1. The nurse is caring for a patient diagnosed with Hashimoto's thyroiditis.

When assessing this patient what symptom would the nurse expect in a patient with hypothyroidism? A) Bradycardia B) Bulging eyes ) !alpitations ") #lushed s$in %. A patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion &'(A"H) is )eing cared for on a medical unit* and the nurse is writing an indi+iduali,ed care plan. The priority nursing diagnosis for a patient with this condition is what? A) "eficient fluid +olume B) -xcessi+e fluid +olume ) Hypothermia ") Hyperthermia .. The nurse is assessing a patient diagnosed with /ra+es' disease. What physical characteristics of /ra+es' would the nurse expect to find? A) Hair loss B) 0oon face ) Bulging eyes ") #atigue 1. The health care pro+ider has ordered a fluid depri+ation test on a patient. What is this patient most li$ely )eing tested for? A) Hashimoto's thyroiditis B) "ia)etes insipidus &"() ) 'yndrome of inappropriate antidiuretic hormone secretion &'(A"H) ") Hyperparathyroidism 2. A patient with pheochromocytoma has )een admitted for an adrenalectomy tomorrow. The patient is to start (3 medication this e+ening to pre+ent adrenal insufficiency. What medication is the patient most li$ely to re4uire? A) Anti)iotics B) Antihypertensi+es ) !arenteral nutrition ") orticosteroids 5. A patient who has had a total parathyroidectomy has returned to the unit from !A 6. The nurse caring for the patient $nows to assess for what complication following this surgery? A) 0uscle twitching B) Hypercalcemia ) Hemorrhage
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#atigue

7. The nursing educator is teaching a group of new graduates a)out Addison's disease. What symptom would the educator identify as )eing characteristic of Addison's disease? A) Truncal o)esity B) Hypertension ) 0uscle wea$ness ") 80oon8 face 9. The nurse is teaching a patient a)out nutrition and $nows that the )ody needs specific nutrients in order to function normally. What element is essential to thyroid function? A) !otassium B) 'elenium ) (odine ") hlorine :. A nurse caring for a patient with dia)etes insipidus is re+iewing the patient's la)oratory results. What is an expected urinalysis finding? A) /lucose in the urine B) Al)umin in the urine ) 6rine specific gra+ity of 1.;;1 to 1.;;2 ") <eu$ocytes in the urine 1;. The nurse is de+eloping a care plan for a patient with hypersecretion of the adrenal cortex & ushing's syndrome). What nursing diagnosis would ha+e the highest priority in this care plan? A) =is$ for in>ury related to wea$ness B) "istur)ed )ody image related to changes in physical appearance ) =is$ for loneliness related to distur)ed )ody image ") #atigue related to sleep distur)ances 11. A nurse is aware of the +ital role that hormones and the negati+e feed)ac$ mechanism play in the maintenance of homeostasis. Which of the following statements )est descri)es the negati+e feed)ac$ mechanism that controls insulin secretion? A) (nsulin is synthesi,ed and released in an in+ersely proportionate 4uantity to glucagon. B) 'erum le+els of insulin are constantly secreted unless such secretion is acti+ely inhi)ited. ) High concentrations of insulin in the )lood inhi)it further insulin secretion. ") 'erum le+els of insulin are maintained at the lowest possi)le le+el.

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1%. A patient's thyroid gland has secreted T. and T1 into the )loodstream. This occurs in response to the stimulation of a hormone originating in the? A) Anterior pituitary gland B) Adrenal cortex ) !arathyroid gland ") !ancreas 1.. 3asopressin &antidiuretic hormone* A"H) has >ust )een released into an indi+idual's circulation. Which of the following changes in homeostasis most li$ely prompted the indi+idual's posterior pituitary gland to release this hormone? A) !sychological or physiological stress B) (ncreased )lood osmolality ) (ncreased oxygen demand ") (ncreased sodium inta$e 11. An adult patient is experiencing a temporary decrease in serum le+els of T. and T1. What physiological response is this state li$ely to result in? A) (ncreased release of T'H B) (ncreased resorption of T. and T1 in the renal tu)ules ) =elease of se4uestered T. and T1 )y the spleen ") ompensatory release of T2 )y the parathyroid 12. A hospital patient's most recent )lood wor$ re+eals a a%@ le+el of 11.% mgAd< &normal 9.2 to 1;.2 mgAd<) and a phosphorus le+el of 1.1 mgAd< &normal ..; to 1.2 mgAd<). What hormone has the potential to cause this alteration in the patient's electrolyte le+els? A) alcitonin B) orticotropinBreleasing hormone & =H) ) Thyroid hormone ") !arathyroid hormone 15. A patient who is currently in the hospital reco+ering from orthopedic surgery has always considered herself to )e a 8)orderline dia)etic8 who prides herself on maintaining accepta)le )lood glucose le+els through diet and lifestyle modifications. onse4uently* she is surprised that her primary care pro+ider has ordered a sliding scale of insulin while she is in the hospital. Why might this patient re4uire insulin at this particular time? A) #luid and electrolyte changes surrounding surgery may increase her )lood sugar le+els. B) (mmo)ility may cause decreased thyroid hormone le+els* decreased meta)olic

