Question 1

Which statement made by a student nurse indicates the need for further teaching about pituitary insufficiency?

Accepted Answer

A)  "Synthetic human growth hormone may be prescribed for children who are small for gestational age." 
B)  "Testosterone supplements may be prescribed for women with gonadotropin deficiency." 
C)  "Estrogen is known to regulate the action of growth hormone in men and women." 
D)  "Chronic kidney disease treatment may include synthetic growth hormone replacement." 
A)  "Synthetic human growth hormone may be prescribed for children who are small for gestational age." 
B)  "Testosterone supplements may be prescribed for women with gonadotropin deficiency." 
C)  "Estrogen is known to regulate the action of growth hormone in men and women." 
D)  "Chronic kidney disease treatment may include synthetic growth hormone replacement." B

Question 2

The nurse is caring for a patient diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). What is the nurse's best action?

Accepted Answer

A)  Encourage increased fluid and water intake 
B)  Teach about risk for malignancies 
C)  Monitor for changes in level of consciousness 
D)  Assess labwork for potassium level changes 
A)  Encourage increased fluid and water intake 
B)  Teach about risk for malignancies 
C)  Monitor for changes in level of consciousness 
D)  Assess labwork for potassium level changes C

Question 3

Radioactive iodine is indicated for the treatment of hyperthyroidism. The nurse should include which teaching in this patient's plan of care?

Accepted Answer

A)  Isolation is required for 6-8 weeks 
B)  An additional dose may be needed 
C)  Thyroid replacement therapy is prescribed 
D)  An overnight hospital stay is required 
A)  Isolation is required for 6-8 weeks 
B)  An additional dose may be needed 
C)  Thyroid replacement therapy is prescribed 
D)  An overnight hospital stay is required B

Question 4

Following a parathyroidectomy, which electrolyte should the nurse most closely monitor?

Accepted Answer

A)  Potassium 
B)  Sodium 
C)  Magnesium 
D)  Calcium 
A)  Potassium 
B)  Sodium 
C)  Magnesium 
D)  Calcium

Question 5

A patient presents to the emergency room complaining of vomiting with severe back and leg pain. The patient's home medications include daily oral corticosteroids. Vital signs reveal a low blood pressure and there are peaked T waves on the electrocardiogram. What is the nurse's priority intervention?

Accepted Answer

A)  Start an intravenous line 
B)  Collect urine specimen 
C)  Administer antiemetic 
D)  Administer narcotic analgesia 
A)  Start an intravenous line 
B)  Collect urine specimen 
C)  Administer antiemetic 
D)  Administer narcotic analgesia

Question 6

The nurse is caring for a patient who has undergone a thyroidectomy. Which patient complaint is highest priority requiring further evaluation?

Accepted Answer

A)  Pain at surgical site 
B)  Thirst 
C)  Hoarseness 
D)  Nausea 
A)  Pain at surgical site 
B)  Thirst 
C)  Hoarseness 
D)  Nausea

Question 7

Which important teaching point should the nurse include in the plan of care for a patient diagnosed with Cushing's disease?

Accepted Answer

A)  Daily weight using same scale 
B)  Wash hands frequently 
C)  Use exfoliating soaps when bathing 
D)  Avoid yearly influenza vaccine 
A)  Daily weight using same scale 
B)  Wash hands frequently 
C)  Use exfoliating soaps when bathing 
D)  Avoid yearly influenza vaccine

Exam 14: Hormonal Regulation

Which statement made by a student nurse indicates the need for further teaching about pituitary insufficiency?

The nurse is caring for a patient diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). What is the nurse's best action?

Radioactive iodine is indicated for the treatment of hyperthyroidism. The nurse should include which teaching in this patient's plan of care?

Following a parathyroidectomy, which electrolyte should the nurse most closely monitor?

The nurse is caring for a patient who has undergone a thyroidectomy. Which patient complaint is highest priority requiring further evaluation?

Which important teaching point should the nurse include in the plan of care for a patient diagnosed with Cushing's disease?

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