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NR507 Week 5 Quiz: Endocrinology & Hormone Regulation

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A 20-question multiple-choice quiz assessing understanding of endocrine system function, including hormone synthesis/regulation (Aldosterone, RAAS, ADH, Oxytocin, PTH, TSH, ACTH, Insulin), electrolyte imbalances (calcium, phosphate, sodium), fluid balance, and related disorders (Diabetes Insipidus, SIADH, DKA, HHNKS, Graves Disease, Thyroid Carcinoma, Hypoparathyroidism, Hyperpituitarism, Diabetic complications).

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NR 507 Week 5 Quiz k k k k




Aldosterone synthesis and secretion are primarily regulated by the (Points : 2)
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k k k k k k k k liver.
k k k k k k k k renin-angiotensin-aldosterone system. k




k k k k k k k k adrenal glands. k




k k k k k k k k hypothalamus.

A surgical individual just arrived on the unit from the postanesthesia care
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unit. This person’s respirations are 4 per minute and shallow. As the nurse
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calls for assistance, the person suddenly feels jittery and breathing quickens.
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Which of the following feedback loops is operating for the nurse in this
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situation? (Points : 2)
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The central nervous system stimulates hypothalamus-releasing factor,
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which acts on the anterior pituitary gland to secrete thyroid-stimulating
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hormone (TSH) and stimulates the release of thyroxine (T4) and
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triiodothyronine (T3).
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The central nervous system directly stimulates the release of insulin,
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which reduces blood glucose levels.
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The central nervous system directly stimulates the adrenal medulla to
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secrete epinephrine and stimulates hypothalamus-releasing factor, which acts
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on the anterior pituitary gland to secrete adrenocorticotropic-stimulating
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hormone (ACTH), stimulating the release of cortisol.
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The central nervous system stimulates the hypothalamus to synthesize
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oxytocin and antidiuretic hormone, which are secreted by the posterior
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pituitary, activating uterine contraction and renal absorption of water.
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What effect does aldosterone have on fluid and electrolyte imbalances?
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(Points : 2)
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k k k k k k k k It directly increases magnesium reabsorption.
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k k k k k k k k It directly increases calcium reabsorption.
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k k k k k k k k It directly increases sodium reabsorption.
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k k k k k k k k It directly increases water reabsorption.
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What effect does hyperphosphatemia have on other electrolytes? (Points : 2)
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, k k k k k k k k It increases serum calcium.
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k k k k k k k k It decreases serum calcium.
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k k k k k k k k It decreases serum magnesium.
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k k k k k k k k It increases serum magnesium.
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Where is oxytocin synthesized? (Points : 2)
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k k k k k k k k Hypothalamus
k k k k k k k k Paraventricular nuclei k




k k k k k k k k Anterior pituitary k




k k k k k k k k Posterior pituitary k




Which mineral is needed for the synthesis of thyroid hormones? (Points : 2)
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k k k k k k k k Iron
k k k k k k k k Zinc
k k k k k k k k Iodide
k k k k k k k k Copper

The portion of the pituitary that secretes oxytocin is the _____ pituitary.
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(Points : 2)
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k k k k k k k k posterior
k k k k k k k k inferior
k k k k k k k k anterior
k k k k k k k k superior

When insulin binds its receptors on muscle cells, an increase in glucose
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uptake by the muscle cells is the result. This is an example of a _____ effect
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by a hormone. (Points : 2)
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k k k k k k k k pharmacologic
k k k k k k k k permissive
k k k k k k k k synergistic
k k k k k k k k direct

Which of the following hormones acts on its target cell via a second
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messenger? (Points : 2)
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