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demand* and conse4uent increased )lood sugar. The stress of hospitali,ation and surgery may cause increased release of glucocorticoids. The action of anesthetic may temporarily )lunt the normal release of endogenous insulin )y the patient's pancreas.

17. A nurse who o+ersees the care that is pro+ided in a longBterm care facility is aware that there are numerous ageBrelated changes to e+ery )ody system. Which of the following phenomena may )e a result of ageBrelated changes to the endocrine system? A) "ecreased auditory and +isual acuity B) (ncreased response time to stimuli ) (ntolerance to cold ") "ecreased oil production )y se)aceous glands 19. (n response to a patient's ele+ated )lood glucose le+el* the nurse has administered a dose of insulin as ordered. The nurse understands that insulin results in a lowered le+el of )lood glucose )y? A) Brea$ing the molecular )onds in glucose molecules B) 'timulating thyroid hormone release and increasing meta)olic needs ) (nhi)iting the action of glucagon ") #acilitating glucose transport into )ody cells 1:. An adult patient has admitted to his primary care pro+ider that he has )een experiencing an unprecedented loss of li)ido in recent months. This complaint should prompt the clinician to assess the patient for dysfunction of what endocrine gland? A) !ituitary gland B) Thyroid gland ) !arathyroid gland ") -ndocrine pancreas %;. A 5;ByearBold woman has >ust )een diagnosed with hypothyroidism after a diagnostic wor$up. What sign or symptom most li$ely moti+ated the woman to originally see$ care? A) <ethargy and apathy B) A)normal hair growth and excessi+e perspiration ) #lushed s$in and pruritus ") Aggression and increased appetite %1. While reading a medical patient's admission documentation* the nurse notes that the patient has a history of parathyroid dysfunction. Accordingly* the nurse should pay particular attention to this patient's?

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Blood pressure alcium le+els !otassium le+els ognition

%%. Which of the following statements )y patients should prompt the nurse to assess for potential failure of the adrenal cortex? A) 8('m always exhausted these days* and ( ne+er really feel li$e eating.8 B) 8<ately* ( find that ('m more irrita)le and impatient than normal.8 ) 8The last little while ( get num)ness and tingling in my lips and fingers a lot.8 ") 80y thirst is almost insatia)le these days* and my mouth always feels dry.8 %.. 6rinalysis has )een ordered as part of a patient's diagnostic wor$up* and the nurse has o)tained and su)mitted a sample. Assessment of this patient's urine osmolality may )e underta$en to diagnose dysfunction of the patient's? A) Thyroid gland B) Adrenal cortex ) Adrenal medulla ") !osterior pituitary %1. The nurse is assisting with the preparation of a patient who will undergo a radioacti+e iodine upta$e &=A(6) test. The nurse should understand that this patient is )eing assessed for dysfunction of the? A) Thyroid gland B) Adrenal cortex ) Adrenal medulla ") Anterior pituitary %2. A 2:ByearBold patient is )eing assessed for hypoparathyroidism. The nurse should anticipate that this patient is li$ely to re4uire what diagnostic test? A) T of the a)domen B) Bone density testing ) ardiac stress testing ") %1Bhour urine

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Answer Key
1. %. .. 1. 2. 5. 7. 9. :. 1;. 11. 1%. 1.. 11. 12. 15. 17. 19. 1:. %;. %1. %%. %.. %1. %2. A B B " A

A A B A " " A A B A " A B

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