NUR 370 Test 4 Review Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
LM 9 Quiz: The results of a 44-year-old obese man's recent diagnostic workup have culminated in a
new diagnosis of type 2 diabetes. Which pathophysiologic process underlies the client's new
diagnosis?
A)beta cell exhaustion due to long-standing insulin resistance
B) destruction of beta cells that is not attributable to autoimmunity
C) actions of insulin autoantibodies (IAAs) and islet cell autoantibodies
D) (ICAs)T-lymphocyte-mediated hypersensitivity reactions - CORRECT ANSWER A)beta
cell exhaustion due to long-standing insulin resistance
LM 9 Quiz: The nurse is caring for a client who is 1 day postoperative for a thyroidectomy. The client
complains of tingling of the hands and feet around his mouth. The nurse suspects these symptoms are
a manifestation of which electrolyte disturbance?
A) Hypophoshatemia
B) Hypercalcemia
C) Hyponatremia
D) Hypocalcemia - CORRECT ANSWER D) Hypocalcemia
LM 9 Quiz: A nurse is caring for a client with hypoparathyroidism. Which imbalance is a major
concern for the client? - CORRECT ANSWER Hypocalcemia
LM 9 Quiz: Management of hyperthyroidism would include which interventions? Select all that
apply.
A- Drug therapy directed toward decreasing the gland's function
B- Eradication of the gland with radioactive iodine
C- Lifelong glucocorticoid and mineral corticoid therapies
D- Excision of the existing cancerous tumor
E- Surgical removal of art of the gland or the entire gland - CORRECT ANSWER Eradication
of the gland with radioactive iodine,
Surgical removal of part of the gland or the entire gland,
,Drug therapy directed toward decreasing the gland's function
The treatment of hyperthyroidism is directed toward reducing the level of thyroid hormone. This can
be accomplished with eradication of the thyroid gland with radioactive iodine, through surgical
removal of part or all of the gland, or the use of drugs that decrease thyroid function and thereby the
effect of thyroid hormone on the peripheral tissues. The pharmacologic agent that is used to manage
adrenal insufficiencies (i.e., Addison disease) should have both glucocorticoid and mineralocorticoid
activity. Cancer is not the cause of hyperthyroidism.
LM 9 Quiz: A nurse is evaluating clients for the risk of developing type 2 diabetes. Which client has
the highest risk for developing this metabolic disorder?
A) A middle aged obese adult with a sedentary lifestyle
B) A young child whose grandmother has type 2 diabetes
C) An adult who has an active lifestyle and small waist-hip ratio
D) An older adult with a history of gestational diabetes - CORRECT ANSWER A) A middle
aged obese adult with a sedentary lifestyle
LM 9 Quiz: A hospital client with a diagnosis of type 1 diabetes has been administered a scheduled
dose of regular insulin. Which effect will result from the action of insulin?
A)Promotion of fat breakdown
B)Promotion of glucose uptake by target cells
C)Promotion of gluconeogenesis
D)Initiation of glycogenolysis - CORRECT ANSWER B)Promotion of glucose uptake by
target cells
LM 9 Quiz: How does insulin participate in cellular metabolism? Select all that apply. - CORRECT
ANSWER
LM 9 Quiz: A client is managing his type 2 diabetes with exercise and diet. He has a fasting blood
sugar level (FBS) of 80mg/dL (4.44 mmol/L) an da hemoglobin A1C of 5% (0.5). Based on these
findings, which of the following can the nurse assume?
,A) The client is at risk for an insulin reaction.
B) The client is achieving normal glycemic control.
C) The client is at risk for developing hyperglycemia.
D) The client needs to modify his diet related to the low readings. - CORRECT ANSWER B)
The client is achieving normal glycemic control.
LM 9 Quiz: A client with long-standing type 2 diabetes is surprised to see high blood sugar readings
while recovering from an emergency surgery. Which factor may have contributed to the client's
inordinately elevated blood glucose levels?
A) The tissue trauma of surgery resulted in gluconeogenesis.
B) Illness inhibited the release and uptake of glucagon.
C) The stress of the event caused the release of adrenal cortical hormones.
D) Sleep disruption in the hospital precipitated the dawn effect. - CORRECT ANSWER C) The
stress of the event caused the release of adrenal cortical hormones.
