EXAM
NURS 8022 ENDOCRINE PATHO PRACTICE
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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When a nurse is assessing the physical features of individuals with Cushing syndrome, these
findings will include:
a. Weight loss and muscle wasting
b. Truncal obesity and moon face
c. Pallor and swollen tongue
d. Depigmented skin and eyelid lag
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EXAM
b. Truncal obesity and moon face
Rationale:
Weight gain is the most common feature and results from the accumulation of adipose tissue
in the trunk, facial, and cervical areas. These characteristic patterns of fat deposition have
been described as "truncal obesity," "moon face," and "buffalo hump."
A 35-year-old female took corticosteroid therapy for several months. Which of the following
would the nurse expect to find?
a. Renal toxicity
b. Episodes of hypoglycemia
c. Hypotension
d. Type 2 DM
d. Type 2 DM
Rationale:
Overt DM develops in approximately 20% of individuals with hypercortisolism.
Hypertension, not hypotension, occurs; hypotension occurs with Addison.
A nurse is preparing to teach a patient about Addison disease. Which information should the
nurse include? The most common cause of Addison disease is:
a. An autoimmune reaction
b. Dietary deficiency of sodium and potassium
c. Cancer
d. Viral infection of the pituitary gland
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a. An autoimmune reaction
Rationale:
Addison disease is caused by autoimmune mechanisms that destroy adrenal cortical cells and
is more common in women.
A 50-year-old female presents with lightheadedness and overall abnormal feelings.
Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect?
a. Hypovolemia
b. Hypotension
c. Hypokalemia
d. Hyponatremia
c. Hypokalemia
Rationale:
Hypokalemia occurs due to increased renal secretion of potassium.
Hypervolemia, not hypovolemia, occurs.
Hypertension, not hypotension, occurs.
Hypernatremia, not hyponatremia, occurs
A 49-year-old female is diagnosed with hypercortisolism. Which of the following would the
nurse expect?
a. Weight loss
b. Hypoglycemia
c. Decreased urination
d. Osteoporosis
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d. Osteoporosis
Rationale:
The effects of hypercortisolism in bone cause loss of the protein matrix leading to
osteoporosis, with pathologic fractures, vertebral compression fractures, bone and back pain,
kyphosis, and reduced height.
The body's inability to conserve water and sodium when affected by Addison disease is
explained by which of the following conditions?
a. Elevated levels of cortisol
b. Decreased levels of ACTH
c. Hypersecretion of ADH
d. Aldosterone deficiency
d. Aldosterone deficiency
Rationale:
The symptoms of Addison disease are primarily a result of hypocortisolism and
hypoaldosteronism.
A patient with Addison disease has weakness and easy fatigability. A nurse recalls this is due
to:
a. Hyperkalemia
b. Hypoglycemia
c. Hypocortisolism
d. Metabolic acidosis
c. Hypocortisolism
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