“CAPSTONE ENDOCRINE PRACTICE EXAM
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Endocrine Practice Exam Questions
An increase in release of GnRH from the hypothalamus will lead to an increase
in release of which 2 pituitary hormones?
A. testosterone and estrogen
B. testosterone and estrogen
C. ADH and aldosterone
D. FSH and LH
D. FSH and LH
Which hormone is regulated by the hypothalamic-pituitary-adrenal axis?
A. T3/T4
B. testosterone
C. cortisol
D. epinephrine
C. cortisol
Which of the following hormones is likely to bind to an intracellular receptor?
A. cortisol
B. PRL
C. GH
D. PTH
A. cortisol
In women, which organ is responsible for producing estrogen and
progesterone?
A. the ovary
B. the uterus
C. the adrenal gland
D. the mammary glands
A. the ovary
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Which hormone from the adrenal cortex travels to the kidney where it binds to
its receptors?
A. aldosterone
B. estrogen
C. testosterone
D. cortisol
A. aldosterone
Which hormone sets the basal metabolic rate, when a person is not exercising
or eating?
A. insulin
B. cortisol
C. glucagon
D. T3/T4
D. T3/T4
Which 2 hormones regulate the function of the testes (the male gonads)?
A. insulin and glucagon
B. FSH and LH
C. oxytocin and prolactin
D. epinephrine and norepinephrine
B. FSH and LH
Which 2 hormones have opposing effects on blood glucose levels?
A. glucagon and insulin
B. aldosterone and testosterone
C. ADH and ANP
D. epinephrine and norepinephrine
A. glucagon and insulin
Which hormone opposes the effect of calcitonin?
A. PTH
B. PRL
C. aldosterone
D. erythropoietin (EPO)
A. PTH
The pancreas is described as part of the endocrine system, yet 95% of the
pancreatic tissue actually functions as part of the _______ system.
A. respiratory
B. cardiovascular
C. digestive
D. lymphatic / immune
C. digestive
A nurse is caring for a client who asks why the provider bases the medication
regimen on the HbA1c instead of the log of morning fasting blood glucose
results. Which of the following responses should the nurse make?
a. hb1Ac measures how well insulin is regulating your blood glucose between
meals
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b. HbA1c indicates how well you have regulated your blood glucose over the
past 120 days.
c. HbA1c is the first test your provider prescribed to determine that you have
diabetes
d. HbA1c determines if you need an additional dose of insulin at this time
"HbA1c indicates how well you have regulated your blood glucose over the past 120
days."
A nurse is reviewing the laboratory findings for a client who might have
hyperthyroidism. The nurse should identify that an elevation in which of the
following substances indicates hyperthyroidism?
A. triiodothyronine
B. plasma-free metanephrine
c. urine cortisol
d. urine osmolality
A. triiodothyronine
A nurse is reviewing the medical record of a client who has syndrome of
inappropriate antidiuretic hormone (SIADH) which of the following laboratory
findings should the nurse expect? (select all the apply)
a. low sodium
b. high potassium
c. increased urine osmolality
d. high urine sodium
e. increased urine specific gravity
a. low sodium
c. increased urine osmolality
d. high urine sodium
e. increased urine specific gravity
A nurse is caring for a client who has primary adrenal insufficiency and is
preparing to undergo an ACTH stimulation test. which of the following findings
should the nurse expect after an IV injection of cosyntropin?
a. no change in plasma cortisol
b. elevated fasting blood glucose
c. decrease in sodium
d. increase in urinary output
a. no change in plasma cortisol
A nurse is collecting data from a client during a water deprivation test. Which
of the following manifestations should the nurse identify as a indicating
dehydration?
a. bradycardia
b. orthostatic hypotension
c. neck vein distention
d. crackles in lungs
b. orthostatic hypotension
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A nurse is caring for a client who has syndrome of inappropriate antidiuretic
hormone (SIADH) which of the following findings should the nurse expect?
select all that apply
a. decrease serum sodium
b. decreased urine specific gravity
c. decreased serum osmolarity
d. polyuria
e. increased thirst
a. decreased serum sodium
c. decreased serum osmolarity
A nurse is caring for a client who has diabetes insipidus. which of the
following urinalysis laboratory findings should the nurse anticipate?
a. presence of glucose
b. decreased specific gravity
c. presence of ketones
d. presence of red blood cells
b. decreased specific gravity
A nurse is reinforcing teaching with a client who has a new diagnosis of
diabetes insipidus. Which of the following client statements indicates an
understanding of the teaching?
a. i can drink up to 2 quarts of fluid a day
b. i will need to use insulin to control my blood glucose levels
c. i should expect to gain weight during this illness
d. muscle weakness is a symptom of diabetes insipidus
d. muscle weakness is a symptom of diabetes insipidus
A nurse is caring for client who has acromegaly. Which of the following
findings should he nurse expect?
a. muscle rigidity
b. sunken eyes
c. sluggish deep tendon reflexes
d. visual disturbances
d. visual disturbances
A nurse in a provider's office is reviewing the health record of a client who is
undergoing evaluation for graves disease. which of the following laboratory
results is an expected finding?
a. decreased thyrotropin receptor antibodies TRAb
b. decreased thyroid-stimulating hormone TSH
c. decreased free thyroxin index t4
d. decreased triiodothyronine t3
b. decrease thyroid stimulating hormone TSH
A nurse is reviewing manifestations of hyperthyroidism with a client which of
the following findings should the nurse include? (SATA)
a. anorexia
b. heat intolerance