Chapter 55--Assessment of Endocrine Function
MULTIPLE CHOICE
1. Blood work of a female client shows an increase in the production of estradiol. The nurse realizes that
this hormone is controlled by:
1. positive feedb
...
Chapter 55--Assessment of Endocrine Function
MULTIPLE CHOICE
1. Blood work of a female client shows an increase in the production of estradiol. The nurse realizes that
this hormone is controlled by:
1. positive feedback.
2. negative feedback.
3. nervous feedback.
4. reverse feedback.
PTS: 1 DIF: Analyze REF: Positive Feedback Mechanisms
2. The nurse, instructing a client regarding hormones, would include which of the following in these
instructions?
1. Hormones are nonspecific.
2. Hormone release triggers a rapid response.
3. Hormones do not influence other hormones.
4. The nervous system and hormones work together to maintain homeostasis.
PTS: 1 DIF: Apply REF: Hormones
3. A client is experiencing a disorder to the anterior pituitary gland. The nurse realizes that all of the
following hormones will be affected by this disorder EXCEPT:
1. adrenocorticotropic hormone.
2. antidiuretic hormone.
3. melanocyte-stimulating hormone.
4. luteinizing hormone.
PTS: 1 DIF: Analyze REF: Table 55-1 Endocrine Gland Hormones
4. A client has a central nervous system disorder. The nurse realizes that the client may be experiencing
alterations in hormones regulated by which of the following organs?
1. Hypothalamus
2. Pineal gland
3. Pituitary gland
4. Thyroid
PTS: 1 DIF: Analyze REF: Hypothalamus Gland
5. A client is diagnosed with a low serum calcium level. The nurse realizes that which hormone is
released when serum calcium levels are low?
1. Calcitonin
2. Cortisol
3. Parathyroid hormone
4. Thyroxine
6. A client is diagnosed with an increased level of glucagon. The nurse realizes that the production of
glucagon occurs in which of the following cells within the pancreatic islets of Langerhans?
1. Alpha
2. Beta
3. Delta
4. F cells
PTS: 1 DIF: Analyze REF: Pancreas Gland
7. A client is diagnosed with a low level of triiodothyronine. The nurse realizes that this hormone affects
which of the following body functions?
1. Blood glucose regulation
2. Bone growth
3. Calcium regulation
4. Metabolism
PTS: 1 DIF: Analyze REF: Thyroid Gland
8. A client is diagnosed with benign cysts on the cortex of the adrenal glands. Which of the following
hormones will be affected with this health problem?
1. Aldosterone and cortisol
2. Calcitonin and parathyroid hormone
3. Epinephrine and norepinephrine
4. Prolactin and luteinizing hormone
PTS: 1 DIF: Analyze REF: Adrenal Glands: Adrenal Cortex
9. The nurse realizes that an adequate amount of which vitamin must be present for parathyroid hormone
to be fully effective?
1. Vitamin A
2. Vitamin C
3. Vitamin D
4. Vitamin E
PTS: 1 DIF: Analyze REF: Parathyroid Glands
10. The nurse should suspect that a client has an endocrine disorder when which of the following findings
is assessed regarding the integumentary status?
1. Freckles
2. Presence of moles
3. Course hair
4. Even skin tone
PTS: 1 DIF: Analyze REF: Integumentary
11. A client is scheduled for x-rays of the long bones. The nurse realizes this diagnostic test is useful to
help diagnose a disorder of the:
1. pituitary gland.
2. pancreas.
3. thyroid gland.
4. adrenal gland.
PTS: 1 DIF: Analyze
REF: Table 55-3 Common Diagnostic Tests for Endocrine System Disorders
12. The results of a client’s thyroid scan showed black and gray areas. The nurse realizes this finding is
consistent with:
1. malignancies.
2. elevated phosphorus levels.
3. hyperactivity.
4. renal disease.
PTS: 1 DIF: Analyze REF: Thyroid Scan
13. A client is scheduled for a thyroid scan. Which of the following should the nurse instruct the client
regarding this diagnostic test?
1. Eliminate all salt in the diet.
2. Take nothing by mouth after midnight if I-131 is being used during the test.
3. Continue taking thyroid medication as prescribed.
4. Take nothing by mouth for 45 minutes after receiving intravenous technetium for the test.
PTS: 1 DIF: Apply REF: Thyroid Scan: Nursing Management
14. Which of the following should the nurse instruct a client who is recovering from a thyroid biopsy as an
outpatient?
1. Notify the physician of any problems with breathing after the procedure.
2. Go to the emergency room with any signs of a sore throat after the procedure.
3. Expect to be admitted to the hospital if the surgeon decides to remove the thyroid after the
biopsy.
4. Perform no special preparations for the test.
ANS: 1
PTS: 1 DIF: Apply REF: Thyroid Biopsy
MULTIPLE RESPONSE
1. The nurse is assessing the endocrine system of an elderly client. Which of the following are considered
age-related changes of this system? (Select all that apply.)
1. Increased estrogen in women
2. Increased production of antidiuretic hormone
3. Decreased testosterone in men
4. Increased pancreatic secretion of insulin
5. Smaller thyroid gland
6. Risk for osteoporosis
PTS: 1 DIF: Analyze REF: Effects of Aging on the Endocrine System
2. A client is diagnosed with a thyroid storm. Which of the following will the nurse most likely assess in
this client? (Select all that apply.)
1. Fever
2. Tachycardia
3. Hypotension
4. Restlessness
5. Cardiac arrhythmias
6. Sweating
PTS: 1 DIF: Analyze REF: Red Flag: Thyroid Crisis
3. Which of the following would indicate to the nurse that a client is experiencing an endocrine disorder
that is affecting the neurological system? (Select all that apply.)
1. Tremors
2. Memory loss
3. Jitteriness
4. Nervousness
5. Loss of sensation in the feet
6. Nerve pain
PTS: 1 DIF: Analyze REF: Neurological
4. A client is scheduled for diagnostic tests to evaluate the adrenal glands. Which of the following will
most likely be included in these tests? (Select all that apply.)
1. Vasopressin level
2. Urine specific gravity
3. Cortisol level
4. Dexamethasone suppression test
5. Progesterone assay
6. Aldosterone assay
PTS: 1 DIF: Analyze
REF: Table 55-3 Common Diagnostic Tests for Endocrine System Disorders
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