4) 
B)  Thyrocalcitonin 
C)  Triiodothyronine (T3) 
D)  Parathormone 
A)  Thyroxine (T4) 
B)  Thyrocalcitonin 
C)  Triiodothyronine (T3) 
D)  Parathormone

Question 5

Intake of which nutrients directly impacts thyroid hormone production?

Accepted Answer

A)  Protein and iodine 
B)  Fats and vitamins 
C)  Carbohydrates and minerals 
D)  Sodium and potassium 
A)  Protein and iodine 
B)  Fats and vitamins 
C)  Carbohydrates and minerals 
D)  Sodium and potassium

Question 6

Which change(s)in endocrine function can be attributed to age?

Accepted Answer

A)  Pituitary enlargement 
B)  Declining metabolism 
C)  Rising blood glucose levels 
D)  Decreasing epinephrine levels 
E)  Decreasing thyroxine levels 
A)  Pituitary enlargement 
B)  Declining metabolism 
C)  Rising blood glucose levels 
D)  Decreasing epinephrine levels 
E)  Decreasing thyroxine levels

Question 7

Which action describes a function of aldosterone?

Accepted Answer

A)  Conserve water 
B)  Excrete sodium 
C)  Constrict blood vessels 
D)  Excrete phosphorus 
A)  Conserve water 
B)  Excrete sodium 
C)  Constrict blood vessels 
D)  Excrete phosphorus

Question 8

The nurse is caring for a long-term diabetic patient with a glycosylated hemoglobin ( HbA1c )level of 5%.Which statement indicates that the patient understands this laboratory result?

Accepted Answer

A)  "My hemoglobin A levels are excellent." 
B)  "I am anemic and may need a blood transfusion." 
C)  "I should meet with the dietician to discuss better food choices." 
D)  "My glucose control has been excellent for the last few weeks." 
A)  "My hemoglobin A levels are excellent." 
B)  "I am anemic and may need a blood transfusion." 
C)  "I should meet with the dietician to discuss better food choices." 
D)  "My glucose control has been excellent for the last few weeks."

Question 9

The nurse is caring for a patient who is scheduled to undergo a glucose tolerance test next week.The patient's daily medications include an antihypertensive,oral contraceptives,and over-the-counter (OTC)vitamin C and calcium supplements.The nurse should instruct the patient to withhold which medication before the test?

Accepted Answer

A)  Antihypertensive agent 
B)  Oral contraceptive 
C)  Vitamin C 
D)  Calcium supplement 
A)  Antihypertensive agent 
B)  Oral contraceptive 
C)  Vitamin C 
D)  Calcium supplement

Question 10

Which actual structural unit secretes insulin?

Accepted Answer

A)  Pancreas 
B)  Islets of Langerhans 
C)  Beta cell 
D)  Alpha cell 
A)  Pancreas 
B)  Islets of Langerhans 
C)  Beta cell 
D)  Alpha cell

Question 11

In which body process(es)is/are the endocrine system involved?

Accepted Answer

A)  Regulation of metabolism 
B)  Growth rate 
C)  Physical development 
D)  Sexual function 
E)  Reproductive process
F)None of above 
A)  Regulation of metabolism 
B)  Growth rate 
C)  Physical development 
D)  Sexual function 
E)  Reproductive process
F)None of above

Question 12

Which gland is the only gland that is both an endocrine gland and an exocrine gland?

Accepted Answer

A)  Thyroid 
B)  Hypothalamus 
C)  Pancreas 
D)  Parathyroid 
A)  Thyroid 
B)  Hypothalamus 
C)  Pancreas 
D)  Parathyroid

Question 13

Although thyroid hormone levels decrease with advancing age,which mechanism offsets this output reduction?

Accepted Answer

A)  Decreased rate of thyroid hormone breakdown 
B)  Increased level of calcium 
C)  Increased level of phosphorus 
D)  Decreased mineralocorticoids 
A)  Decreased rate of thyroid hormone breakdown 
B)  Increased level of calcium 
C)  Increased level of phosphorus 
D)  Decreased mineralocorticoids

Question 14

The nurse is caring for a patient who is scheduled to have a thyroid panel drawn next week.After confirming with physician,which information is most important for the nurse to include in the patient instructions?

Accepted Answer

A)  Do not take aspirin for 2 days before the test. 
B)  Take an OTC antacid 30 minutes before the test. 
C)  Take the preprocedure diuretic 30 minutes before the test. 
D)  Do not take any multivitamins for 2 days before the test. 
A)  Do not take aspirin for 2 days before the test. 
B)  Take an OTC antacid 30 minutes before the test. 
C)  Take the preprocedure diuretic 30 minutes before the test. 
D)  Do not take any multivitamins for 2 days before the test.

Question 15

If an endocrine gland begins to hypersecrete,it usually causes which result?

Accepted Answer

A)  Hyperplasia 
B)  Activation of the inflammatory process 
C)  An allergic response 
D)  An autoimmune response 
A)  Hyperplasia 
B)  Activation of the inflammatory process 
C)  An allergic response 
D)  An autoimmune response

Question 16

Which hormone(s)does the anterior pituitary secrete?

Accepted Answer

A)  Growth hormone (GH) 
B)  Thyroid-stimulating hormone (TSH) 
C)  Antidiuretic hormone (ADH) 
D)  Follicle-stimulating hormone (FSH) 
E)  Luteinizing hormone (LH) 
A)  Growth hormone (GH) 
B)  Thyroid-stimulating hormone (TSH) 
C)  Antidiuretic hormone (ADH) 
D)  Follicle-stimulating hormone (FSH) 
E)  Luteinizing hormone (LH)

Question 17

Which statement accurately describes endocrine glands?