LM 9 Quiz: When the nurse is performing a health history for a client who is being admitted for
hyperthyroidism, what symptom does the client report that the nurse would find associated with this
disorder?
A) Increase in appetite
B) Weight gain
C) Constipation
D) Fatigue - CORRECT ANSWER A) Increase in appetite
LM 9 Quiz: A hospitalized client with diabetes mellitus has sudden onset of slurred speech; lack of
coordination; and cool, clammy skin. What will the nurse do first?
A) Check blood glucose
B) Administer glucose
C) Notify the health care provider
D) Provide cheese and crackers - CORRECT ANSWER A) Check blood glucose
, LM 9 Quiz: When educating a client about type 1 diabetes, the nurse will mention that this type is
caused by which mechanism? - CORRECT ANSWER Autoimmune destruction of pancreatic
beta cellsType 1 diabetes involves autoimmune destruction of beta cells. The pathophysiology of type
2 diabetes has both genetic and acquired factors.
LM 9 Quiz: Abnormal stimulation of the thyroid gland by TSH-receptor antibodies is implicated in
cases of:
A) Cushings disease
B) Addison disease
C) Graves disease
D) Cushing syndrome - CORRECT ANSWER C) Graves disease
Cushing's disease ,also known as Cushing's syndrome or hypercortisolism, is a hormonal disorder that
occurs when the body produces too much cortisol. The most common cause of Cushing's disease is
the long-term use of glucocorticoids, which are cortisol-like medicines used to treat other conditions
like asthma, rheumatoid arthritis, and lupus.
Addison Disease: Addison's disease is a rare, chronic condition that occurs when the
adrenal glands
don't produce enough of the hormones cortisol and aldosterone. It can develop when the immune
system attacks the adrenal glands and damages the
adrenal cortex
LM 9 Quiz: A student nurse is taking a test on the endocrine system. From the list of clinical
manifestations, she needs to select the ones she would see in hypothyroidism. Which answers should
she select?
A.Coarse brittle hair
B.Weight gain despite loss of appetite
C.Heat intolerance
D.Nervousness with fine muscle tremors
E.Puffy face with swollen eyelids - CORRECT ANSWER A.Coarse brittle hair
B.Weight gain despite loss of appetite
ACTUAL QUESTIONS AND CORRECT
ANSWERS
LM 9 Quiz: The results of a 44-year-old obese man's recent diagnostic workup have culminated in a
new diagnosis of type 2 diabetes. Which pathophysiologic process underlies the client's new
diagnosis?
A)beta cell exhaustion due to long-standing insulin resistance
B) destruction of beta cells that is not attributable to autoimmunity
C) actions of insulin autoantibodies (IAAs) and islet cell autoantibodies
D) (ICAs)T-lymphocyte-mediated hypersensitivity reactions - CORRECT ANSWER A)beta
cell exhaustion due to long-standing insulin resistance
LM 9 Quiz: The nurse is caring for a client who is 1 day postoperative for a thyroidectomy. The client
complains of tingling of the hands and feet around his mouth. The nurse suspects these symptoms are
a manifestation of which electrolyte disturbance?
A) Hypophoshatemia
B) Hypercalcemia
C) Hyponatremia
D) Hypocalcemia - CORRECT ANSWER D) Hypocalcemia
LM 9 Quiz: A nurse is caring for a client with hypoparathyroidism. Which imbalance is a major
concern for the client? - CORRECT ANSWER Hypocalcemia
LM 9 Quiz: Management of hyperthyroidism would include which interventions? Select all that
apply.
A- Drug therapy directed toward decreasing the gland's function
B- Eradication of the gland with radioactive iodine
C- Lifelong glucocorticoid and mineral corticoid therapies
D- Excision of the existing cancerous tumor
E- Surgical removal of art of the gland or the entire gland - CORRECT ANSWER Eradication
of the gland with radioactive iodine,
Surgical removal of part of the gland or the entire gland,
,Drug therapy directed toward decreasing the gland's function
The treatment of hyperthyroidism is directed toward reducing the level of thyroid hormone. This can
be accomplished with eradication of the thyroid gland with radioactive iodine, through surgical
removal of part or all of the gland, or the use of drugs that decrease thyroid function and thereby the
effect of thyroid hormone on the peripheral tissues. The pharmacologic agent that is used to manage
adrenal insufficiencies (i.e., Addison disease) should have both glucocorticoid and mineralocorticoid
activity. Cancer is not the cause of hyperthyroidism.
