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NURS 6501N Week 9 Quiz with Answers

1. A nurse recalls insulin has an effect on which of the following groups of electrolytes?
2. A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find?
3. When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly caused by:
4. A 45-year-old female has elevated thyroxine production. Which of the following would accompany this condition?
5. An endocrinologist isolated a new hormone and found it to be a water-soluble amine. Which of the following is most like this new hormone?
6. While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is _____ diabetes insipidus.
7. A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state?
8. A 40-year-old male undergoes surgery for a PTH-secreting tumor in which the parathyroid is removed. Which of the following would the nurse expect following surgery?
9. An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond?
10. A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect?
11. Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is:
12. A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective?
13. A patient has researched lipid-soluble hormones on the Internet. Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane by:
14. A 22-year-old female has a low level of TSH. What condition does the nurse expect the patient is experiencing?
15. When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a _____ effect by a hormone.
16. A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal:
17. While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually _____ with hypothyroidism.
18. A 30-year-old male is diagnosed with a hormone-secreting tumor of the pancreas alpha cells. Which of the following would the nurse expect to be most likely increased in this patient?
19. A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH). Which of the following would the nurse also expect to find?
20. A nurse is teaching a patient about insulin. Which information should the nurse include? Insulin is primarily regulated by:
21. A patient has high levels of hormones. To adapt to the high hormone concentrations, the patient’s target cells have the capacity for:
22. A 30-year-old male was diagnosed with hypothyroidism. Synthesis of which of the following would decrease in this patient?
23. A 35-year-old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find?
24. A 44-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for SIADH. Which of the following assessment findings would be expected in this patient?
25. A nurse is caring for a patient with SIADH. What severe complication should the nurse assess for?
26. Which principle should the nurse include while planning care for a patient with an ADH problem? ADH release from the posterior pituitary is stimulated by:
27. A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient?
28. A 3-year-old male was diagnosed with congenital hypothyroidism. The parents ask the nurse if left untreated what will happen. What is the nurse’s best response? If left untreated, the child would have:
29. When catecholamines are released in a patient, what should the nurse assess for?
30. When a nurse is assessing the physical features of individuals with Cushing syndrome, these findings will include:
31. A 15-year-old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. What does the nurse suspect as the most likely cause for these assessment findings?
32. A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate?
33. What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?
34. If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease?
35. Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations?