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Questions and Answers
The nurse is reviewing information with a patient about the normal anatomy and physiology of the endocrine system. Which factor is inaccurate?
The nurse is reviewing information with a patient about the normal anatomy and physiology of the endocrine system. Which factor is inaccurate?
The nurse is researching information for a patient newly diagnosed with diabetes mellitus. The nurse wants to present the responses by hormones other than insulin. Which information does the nurse avoid?
The nurse is researching information for a patient newly diagnosed with diabetes mellitus. The nurse wants to present the responses by hormones other than insulin. Which information does the nurse avoid?
An older adult patient is experiencing a reduction in energy. Which comment by the nurse is most appropriate?
An older adult patient is experiencing a reduction in energy. Which comment by the nurse is most appropriate?
After reviewing the patient's medical record, the nurse plans to perform a physical examination. Which finding will change the usual process of physical examination?
After reviewing the patient's medical record, the nurse plans to perform a physical examination. Which finding will change the usual process of physical examination?
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The HCP prescribes a 24-hour urine specimen for cortisol. The patient is incontinent. Which method will the nurse use to collect the specimen?
The HCP prescribes a 24-hour urine specimen for cortisol. The patient is incontinent. Which method will the nurse use to collect the specimen?
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The nurse is providing care for a patient diagnosed with posterior pituitary tumor resulting in oversecretion of hormones. Which manifestation of this disorder will the nurse expect?
The nurse is providing care for a patient diagnosed with posterior pituitary tumor resulting in oversecretion of hormones. Which manifestation of this disorder will the nurse expect?
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The nurse is providing care for a patient diagnosed with type 2 diabetes mellitus. Which information will the nurse give the patient about the response of the pancreas to hypoglycemia?
The nurse is providing care for a patient diagnosed with type 2 diabetes mellitus. Which information will the nurse give the patient about the response of the pancreas to hypoglycemia?
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The nurse is assisting with care to a patient who underwent surgery for removal of the thyroid gland. Which symptom contradicts a possible complication of the surgery?
The nurse is assisting with care to a patient who underwent surgery for removal of the thyroid gland. Which symptom contradicts a possible complication of the surgery?
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The licensed practical nurse/licensed vocational nurse (LPN/LVN) is assisting with the physical examination of a patient in the HCP's office. Which physical examination does the LPN/LVN perform?
The licensed practical nurse/licensed vocational nurse (LPN/LVN) is assisting with the physical examination of a patient in the HCP's office. Which physical examination does the LPN/LVN perform?
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A client is identified with a thyroid disorder resulting in hormone deficiency. The HCP prescribes a stimulation test. Which process does the nurse expect for the test?
A client is identified with a thyroid disorder resulting in hormone deficiency. The HCP prescribes a stimulation test. Which process does the nurse expect for the test?
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A patient is diagnosed with adrenal gland dysfunction and is scheduled for a 24-hour urine test. Which action by the nurse in regard to the test is incorrect?
A patient is diagnosed with adrenal gland dysfunction and is scheduled for a 24-hour urine test. Which action by the nurse in regard to the test is incorrect?
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The nurse is preparing a patient to undergo a suppression test to verify adrenal cortex dysfunction. Which reply will the nurse make when the client asks about the expected test procedure?
The nurse is preparing a patient to undergo a suppression test to verify adrenal cortex dysfunction. Which reply will the nurse make when the client asks about the expected test procedure?
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The nurse is preparing a patient for a thyroid scan to rule out thyroid cancer. Which instruction does the nurse give the patient prior to the testing?
The nurse is preparing a patient for a thyroid scan to rule out thyroid cancer. Which instruction does the nurse give the patient prior to the testing?
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The nurse receives information that an assigned patient is scheduled for an ultrasound of an endocrine gland. Which instruction does the nurse give the patient?
The nurse receives information that an assigned patient is scheduled for an ultrasound of an endocrine gland. Which instruction does the nurse give the patient?
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A patient has returned to the unit after a needle biopsy of the thyroid gland to rule out cancer. Which observation is expected by the nurse following the procedure?
A patient has returned to the unit after a needle biopsy of the thyroid gland to rule out cancer. Which observation is expected by the nurse following the procedure?