LM 9 Quiz: A nurse is evaluating clients for the risk of developing type 2 diabetes. Which client has
the highest risk for developing this metabolic disorder?
A) A middle aged obese adult with a sedentary lifestyle
B) A young child whose grandmother has type 2 diabetes
C) An adult who has an active lifestyle and small waist-hip ratio
D) An older adult with a history of gestational diabetes - CORRECT ANSWER A) A middle
aged obese adult with a sedentary lifestyle
LM 9 Quiz: A hospital client with a diagnosis of type 1 diabetes has been administered a scheduled
dose of regular insulin. Which effect will result from the action of insulin?
A)Promotion of fat breakdown
B)Promotion of glucose uptake by target cells
C)Promotion of gluconeogenesis
D)Initiation of glycogenolysis - CORRECT ANSWER B)Promotion of glucose uptake by
target cells
LM 9 Quiz: How does insulin participate in cellular metabolism? Select all that apply. - CORRECT
ANSWER
LM 9 Quiz: A client is managing his type 2 diabetes with exercise and diet. He has a fasting blood
sugar level (FBS) of 80mg/dL (4.44 mmol/L) an da hemoglobin A1C of 5% (0.5). Based on these
findings, which of the following can the nurse assume?
,A) The client is at risk for an insulin reaction.
B) The client is achieving normal glycemic control.
C) The client is at risk for developing hyperglycemia.
D) The client needs to modify his diet related to the low readings. - CORRECT ANSWER B)
The client is achieving normal glycemic control.
LM 9 Quiz: A client with long-standing type 2 diabetes is surprised to see high blood sugar readings
while recovering from an emergency surgery. Which factor may have contributed to the client's
inordinately elevated blood glucose levels?
A) The tissue trauma of surgery resulted in gluconeogenesis.
B) Illness inhibited the release and uptake of glucagon.
C) The stress of the event caused the release of adrenal cortical hormones.
D) Sleep disruption in the hospital precipitated the dawn effect. - CORRECT ANSWER C) The
stress of the event caused the release of adrenal cortical hormones.
LM 9 Quiz: When the nurse is performing a health history for a client who is being admitted for
hyperthyroidism, what symptom does the client report that the nurse would find associated with this
disorder?
A) Increase in appetite
B) Weight gain
C) Constipation
D) Fatigue - CORRECT ANSWER A) Increase in appetite
LM 9 Quiz: A hospitalized client with diabetes mellitus has sudden onset of slurred speech; lack of
coordination; and cool, clammy skin. What will the nurse do first?
A) Check blood glucose
B) Administer glucose
C) Notify the health care provider
D) Provide cheese and crackers - CORRECT ANSWER A) Check blood glucose
, LM 9 Quiz: When educating a client about type 1 diabetes, the nurse will mention that this type is
caused by which mechanism? - CORRECT ANSWER Autoimmune destruction of pancreatic
beta cellsType 1 diabetes involves autoimmune destruction of beta cells. The pathophysiology of type
2 diabetes has both genetic and acquired factors.
LM 9 Quiz: Abnormal stimulation of the thyroid gland by TSH-receptor antibodies is implicated in
cases of:
A) Cushings disease
B) Addison disease
C) Graves disease
D) Cushing syndrome - CORRECT ANSWER C) Graves disease
Cushing's disease ,also known as Cushing's syndrome or hypercortisolism, is a hormonal disorder that
occurs when the body produces too much cortisol. The most common cause of Cushing's disease is
the long-term use of glucocorticoids, which are cortisol-like medicines used to treat other conditions
like asthma, rheumatoid arthritis, and lupus.
Addison Disease: Addison's disease is a rare, chronic condition that occurs when the
adrenal glands
don't produce enough of the hormones cortisol and aldosterone. It can develop when the immune
system attacks the adrenal glands and damages the
adrenal cortex
LM 9 Quiz: A student nurse is taking a test on the endocrine system. From the list of clinical
manifestations, she needs to select the ones she would see in hypothyroidism. Which answers should
she select?
A.Coarse brittle hair
B.Weight gain despite loss of appetite
C.Heat intolerance
D.Nervousness with fine muscle tremors
E.Puffy face with swollen eyelids - CORRECT ANSWER A.Coarse brittle hair
B.Weight gain despite loss of appetite
