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Endocrine Function NCLEX Exam Questions and Verified Correct Answers WGU.

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Endocrine Function NCLEX Exam
Questions and Verified Correct Answers
WKU
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,During a follow-up visit to the physician, a client with
hyperparathyroidism asks the nurse to explain the
physiology of the parathyroid glands. The nurse states
that these glands produce parathyroid hormone (PTH).
PTH maintains the balance between calcium and:

a) magnesium.
b) phosphorus.
c) sodium.
d) potassium. - Answer: B) Phosphorus
PTH increases the serum calcium level and decreases the
serum phosphate level. PTH doesn't affect sodium,
potassium, or magnesium regulation.

A nurse is assessing a client with possible Cushing's
syndrome. In a client with Cushing's syndrome, the nurse
expects to find:

a) weight gain in arms and legs.
b) thick, coarse skin.
c) hypotension.
d) deposits of adipose tissue in the trunk and
dorsocervical area. - Answer: D) Deposits of adipose
tissue in the trunk and dorsocervical area
Because of changes in fat distribution, adipose tissue

,accumulates in the trunk, face (moon face), and
dorsocervical areas (buffalo hump). Hypertension is
caused by fluid retention. Skin becomes thin and bruises
easily because of a loss of collagen. Muscle wasting causes
muscle atrophy and thin extremities.

NPH is an example of which type of insulin?

a) Short-acting
b) Intermediate-acting
c) Rapid-acting
d) Long-acting - Answer: B) Intermediate-acting
NPH is intermediate-acting insulin.

For a client with hyperthyroidism, treatment is most likely
to include:

a) a thyroid hormone antagonist.
b) thyroid extract.
c) emollient lotions.
d) a synthetic thyroid hormone. - Answer: A) A thyroid
hormone antagonist
Thyroid hormone antagonists, which block thyroid
hormone synthesis, combat increased production of
thyroid hormone. Treatment of hyperthyroidism also may
include radioiodine therapy, which destroys some thyroid

, gland cells, and surgery to remove part of the thyroid
gland; both treatments decrease thyroid hormone
production. Thyroid extract, synthetic thyroid hormone,
and emollient lotions are used to treat hypothyroidism.

Lydia Kranston, a three-year-old female, is being seen by
a physician in the endocrinology group where you practice
nursing. She has a significant height deficit and is being
seen for diagnostic purposes. What could be the cause of
her disorder?

a) Pituitary disorder
b) Adrenal disorder
c) Thyroid disorder
d) Parathyroid disorder - Answer: A) Pituitary disorder
Pituitary disorders usually result from excessive or
deficient production and secretion of a specific hormone.
Dwarfism occurs when secretion of GH is insufficient
during childhood.

A nurse is preparing a client with type 1 diabetes for
discharge. The client can care for himself; however, he's
had a problem with unstable blood glucose levels in the
past. Based on the client's history, he should be referred
to which health care worker?

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