McNeese State University NURS 618
exam3 Questions And Answers Rated A+ New
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N618 Test 3
1. Roles of hormones:
a. Which of the following statements best captures an aspect of the role of
hormones in the body? Some chemicals substances can function as hormones or
be integrated with the central and peripheral nervous system.
i. (Some chemicals, such as epinephrine, can both function as a hormone
and be closely integrated with the central and peripheral nervous
system as well as the immune systems, leading to current terminology
such as “neuroendocrine.”)
2. Perimenopause signs and symptoms:
a. A 51yo woman has been experiencing signs and symptoms of perimenopause
and has sought help from her family physician. A deficiency in estrogen levels has
been determined to be a contributing factor. Which of the following phenomena
could potentially underlie the woman’s health problem? Insufficient estrogen
production within the smooth endoplasmic reticulum (ER) of the relevant cells.
i. (Steroids such as estrogen are produced in the smooth ER.)
3. Diabetic risks for hypoglycemia:
a. A 30yo male who manages his type 1 diabetes with glyburide presents at the
emergency room complaining of headache, confusion, and tachycardia. He has
come from a party at which he drank two beers to celebrate running his first half-
marathon. Which of the following is likely to be the cause of his complaints?
HYPOGLYCEMIA
b. Overmedication: taking too much insulin or other glucose-lowering medications
c. Skipping meals: not eating regularly or missing meals can cause blood sugar to
drop
d. Excessive exercise: physical activity can lower blood sugar levels, especially if it’s
intense or prolonged
1
, e. Alcohol consumption: alcohol can interfere with the body’s ability to raise blood
sugar levels.
i. Pg.1212; Severe and prolonged hypoglycemia can result in substantial
brain dysfunction. (Brain relies exclusively on glucose as a fuel source.)
2
, 4. Role of pituitary gland on follicle:
a. During the follicular stage of menstruation, increased estradiol production causes
an increase in FSH production. This increase in FSH production by the anterior
pituitary gland will have what effect on the follicle? The follicle will die, which
results in a fall of FSH.
5. Hyperosmolar and hyperglycemic state of parenteral nutrition:
a. A pancreatitis patient is admitted with weight loss, nausea, and vomiting. To
maintain nutrition, the physician orders parenteral nutrition to be started.
Knowing the major side effect of parenteral nutrition is hyperosmolar
hyperglycemic state, the nurse should assess the patient for which clinical
manifestation? Dry lips, excess urine output, and seizures.
b. Parenteral nutrition, or IV feeding, can sometimes lead to a hyperosmolar
hyperglycemic state (HHS). This is a serious condition characterized by high blood
sugar levels and increased blood osmolarity. It can occur due to:
i. Excessive glucose infusion: too much glucose in the parenteral nutrition
can overwhelm the body’s ability to metabolize it.
ii. Insufficient insulin: if the body doesn’t produce enough insulin, it can’t
properly use the glucose provided by the parenteral nutrition.
c. Successful treatment of HHS involves careful patient monitoring and correction
of dehydration, hyperglycemia, and electrolyte imbalance. Close observation and
care are particularly important as water moves back into brain cells, posing a
threat of cerebral edema. (pg. 1224) (weakness, dehydration, polyuria, neuro
changes, excessive thirst, hemiparesis, seizures, coma)
d. Must carefully watch for potassium insulin administration and IVF can lead to
HYPOkalemia **Must replace low potassium levels BEFORE you start insulin!!
6. Glucose Metabolism:
a. Following a meal, a woman’s blood glucose level has increased. In addition, her
pancreas has increased the amount of insulin produced and released. Which of
the following phenomena has occurred? Adjustment according to the level of the
substance a hormone regulates.
i. (Insulin controls glucose levels and would increase in response to the
increase in serum glucose that follows a meal.)
b. Which of the following statements best describes an aspect of the normal
process of glucose metabolism? Glucose that exceeds metabolic demands is
converted and stored by the liver.
c. Glucose metabolism refers to the process by which the body uses glucose for
energy. This involves several steps:
3
exam3 Questions And Answers Rated A+ New
Update Assured Satisfaction
N618 Test 3
1. Roles of hormones:
a. Which of the following statements best captures an aspect of the role of
hormones in the body? Some chemicals substances can function as hormones or
be integrated with the central and peripheral nervous system.
i. (Some chemicals, such as epinephrine, can both function as a hormone
and be closely integrated with the central and peripheral nervous
system as well as the immune systems, leading to current terminology
such as “neuroendocrine.”)
