Endocrine 42-44 Questions And Correct Answers

ENDOCRINE 42-44 QUESTIONS AND
CORRECT ANSWERS
AA2patientA2hasA2justA2sufferedA2aA2seriousA2traumaticA2injury,A2resultingA2inA2theA2release
A2ofA2high
levelsA2ofA2endogenousA2catecholamines.A2AsA2partA2ofA2theA2admissionA2laboratoryA2ass
essment,A2the
nurseA2noticesA2aA2highA2serumA2glucoseA2level.A2WhatA2isA2theA2mostA2appropriateA2nurs
ing
assessment?

A)A2AssumeA2theA2patientA2isA2diabetic.
B)A2RestrictA2caloricA2intake.
C)A2ReassessA2glucoseA2levels.
D)A2AssumeA2theA2resultA2isA2aA2laboratoryA2error.A2-A2Ans--
C)A2ReassessA2glucoseA2levels

PatientsA2beingA2caredA2forA2inA2ICUsA2secreteA2increasedA2amountsA2ofA2glucocorticoids
A2inA2response
toA2stress.A2WhatA2laboratoryA2testA2resultA2isA2mostA2indicativeA2ofA2theA2developmentA2o
fA2aA2life-
threateningA2complicationA2secondaryA2toA2theA2increasedA2secretionA2ofA2glucocorticoids
?

A)A2IncreasedA2bloodA2glucose
B)A2IncreasedA2neutrophils
C)A2DecreasedA2lymphocytes
D)A2DecreasedA2serumA2myoglobinA2-A2Ans--C)A2DecreasedA2lymphocytes

AA2patientA2isA2foundA2toA2haveA2aA2vitaminA2DA2deficiency,A2puttingA2herA2atA2riskA2forA2bo
ne
demineralization.A2WhatA2factorsA2wouldA2contributeA2toA2thisA2deficiency?
A2SelectA2allA2thatA2apply.


A)A2LackA2ofA2exposureA2toA2sunlight
B)A2LackA2ofA2exercise
C)A2TumorA2ofA2theA2posteriorA2pituitary
D)A2DietaryA2deficiency
E)A2InsulinA2resistance
F)A2PresenceA2ofA27-dehydrocholesterolA2provitaminsA2inA2theA2skinA2-A2Ans--
A)A2LackA2ofA2exposureA2toA2sunlight
D)A2DietaryA2deficiency

,AA2patientA2hasA2aA2plasmaA2calciumA2levelA2ofA210.5A2mg/
dLA2dueA2toA2excessiveA2intakeA2ofA2vitamin
DenrichedA2foods.A2InA2response,A2theA2nurseA2shouldA2expectA2toA2seeA2whichA2ofA2theA2
following?

A)A2DecreasedA2parathyroidA2hormone
B)A2VitaminA2CA2deficiency
C)A2IncreasedA2serumA2phosphate
D)A2IncreasedA2serumA2calcitoninA2-A2Ans--D)A2IncreasedA2serumA2calcitonin

AA2patientA2withA2poorlyA2controlledA2typeA22A2diabetesA2demonstratesA2highA2levelsA2ofA2
serumA2C-
peptide.A2WhatA2otherA2findingsA2shouldA2theA2nurseA2expectA2inA2thisA2patient?
A2SelectA2allA2thatA2apply.


A)A2HighA2levelsA2ofA2serumA2insulin
B)A2HighA2levelsA2ofA2bloodA2glucose
C)A2DecreasedA2pancreaticA2activity
D)A2LowA2bodyA2weightA2-A2Ans--A)A2HighA2levelsA2ofA2serumA2insulin
B)A2HighA2levelsA2ofA2bloodA2glucose

AA2patientA2withA2stableA2typeA21A2diabetesA2isA2inA2theA2ICU.A2HeA2hasA2beenA2takingA2ins
ulinA2injections
regularly.A2TheA2nurseA2receivesA2bloodA2testA2resultsA2backA2forA2thisA2patient.A2WhatA2s
houldA2she
mostA2expectA2toA2seeA2inA2theA2testA2results?

A)A2ElevatedA2bloodA2glucose
B)A2LowA2C-peptide
C)A2ElevatedA2cholesterol
D)A2DecreasedA2bloodA2pHA2-A2Ans--B)A2LowA2C-peptide

AA2patientA2inA2theA2ICUA2hasA2beenA2underA2tremendousA2stressA2followingA2myocardialA
2infarction.
SheA2hasA2noA2historyA2ofA2diabetes,A2butA2herA2bloodA2glucoseA2levelA2isA2elevated.A2Incr
easeA2inA2the
serumA2levelA2ofA2whichA2substanceA2wouldA2mostA2likelyA2explainA2theA2elevatedA2bloodA
2glucose
levelA2inA2thisA2patient?

A)A2Insulin
B)A2Cortisol
C)A2C-peptide
D)A2CalciumA2-A2Ans--B)A2Cortisol

, AA2patientA2hasA2beenA2prescribedA2anA2incretin.A2WhichA2ofA2theA2followingA2shouldA2theA
2nurseA2expect
toA2seenA2inA2theA2patientA2asA2aA2resultA2ofA2takingA2thisA2medication?

A)A2IncreasedA2bloodA2glucose
B)A2DelayedA2gastricA2emptying
C)A2IncreasedA2appetite
D)A2DehydrationA2-A2Ans--B)A2DelayedA2gastricA2emptying

AA2patientA2justA2underwentA2aA2kidneyA2transplantA2andA2isA2receivingA2aA2glucocorticoid
A2toA2suppress
hisA2immuneA2systemA2toA2avoidA2organA2rejection.A2WhichA2sideA2effectA2shouldA2theA2nu
rseA2most
expectA2toA2findA2inA2thisA2patient?

A)A2Hives
B)A2Asthma
C)A2Minimal-changeA2glomerularA2disease
D)A2CushingsA2syndromeA2-A2Ans--D)A2CushingsA2syndrome

AA2patientA2hasA2beenA2diagnosedA2withA2aA2tumorA2ofA2theA2hypothalamusA2glandA2andA2
demonstrates
sustainedA2elevatedA2corticotropin-
releasingA2hormoneA2(CRH)A2levels.A2WhatA2shouldA2theA2nurse
mostA2expectA2toA2seeA2inA2thisA2patient?

A)A2AbnormalA2glucocorticoidA2secretionA2patternA2overA2theA2courseA2ofA224A2hours
B)A2DecreasedA2adrenocorticotropicA2hormoneA2(ACTH)A2levels
C)A2AbsenceA2ofA2glucocorticoidA2secretion
D)A2HypoglycemiaA2-A2Ans--
A)A2AbnormalA2glucocorticoidA2secretionA2patternA2overA2theA2courseA2ofA224A2hours

AA2patientA2inA2theA2ICUA2hasA2cardiacA2failureA2andA2resultantA2lowA2renalA2perfusion,A2w
hichA2triggers
theA2renin-
angiotensinA2mechanism.A2WhichA2ofA2theA2followingA2shouldA2theA2nurseA2expectA2to
happenA2asA2aA2resultA2ofA2thisA2mechanism?

A)A2ElevationA2ofA2systemicA2bloodA2pressure
B)A2DecreasedA2aldosteroneA2secretion
C)A2Dehydration
D)A2DilationA2ofA2vascularA2smoothA2muscleA2-A2Ans--
A)A2ElevationA2ofA2systemicA2bloodA2pressure

AA2patientA2withA2hypertensionA2isA2receivingA2medicationA2thatA2disruptsA2theA2renin-
angiotensin