EXAM #4 ENDOCRINE QUESTIONS
WITH CORRECT ANSWERS
A patient is scheduled for a serum cortisol level.
Which should the nurse instruct the patient in preparation for this test?
-Do not eat or drink anything and rest for 2 hours before the test.
-Avoid salt and rest in the supine position for 1 hour before the test.
-Avoid all food and fluid other than water for 6 to 8 hours before the test.
-Do not eat or drink anything for 8 to 10 hours before the test and rest for 30 to 60
minutes. - ANSWER-Do not eat or drink anything and rest for 2 hours before the test.
A bulletin about bisphenol A (BPA) exposure was issued to the local public health
department.
Which action should the nurse take to communicate this information to many people
at the same time?
-Prepare a tear sheet about the toxic substance for distribution during a community
health fair
-Ask healthcare providers to share this information with patients during routine
appointments
-Have the information available in schools for students to take home to the parents
-Place an automated message on the local health department telephone line -
ANSWER-Prepare a tear sheet about the toxic substance for distribution during a
community health fair
A patient reports frequent head colds that are associated with periods of stress.
Which hormone should the nurse explain may be responsible for these infections?
-Glucocorticoid
-Mineralocorticoid
-Antidiuretic hormone
-Oxytocin - ANSWER-Glucocorticoid
The nurse is caring for patients in the community clinic.
Which should the nurse recommend for a patient who is 48 years old?
-Schedule to be tested for diabetes every 3 years.
-Plan to have a colonoscopy every 5 years.
-Be evaluated for cognitive changes every year.
-Have a vitamin D blood level test every year. - ANSWER-Schedule to be tested for
diabetes every 3 years.
A patient is diagnosed with hypothyroidism.
Which finding should the nurse anticipate when assessing this patient?
-Rough dry skin
-Joint pain
-Dry mouth
-Weight loss - ANSWER-Rough dry skin
A patient arrives for a scheduled test.
For which reason should the nurse suspect a water deprivation test is prescribed?
, -Identify reason for polyuria
-Diagnose hypertension
-Determine thyroid hormone levels
-Rule out a problem with the pancreas - ANSWER-Identify reason for polyuria
A patient is diagnosed with type 1 diabetes mellitus.
For which pancreatic cell type should the nurse prepare teaching for this patient?
-Beta
-Alpha
-Delta
-F - ANSWER-Beta
A patient is diagnosed with an alteration in parathyroid gland functioning.
Which vitamin level should the nurse anticipate being evaluated for this patient?
-D
-A
-E
-C - ANSWER-D
The nurse is reviewing the anatomy and physiology of the endocrine system.
Which structure should the nurse identify as the master gland?
-Pituitary
-Thyroid
-Adrenal
-Pancreas - ANSWER-Pituitary
The Food and Drug Administration (FDA) issued a warning about bisphenol A (BPA)
exposure.
Which should the nurse recommend to a patient to reduce this exposure?
-Dispose of food containers with BPA
-Drink tap water
-Refrigerate food immediately after cooking
-Wash cooking surfaces with hot soapy water - ANSWER-Dispose of food containers
with BPA
A patient is scheduled for a thyroid scan the next day.
Which action should the nurse take to prepare the patient for this test?
-No preparation required
-Provide a laxative
-Maintain nothing by mouth status after midnight
-Restrict intake to water only after midnight - ANSWER-No preparation required
The nurse is preparing teaching for a patient diagnosed with Graves disease. What
should the nurse explain about the etiology of this health problem?
-It is a genetic disorder.
-It is caused by an allergy.
-It occurs in response to an infection.
-It develops as an autoimmune response. - ANSWER-It develops as an autoimmune
response.
WITH CORRECT ANSWERS
A patient is scheduled for a serum cortisol level.
Which should the nurse instruct the patient in preparation for this test?
-Do not eat or drink anything and rest for 2 hours before the test.
-Avoid salt and rest in the supine position for 1 hour before the test.
-Avoid all food and fluid other than water for 6 to 8 hours before the test.
-Do not eat or drink anything for 8 to 10 hours before the test and rest for 30 to 60
minutes. - ANSWER-Do not eat or drink anything and rest for 2 hours before the test.
A bulletin about bisphenol A (BPA) exposure was issued to the local public health
department.
Which action should the nurse take to communicate this information to many people
at the same time?
-Prepare a tear sheet about the toxic substance for distribution during a community
health fair
-Ask healthcare providers to share this information with patients during routine
appointments
-Have the information available in schools for students to take home to the parents
-Place an automated message on the local health department telephone line -
ANSWER-Prepare a tear sheet about the toxic substance for distribution during a
community health fair
A patient reports frequent head colds that are associated with periods of stress.
Which hormone should the nurse explain may be responsible for these infections?
-Glucocorticoid
-Mineralocorticoid
-Antidiuretic hormone
-Oxytocin - ANSWER-Glucocorticoid
The nurse is caring for patients in the community clinic.
Which should the nurse recommend for a patient who is 48 years old?
-Schedule to be tested for diabetes every 3 years.
-Plan to have a colonoscopy every 5 years.
-Be evaluated for cognitive changes every year.
-Have a vitamin D blood level test every year. - ANSWER-Schedule to be tested for
diabetes every 3 years.
A patient is diagnosed with hypothyroidism.
Which finding should the nurse anticipate when assessing this patient?
-Rough dry skin
-Joint pain
-Dry mouth
-Weight loss - ANSWER-Rough dry skin
A patient arrives for a scheduled test.
For which reason should the nurse suspect a water deprivation test is prescribed?
, -Identify reason for polyuria
-Diagnose hypertension
-Determine thyroid hormone levels
-Rule out a problem with the pancreas - ANSWER-Identify reason for polyuria
A patient is diagnosed with type 1 diabetes mellitus.
For which pancreatic cell type should the nurse prepare teaching for this patient?
-Beta
-Alpha
-Delta
-F - ANSWER-Beta
A patient is diagnosed with an alteration in parathyroid gland functioning.
Which vitamin level should the nurse anticipate being evaluated for this patient?
-D
-A
-E
-C - ANSWER-D
The nurse is reviewing the anatomy and physiology of the endocrine system.
Which structure should the nurse identify as the master gland?
-Pituitary
-Thyroid
-Adrenal
-Pancreas - ANSWER-Pituitary
The Food and Drug Administration (FDA) issued a warning about bisphenol A (BPA)
exposure.
Which should the nurse recommend to a patient to reduce this exposure?
-Dispose of food containers with BPA
-Drink tap water
-Refrigerate food immediately after cooking
-Wash cooking surfaces with hot soapy water - ANSWER-Dispose of food containers
with BPA
A patient is scheduled for a thyroid scan the next day.
Which action should the nurse take to prepare the patient for this test?
-No preparation required
-Provide a laxative
-Maintain nothing by mouth status after midnight
-Restrict intake to water only after midnight - ANSWER-No preparation required
The nurse is preparing teaching for a patient diagnosed with Graves disease. What
should the nurse explain about the etiology of this health problem?
-It is a genetic disorder.
-It is caused by an allergy.
-It occurs in response to an infection.
-It develops as an autoimmune response. - ANSWER-It develops as an autoimmune
response.