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The nurse is aware that a 12-year-old male client is at the fifth percentile on the growth chart for height. Which medical intervention does the nurse expect the HCP to prescribe?
The nurse is aware that a 12-year-old male client is at the fifth percentile on the growth chart for height. Which medical intervention does the nurse expect the HCP to prescribe?
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The nurse is aware that the pancreas is the only gland that is both endocrine and exocrine. Which secretion is related to the endocrine function of the pancreas?
The nurse is aware that the pancreas is the only gland that is both endocrine and exocrine. Which secretion is related to the endocrine function of the pancreas?
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The nurse is aware that the adrenal cortex secretes a variety of hormones. Which is an incorrect function of glucocorticoids?
The nurse is aware that the adrenal cortex secretes a variety of hormones. Which is an incorrect function of glucocorticoids?
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A patient is prescribed a dose of epinephrine. Which effects does the nurse expect the patient to exhibit after receiving this medication? (Select all that apply.)
A patient is prescribed a dose of epinephrine. Which effects does the nurse expect the patient to exhibit after receiving this medication? (Select all that apply.)
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A patient is experiencing an increased level of corticotropin-releasing hormone (CRH). What should the nurse consider is occurring with this patient? (Select all that apply.)
A patient is experiencing an increased level of corticotropin-releasing hormone (CRH). What should the nurse consider is occurring with this patient? (Select all that apply.)
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While collecting data, the nurse suspects that a patient is experiencing Cushing syndrome. Which findings does the nurse use to come to this conclusion? (Select all that apply.)
While collecting data, the nurse suspects that a patient is experiencing Cushing syndrome. Which findings does the nurse use to come to this conclusion? (Select all that apply.)
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The nurse is preparing to review information with a patient diagnosed with diabetes. Which information does the nurse include regarding an increased risk for and treatment of infection?
The nurse is preparing to review information with a patient diagnosed with diabetes. Which information does the nurse include regarding an increased risk for and treatment of infection?
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A patient with type 1 DM expresses concern about developing retinopathy due to a chronic disease. Which information does the nurse provide to give the patient the best reassurance?
A patient with type 1 DM expresses concern about developing retinopathy due to a chronic disease. Which information does the nurse provide to give the patient the best reassurance?
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The nurse is employed at a clinic for patients diagnosed with diabetes. Which patient does the nurse identify as being at greatest risk for needing dialysis?
The nurse is employed at a clinic for patients diagnosed with diabetes. Which patient does the nurse identify as being at greatest risk for needing dialysis?
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The nurse is contributing to a dietary presentation for patients in a multicultural community with diabetes. Which intervention will be least likely to meet the needs of the attendees?
The nurse is contributing to a dietary presentation for patients in a multicultural community with diabetes. Which intervention will be least likely to meet the needs of the attendees?
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The nurse is providing teaching to a patient with reactive hypoglycemia. Which instructions related to glucose monitoring should the nurse provide? (Select all that apply.)
The nurse is providing teaching to a patient with reactive hypoglycemia. Which instructions related to glucose monitoring should the nurse provide? (Select all that apply.)
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A patient is diagnosed with diabetic ketoacidosis. Which manifestations should the nurse expect to observe in this patient? (Select all that apply.)
A patient is diagnosed with diabetic ketoacidosis. Which manifestations should the nurse expect to observe in this patient? (Select all that apply.)
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A patient is upset to learn that a recent HbA1c level is 10.3 percent. Which average BG level does the nurse provide based upon this percentage if the equation 28.7 × HbA1c – 46.7 is used? (Round to the nearest whole number.)
A patient is upset to learn that a recent HbA1c level is 10.3 percent. Which average BG level does the nurse provide based upon this percentage if the equation 28.7 × HbA1c – 46.7 is used? (Round to the nearest whole number.)
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A female patient is prescribed glyburide for control of BG. What precaution does the nurse teach the patient about this medication?
A female patient is prescribed glyburide for control of BG. What precaution does the nurse teach the patient about this medication?
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A patient with type 1 diabetes has frequent episodes of hypoglycemia, even with multiple daily BG self-monitoring throughout the day. Which method of self-monitoring does the nurse recognize as being more effective for this patient?
A patient with type 1 diabetes has frequent episodes of hypoglycemia, even with multiple daily BG self-monitoring throughout the day. Which method of self-monitoring does the nurse recognize as being more effective for this patient?