2. Perimenopause signs and symptoms:
a. A 51yo woman has been experiencing signs and symptoms of perimenopause
and has sought help from her family physician. A deficiency in estrogen levels has
been determined to be a contributing factor. Which of the following phenomena
could potentially underlie the woman’s health problem? Insufficient estrogen
production within the smooth endoplasmic reticulum (ER) of the relevant cells.
i. (Steroids such as estrogen are produced in the smooth ER.)
3. Diabetic risks for hypoglycemia:
a. A 30yo male who manages his type 1 diabetes with glyburide presents at the
emergency room complaining of headache, confusion, and tachycardia. He has
come from a party at which he drank two beers to celebrate running his first half-
marathon. Which of the following is likely to be the cause of his complaints?
HYPOGLYCEMIA
b. Overmedication: taking too much insulin or other glucose-lowering medications
c. Skipping meals: not eating regularly or missing meals can cause blood sugar to
drop
d. Excessive exercise: physical activity can lower blood sugar levels, especially if it’s
intense or prolonged
1
, e. Alcohol consumption: alcohol can interfere with the body’s ability to raise blood
sugar levels.
i. Pg.1212; Severe and prolonged hypoglycemia can result in substantial
brain dysfunction. (Brain relies exclusively on glucose as a fuel source.)
2
, 4. Role of pituitary gland on follicle:
a. During the follicular stage of menstruation, increased estradiol production causes
an increase in FSH production. This increase in FSH production by the anterior
pituitary gland will have what effect on the follicle? The follicle will die, which
results in a fall of FSH.
5. Hyperosmolar and hyperglycemic state of parenteral nutrition:
a. A pancreatitis patient is admitted with weight loss, nausea, and vomiting. To
maintain nutrition, the physician orders parenteral nutrition to be started.
Knowing the major side effect of parenteral nutrition is hyperosmolar
hyperglycemic state, the nurse should assess the patient for which clinical
manifestation? Dry lips, excess urine output, and seizures.
b. Parenteral nutrition, or IV feeding, can sometimes lead to a hyperosmolar
hyperglycemic state (HHS). This is a serious condition characterized by high blood
sugar levels and increased blood osmolarity. It can occur due to:
i. Excessive glucose infusion: too much glucose in the parenteral nutrition
can overwhelm the body’s ability to metabolize it.
ii. Insufficient insulin: if the body doesn’t produce enough insulin, it can’t
properly use the glucose provided by the parenteral nutrition.
c. Successful treatment of HHS involves careful patient monitoring and correction
of dehydration, hyperglycemia, and electrolyte imbalance. Close observation and
care are particularly important as water moves back into brain cells, posing a
threat of cerebral edema. (pg. 1224) (weakness, dehydration, polyuria, neuro
changes, excessive thirst, hemiparesis, seizures, coma)
d. Must carefully watch for potassium insulin administration and IVF can lead to
HYPOkalemia **Must replace low potassium levels BEFORE you start insulin!!
6. Glucose Metabolism:
a. Following a meal, a woman’s blood glucose level has increased. In addition, her
pancreas has increased the amount of insulin produced and released. Which of
the following phenomena has occurred? Adjustment according to the level of the
substance a hormone regulates.
i. (Insulin controls glucose levels and would increase in response to the
increase in serum glucose that follows a meal.)
b. Which of the following statements best describes an aspect of the normal
process of glucose metabolism? Glucose that exceeds metabolic demands is
converted and stored by the liver.
c. Glucose metabolism refers to the process by which the body uses glucose for
energy. This involves several steps:
3
