CHAPTER 35: THE ENDOCRINE SYSTEM - MED SURG
QUESTIONS WITH ACCURATE ANSWERS
11. The nurse is caring for an 80-year-old patient with a history of type 2 diabetes
and hypothyroidism. The physician wants to evaluate the patient's blood glucose
levels and orders a fructosamine assay. Which factor best explains why the
physician chose this laboratory test instead a glycosylated hemoglobin (HbA1c)
test?
a. The patient's age
b. Type 2 diabetes
c. Hypothyroidism
d. The tests' costs correct answer ANS: B
The fructosamine assay is a diagnostic test used to assess the degree of diabetic
control of blood sugar over the preceding 2- to 3-week period. The fructosamine
assay is a better tool for the older adult as it is less influenced by age.
13. The nurse is caring for a patient who has orders for a 17-ketosteroid (17-KS)
test. Which preparation is most important for the nurse to make?
a. Keep the patient NPO after midnight the night before the test.
b. Ensure adequate space for the specimen container is available in the
refrigerator.
c. Withhold the patient's metformin for 24 hours prior to the test.
d. Request an order for an antacid. correct answer ANS: B
The 17-KS test is used to determine the amount of androgen metabolites in the
urine and requires a 24-hour urine collection. The urine collection container must
be kept chilled, so the nurse should ensure that adequate space is available in the
specimen refrigerator.
, Although thyroid hormone levels decrease with advancing age, which mechanism
offsets this output reduction?
a. Decreased rate of thyroid hormone breakdown
b. Increased level of calcium
c. Increased level of phosphorus
d. Decreased mineralocorticoids correct answer ANS: A
The production of thyroid hormones decreases with age, but the decrease is
offset by a matching decrease in the body's breakdown of the hormone.
If an endocrine gland begins to hypersecrete, it usually causes which result?
a. Hyperplasia
b. Activation of the inflammatory process
c. An allergic response
d. An autoimmune response correct answer ANS: A
Hyperplasia (increased cellular growth) is the usual cause of hypersecretion of an
endocrine gland.
In which body process(es) is/are the endocrine system involved? (select all that
apply.)
a. Regulation of metabolism
b. Growth rate
c. Physical development
d. Sexual function
e. Reproductive process correct answer ANS: A. Regulation of metabolism
B. Growth rate
C. Physical development
QUESTIONS WITH ACCURATE ANSWERS
11. The nurse is caring for an 80-year-old patient with a history of type 2 diabetes
and hypothyroidism. The physician wants to evaluate the patient's blood glucose
levels and orders a fructosamine assay. Which factor best explains why the
physician chose this laboratory test instead a glycosylated hemoglobin (HbA1c)
test?
a. The patient's age
b. Type 2 diabetes
c. Hypothyroidism
d. The tests' costs correct answer ANS: B
The fructosamine assay is a diagnostic test used to assess the degree of diabetic
control of blood sugar over the preceding 2- to 3-week period. The fructosamine
assay is a better tool for the older adult as it is less influenced by age.
13. The nurse is caring for a patient who has orders for a 17-ketosteroid (17-KS)
test. Which preparation is most important for the nurse to make?
a. Keep the patient NPO after midnight the night before the test.
b. Ensure adequate space for the specimen container is available in the
refrigerator.
c. Withhold the patient's metformin for 24 hours prior to the test.
d. Request an order for an antacid. correct answer ANS: B
The 17-KS test is used to determine the amount of androgen metabolites in the
urine and requires a 24-hour urine collection. The urine collection container must
be kept chilled, so the nurse should ensure that adequate space is available in the
specimen refrigerator.
, Although thyroid hormone levels decrease with advancing age, which mechanism
offsets this output reduction?
a. Decreased rate of thyroid hormone breakdown
b. Increased level of calcium
c. Increased level of phosphorus
d. Decreased mineralocorticoids correct answer ANS: A
The production of thyroid hormones decreases with age, but the decrease is
offset by a matching decrease in the body's breakdown of the hormone.
If an endocrine gland begins to hypersecrete, it usually causes which result?
a. Hyperplasia
b. Activation of the inflammatory process
c. An allergic response
d. An autoimmune response correct answer ANS: A
Hyperplasia (increased cellular growth) is the usual cause of hypersecretion of an
endocrine gland.
In which body process(es) is/are the endocrine system involved? (select all that
apply.)
a. Regulation of metabolism
b. Growth rate
c. Physical development
d. Sexual function
e. Reproductive process correct answer ANS: A. Regulation of metabolism
B. Growth rate
C. Physical development
