Question 1

You are caring for an elderly patient taking an antithyroid drug. Which of the following conditions is associated with an adverse effect in this patient?

Accepted Answer

A)  Decreased complete blood count
B)  Increased urine output
C)  Decreased blood pressure
D)  Increased platelet count A

Question 2

Which type of oral contraceptive drug must be taken every day of the month to be effective?

Accepted Answer

A)  An estrogen-progestin combination.
B)  A progestin-drospirenone combination.
C)  An estrogen only "mini" pill
D)  A progestin only "mini" pill D

Question 3

A patient diagnosed with hypothyroidism has been prescribed treatment with a thyroid hormone agonist. The patient asks you how long this drug will need to be taken. What is your best response?

Accepted Answer

A)  "You will need to take this drug for the rest of your life."
B)  "You will need to take this drug until your symptoms improve."
C)  "You will need to take this drug until your thyroid hormone level normalizes."
D)  "You will need to take this drug incrementally until you reach the maximum tolerated dose." A

Question 4

A patient with adrenal hypofunction has a known aldosterone deficiency and has been prescribed Fludrocortisone (Florinef). The patient asks you how this drug works to treat this problem. What is your best response?

Accepted Answer

A)  "This drug acts like natural aldosterone in the body."
B)  "This drug permits potassium to be retained in the body."
C)  "This drug acts to retain glucose for action within the body."
D)  "This drug permits the excretion of sodium from the body."

Question 5

A patient experiencing symptoms related to menopause asks you to explain the cause of her symptoms. What is your best response?

Accepted Answer

A)  "Symptoms of menopause are caused by low levels of estrogen and high levels of FSH."
B)  "Symptoms of menopause are caused by high levels of estrogen and low levels of FSH."
C)  "Symptoms of menopause are caused by low levels of estrogen and low levels of FSH."
D)  "Symptoms of menopause are caused by high levels of estrogen and high levels of FSH."

Question 6

A patient taking an antithyroid drug for one week calls you and states that the symptoms of hyperthyroidism have not improved yet. What is your best response?

Accepted Answer

A)  "You will need to have your blood level of the drug checked."
B)  "This drug must be taken for 3 to 4 weeks to start being effective."
C)  "This may mean you have formed thyroid antibodies against this drug."
D)  "I will let your healthcare provider know so your dose can be adjusted."

Question 7

What is one of the adverse effects of hormone replacement therapy for menopause?

Accepted Answer

A)  Pregnancy
B)  Blood clots
C)  Miscarriage
D)  Decreased mental concentration

Question 8

Which findings indicate that thyroid hormone drug dose is appropriate and effective in a patient with hypothyroidism? (Select all that apply.)

Accepted Answer

A)  The patient's vital signs are within normal limits.
B)  The patient reports an increase in activity levels.
C)  The patient's body weight remains consistent.
D)  The patient reports mild, bilateral edema.
E)  The patient has a bowel movement daily.F) The patient's goiter is reduced in size.

Question 9

A patient is to receive a subcutaneous injection of denosumab (Prolia) for severe osteoporosis. What action should you take before giving this injection?

Accepted Answer

A)  Place emergency equipment in the room with the patient.
B)  Assess for circulation in the umbilical area.
C)  Assess the patient's ability to walk.
D)  Monitor the patient's liver function tests.

Question 10

You are caring for a patient who is taking an antithyroid drug for the treatment of hyperthyroidism. Which assessment should be performed before giving this drug?

Accepted Answer

A)  Check the pulse rate for irregular rate and rhythm.
B)  Check the blood pressure for hypertension.
C)  Check the skin and sclera for yellowing.
D)  Check the lower extremities for edema.

Question 11

A patient you are caring for develops a goiter. What does the appearance of a goiter mean?

Accepted Answer

A)  Hypothyroidism
B)  Hyperthyroidism
C)  Thyroid problem
D)  Premature menopause

Question 12

A male patient is prescribed androgen therapy with testosterone 100 mg IM every 4 weeks. What finding will you teach the patient to report to the prescriber immediately?

Accepted Answer

A)  Blood pressure decrease of 10 mm Hg systolic
B)  Urine output increase of 200 mL/day
C)  Fluid retention
D)  Increased prostate size

Question 13

You are teaching a young female patient about the oral contraceptive she has been prescribed. What instructions should be included in the teaching plan for this patient?

Accepted Answer

A)  "Take oral contraceptives exactly as prescribed."
B)  "You may take over-the-counter drugs with oral contraceptives."
C)  "You may miss up to two doses in a row and still be protected from pregnancy."
D)  "You may use nicotine patches, but stop smoking when taking oral contraceptives."

Question 14

Which assessment is most important to perform before giving an elderly patient who is prescribed levothyroxine (Synthroid) the first dose of the drug?

Accepted Answer

A)  Measuring heart rate and rhythm
B)  Determining level of consciousness
C)  Asking about an allergy to "sulfa" drugs
D)  Checking intake and output for the last 24 hours

Question 15

Which side effects are most common among women taking hormone replacement therapy for menopause?

Accepted Answer

A)  Nausea, vomiting, and diarrhea
B)  Skin itching and dark-colored urine
C)  Breast tenderness and fluid retention
D)  Increased vaginal dryness and constipation

Question 16

Which drug is used only for patients with type 2 diabetes and hypercortisolism?

Accepted Answer

A)  Mitotane (Lysodren) 
B)  Mifepristone (Korlym) 
C)  Liothyronine sodium (Cytomel) 
D)  Methimazole (Northyx, Tapazole)

Question 17

Which statements about the adrenal glands are true? (Select all that apply.)

Accepted Answer

A)  Adrenal hormones differ by age and gender.
B)  Glucocorticoid hormones are necessary for life.
C)  Aldosterone controls sodium and water balance.
D)  Low levels of adrenal hormones can lead to stroke.
E)  The adrenal cortex secretes aldosterone and cortisol.F) When adrenal hormones are overproduces, cancer can result.

Question 18

Which oral contraceptive can increase serum potassium levels and potentially lead to irregular heart rhythm?

Accepted Answer

A)  Yasmin
B)  Camila
C)  Ovral
D)  Zovia

Question 19

A patient prescribed Fludrocortisone (Florinef) calls to report a weight gain of 3 lb. in the last week to you. What is your best response to this patient?

Accepted Answer

A)  "You will need to cut all salt from your diet for a few days to see if this resolves."
B)  "Your diet may contain too many carbohydrates for your body to process."
C)  "I will notify your healthcare provider right away and get back to you."
D)  "This is an expected side effect of this drug."

Question 20

How do thyroid replacement drugs work to treat hypothyroidism?

Accepted Answer

A)  Forcing the thyroid gland to secrete more thyroid hormones
B)  Inhibiting the enzymes that break down thyroid hormones
C)  Preventing damage to thyroid endocrine cells
D)  Providing thyroid hormones

Exam 16: Hormones and Drugs for Osteoporosis