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The nurse is providing care for a patient with diabetes who experiences frequent periods of hyperglycemia. Which comment by the patient is indicative to the nurse of a major cause of this BG imbalance?
The nurse is providing care for a patient with diabetes who experiences frequent periods of hyperglycemia. Which comment by the patient is indicative to the nurse of a major cause of this BG imbalance?
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Study Notes
Endocrine System Function and Assessment - Multiple Choice
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Question 1: All endocrine glands are anatomically separate, but not independently functioning. Most hormone levels are regulated by a negative feedback system, and each hormone is secreted in response to a specific stimulus.
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Question 2: The nurse should avoid information that states growth hormone (GH) is not involved in glucose regulation. Growth hormone-releasing hormone (GHRH) secretion occurs during hypoglycemia, or high amino acid levels. GHIH is secreted during hyperglycemia when carbohydrates are available for energy production.
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Question 3: The appropriate comment for an older adult experiencing reduced energy is that "aging causes the basal metabolic rate to change, and it's often normal to have less energy."
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Question 4: A patient with thyroid surgery will change the usual physical examination process. Elevated thyroid hormones will also require modifications to the usual physical examination. Diagnoses of diabetes mellitus or a posterior pituitary tumor will not require altered procedure. Patients needing a cortisol 24-hour urine test will require a different approach to urine collection if incontinent.
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Question 5: For an incontinent patient requiring a 24-hour urine specimen for cortisol, place the patient on a bedpan every half hour.
Endocrine System Function and Assessment - Additional Questions
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Question 6: A patient with a posterior pituitary tumor may show a significant increase in urine output as a primary sign.
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Question 7: The pancreas responds to hypoglycemia by stimulating pancreatic alpha cells to release glucagon.
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Question 8: A decreased calcium level in the blood contradicts possible thyroid removal complications. Prolonged clotting time and decreased calcitonin levels are potential complications. A normal finding would be hyperactive bowel sounds.
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Question 9: The licensed practical nurse/licensed vocational nurse (LPN/LVN) will observe for physical characteristics during a physical examination. This includes palpating the thyroid to assess for enlargement, and/or abnormal physical characteristics.
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Question 10: A thyroid disorder resulting in a hormone deficiency would involve a stimulation test, such as measuring hormone levels after a substance injection, or after monitored exercise.
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Question 11: The nurse should not wait until voiding to collect the first 24-hour urine sample.
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Question 12: A patient with possible adrenal cortex dysfunction should be prepared for a test involving the injection of a steroid hormone to suppress cortisol release.
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Question 13: Patients undergoing a thyroid scan should be instructed to not leave the area after the radioactive material is injected.
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Question 14: Patients undergoing an endocrine gland ultrasound should wear loose-fitting, non-restrictive clothing, to avoid limiting the area of examination.
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Question 15: Following a thyroid biopsy, an expected finding is mild pain. Moderate bleeding, difficulty swallowing or speaking are unexpected findings.
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Question 16: A 12-year-old with below-average height may have height increase options other than surgery, including growth hormone therapy. Thyroid scan cold spots may suggest malignancies.
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Question 17: Pancreatic secretions include insulin (endocrine) and amylase (exocrine).
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Question 18: Incorrect function of glucocorticoids: They are not the sole source of estrogen after menopause. A correct function is contributing to libido in both sexes.
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Question 19: Effects of epinephrine include decreased peristalsis, increased heart rate/contractions, constricted bronchioles, and increased blood glucose.
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Question 20: Increased corticotropin-releasing hormone (CRH) levels indicate stress.
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Question 21: Findings suggestive of Cushing syndrome include water-weight gain, mood swings, "buffalo hump" fat pads, and a "moon" face, among other symptoms.
Additional Point:
- Page 4, Question 18, Incorrect Function of Glucocorticoids: The correct answer is that glucocorticoids contribute to libido in both sexes. This function is inaccurate because they are not the only contributor to libido and are not the only source of estrogen post-menopause.
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Description
Test your understanding of the endocrine system's functions and assessments with this multiple-choice quiz. It covers hormone regulation, the effects of aging on metabolism, and considerations after thyroid surgery. Perfect for nursing students and healthcare professionals.
