CHAPTER 48: NURSING ASSESSMENT: ENDOCRINE SYSTEM MY
NURSING TEST BANKS QUESTIONS WITH ACCURATE ANSWERS
1. When evaluating the laboratory results for a patient with increased secretion of
the anterior pituitary hormones, the nurse would expect to find
a. decreased serum thyroxine levels.
b. elevated serum aldosterone levels.
c. an increase in urinary free cortisol.
d. low urinary excretion of catecholamines. correct answer c. an increase in
urinary free cortisol.
Increased secretion of adrenocorticotropic hormone (ACTH) by the anterior
pituitary gland will lead to an increase in serum and urinary cortisol levels. An
increase, rather than a decrease, in thyroxine level would be expected with
increased secretion of thyroid stimulating hormone (TSH) by the anterior
pituitary. Aldosterone and catecholamine levels are not controlled by the anterior
pituitary.
2. When the nurse is obtaining the health history, which statement by a patient
indicates further assessment of thyroid function may be necessary?
a. I notice my breasts are tender lately.
b. I am so thirsty that I drink all day long.
c. I get up several times at night to urinate.
d. I feel a lump in my throat when I swallow. correct answer d. I feel a lump in my
throat when I swallow.
Difficulty in swallowing can occur with a goiter. Nocturia is associated with
diseases such as diabetes mellitus, diabetes insipidus, or chronic kidney disease.
, Breast tenderness would occur with excessive gonadal hormone levels. Thirst is a
sign of disease such as diabetes.
3. A patient is admitted with a serum sodium level of 118 mEq/L. The nurse will
anticipate the need for which diagnostic test?
a. Urinary 17-ketosteroids
b. Antidiuretic hormone level
c. Growth hormone stimulation test
d. Adrenocorticotropic hormone level correct answer b. Antidiuretic hormone
level
Elevated levels of antidiuretic hormone will cause water retention and decrease
serum sodium levels. The other tests would not be helpful in determining possible
causes of the patients hyponatremia.
4. The nurse is interviewing a patient who has a possible thyroid disorder. Which
question will provide the most useful information?
a. What methods do you use to help cope with stress?
b. Have you experienced any blurring or double vision?
c. Do you have to get up at night to empty your bladder?
d. Have you had any recent unplanned weight gain or loss? correct answer d.
Have you had any recent unplanned weight gain or loss?
Because thyroid function affects metabolic rate, changes in weight may indicate
hyper- or hypofunction of the thyroid gland. Nocturia, visual difficulty, and
changes in stress level are associated with other endocrine disorders.
NURSING TEST BANKS QUESTIONS WITH ACCURATE ANSWERS
1. When evaluating the laboratory results for a patient with increased secretion of
the anterior pituitary hormones, the nurse would expect to find
a. decreased serum thyroxine levels.
b. elevated serum aldosterone levels.
c. an increase in urinary free cortisol.
d. low urinary excretion of catecholamines. correct answer c. an increase in
urinary free cortisol.
Increased secretion of adrenocorticotropic hormone (ACTH) by the anterior
pituitary gland will lead to an increase in serum and urinary cortisol levels. An
increase, rather than a decrease, in thyroxine level would be expected with
increased secretion of thyroid stimulating hormone (TSH) by the anterior
pituitary. Aldosterone and catecholamine levels are not controlled by the anterior
pituitary.
2. When the nurse is obtaining the health history, which statement by a patient
indicates further assessment of thyroid function may be necessary?
a. I notice my breasts are tender lately.
b. I am so thirsty that I drink all day long.
c. I get up several times at night to urinate.
d. I feel a lump in my throat when I swallow. correct answer d. I feel a lump in my
throat when I swallow.
Difficulty in swallowing can occur with a goiter. Nocturia is associated with
diseases such as diabetes mellitus, diabetes insipidus, or chronic kidney disease.
, Breast tenderness would occur with excessive gonadal hormone levels. Thirst is a
sign of disease such as diabetes.
3. A patient is admitted with a serum sodium level of 118 mEq/L. The nurse will
anticipate the need for which diagnostic test?
a. Urinary 17-ketosteroids
b. Antidiuretic hormone level
c. Growth hormone stimulation test
d. Adrenocorticotropic hormone level correct answer b. Antidiuretic hormone
level
Elevated levels of antidiuretic hormone will cause water retention and decrease
serum sodium levels. The other tests would not be helpful in determining possible
causes of the patients hyponatremia.
4. The nurse is interviewing a patient who has a possible thyroid disorder. Which
question will provide the most useful information?
a. What methods do you use to help cope with stress?
b. Have you experienced any blurring or double vision?
c. Do you have to get up at night to empty your bladder?
d. Have you had any recent unplanned weight gain or loss? correct answer d.
Have you had any recent unplanned weight gain or loss?
Because thyroid function affects metabolic rate, changes in weight may indicate
hyper- or hypofunction of the thyroid gland. Nocturia, visual difficulty, and
changes in stress level are associated with other endocrine disorders.