Accepted Answer

A)  Endocrine glands release secretions directly into the bloodstream. 
B)  Endocrine glands release secretions via a duct into the bloodstream. 
C)  Endocrine glands hold secretions in a reservoir until needed. 
D)  Endocrine glands can produce constantly for body needs. 
A)  Endocrine glands release secretions directly into the bloodstream. 
B)  Endocrine glands release secretions via a duct into the bloodstream. 
C)  Endocrine glands hold secretions in a reservoir until needed. 
D)  Endocrine glands can produce constantly for body needs.

Question 18

The nurse is caring for an 80-year-old patient with a history of type 2 diabetes and hypothyroidism.The physician wants to evaluate the patient's blood glucose levels and orders a fructosamine assay.Which factor best explains why the physician chose this laboratory test instead a glycosylated hemoglobin (HbA1c )test?

Accepted Answer

A)  The patient's age 
B)  Type 2 diabetes 
C)  Hypothyroidism 
D)  The tests' costs 
A)  The patient's age 
B)  Type 2 diabetes 
C)  Hypothyroidism 
D)  The tests' costs

Question 19

The nurse is educating an older adult patient with reduced cortisol levels.Which statement indicates that the patient accurately understands the nurse's teaching?

Accepted Answer

A)  "I should avoid crowds because low cortisol levels weaken my immune system." 
B)  "I should keep stress to a minimum because low cortisol levels make it harder for my body to deal with stress." 
C)  "I should avoid hot climates because low cortisol levels impact temperature regulation." 
D)  "I should avoid salty foods because low cortisol levels keep my body from processing sodium." 
A)  "I should avoid crowds because low cortisol levels weaken my immune system." 
B)  "I should keep stress to a minimum because low cortisol levels make it harder for my body to deal with stress." 
C)  "I should avoid hot climates because low cortisol levels impact temperature regulation." 
D)  "I should avoid salty foods because low cortisol levels keep my body from processing sodium."

Question 20

Which causative factor(s)may be responsible for primary endocrine disorders?

Accepted Answer

A)  Hormone overproduction 
B)  Long periods of limited mobility 
C)  Trauma 
D)  Severe infection 
E)  Effects of certain drugs 
A)  Hormone overproduction 
B)  Long periods of limited mobility 
C)  Trauma 
D)  Severe infection 
E)  Effects of certain drugs

Exam 35: The Endocrine System

Which gland secretes epinephrine and norepinephrine?

The nurse is caring for a patient who is scheduled to undergo a computed tomography (CT)scan with contrast within the hour.Which statement requires the nurse's immediate attention?

The nurse is caring for a patient undergoing the fluid deprivation test.This test is designed to confirm which condition?

Which hormone acts on bone to release calcium into the blood?

Intake of which nutrients directly impacts thyroid hormone production?

Which change(s)in endocrine function can be attributed to age?

Which action describes a function of aldosterone?

The nurse is caring for a long-term diabetic patient with a glycosylated hemoglobin ( HbA1c )level of 5%.Which statement indicates that the patient understands this laboratory result?

Which actual structural unit secretes insulin?

In which body process(es)is/are the endocrine system involved?

Which gland is the only gland that is both an endocrine gland and an exocrine gland?

Although thyroid hormone levels decrease with advancing age,which mechanism offsets this output reduction?

The nurse is caring for a patient who is scheduled to have a thyroid panel drawn next week.After confirming with physician,which information is most important for the nurse to include in the patient instructions?

If an endocrine gland begins to hypersecrete,it usually causes which result?

Which hormone(s)does the anterior pituitary secrete?

Which statement accurately describes endocrine glands?

The nurse is educating an older adult patient with reduced cortisol levels.Which statement indicates that the patient accurately understands the nurse's teaching?

Which causative factor(s)may be responsible for primary endocrine disorders?

Caring for Medical-Surgical Patients

Critical Thinking and the Nursing Process

Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Patients

Infection Prevention and Control

Care of Patients with Pain

Care of Patients with Cancer

Chronic Illness and Rehabilitation

The Immune and Lymphatic System

Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS)

The Respiratory System

Care of Patients with Disorders of the Upper Respiratory System

Care of Patients with Disorders of the Lower Respiratory System

The Hematologic System

Care of Patients with Hematologic Disorders

The Cardiovascular System

Care of Patients with Hypertension and Peripheral Vascular Disease

Care of Patients with Cardiac Disorders

Care of Patients with Coronary Artery Disease and Cardiac Surgery

The Neurologic System

Care of Patients with Head and Spinal Cord Injuries

Care of Patients with Disorders of the Brain

Care of Patients with Peripheral Nerve and Degenerative Diseases

The Sensory System: Eye and Ear

Care of Patients with Disorders of the Eyes and Ears

The Gastrointestinal System

Care of Patients with Disorders of the Upper Gastrointestinal System

Care of Patients with Disorders of the Lower Gastrointestinal System

Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas

The Musculoskeletal System

Care of Patients with Musculoskeletal and Connective Tissue Disorders

The Urinary System

Care of Patients with Disorders of the Urinary System

Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Care of Patients with Diabetes and Hypoglycemia

Care of Women with Reproductive Disorders

Care of Men with Reproductive Disorders

Care of Patients with Sexually Transmitted Infections

The Integumentary System

Care of Patents with Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients with Emergencies, Trauma, and Shock

Care of Patients with Anxiety, Mood, and Eating Disorders

Care of Patients with Substance Abuse Disorders

Care of Patients with Cognitive Disorders

Care of Patients with Thought and Personality Disorders

Filters

The nurse is caring for a long-term diabetic patient with a glycosylated hemoglobin ( HbA_1c )level of 5%.Which statement indicates that the patient understands this laboratory result?