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Exam (elaborations)
Adrenal Cortex: 3 Layers Exam Questions and answers
Adrenal Cortex: 3 Layers Exam Questions and 
answers 
three layers of Adrenal cortex - Zona Glomerulosa 
Zona Fasciculata 
Zona Reticularis 
Zona Reticularis - Innermost layer of the cortex 
Produces adrenal sex hormones 
Most are androgens that are converted to testosterone in tissue cells or estrogens in females
Exam (elaborations)
Adrenal Disorders Exam Questions and answers
PopularAdrenal Disorders Exam Questions and answers 
A nurse is caring for a patient with Cushing's syndrome whose blood pressure is 160/100 mm Hg on two 
occasions. Which adrenal hormone is likely altered in this patient? - Mineralocorticoid 
Mineralocorticoid excess may cause hypertension secondary to fluid retention and is the hormone that 
is likely altered in this patient with Cushing's syndrome.
Exam (elaborations)
Adrenal disorders Questions and answers
NewAdrenal disorders Questions and answers
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Adrenal Androgens Exam Questions and answers
NewAdrenal Androgens Exam Questions and answers
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Adrenal Androgens Exam Questions and answers
NewAdrenal Androgens Exam Questions and answers
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Adrenal Androgens Exam Questions and answers
NewAdrenal Androgens Exam Questions and answers
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Adrenal Androgens Exam Questions and answers
NewAdrenal Androgens Exam Questions and answers
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Adrenal Androgens Exam Questions and answers
NewAdrenal Androgens Exam Questions and answers
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Adrenal Cortex Drug Therapy Exam Questions and answers
NewAdrenal Cortex Drug Therapy Exam Questions and answers
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Adrenals Exam Questions and answers
Adrenals Exam Questions and answers 
Which statement correctly describes characteristics of the adrenal gland? - They are encased 
within Gerota's fascia. 
Which of the following correctly identifies structures adjacent to the adrenal glands? - -The liver is 
positioned anterior to the lateral aspect of the right adrenal gland. -The aorta runs anteromedial to the left adrenal gland. -The inferior vena cava sits anterior to the right adrenal gland
Exam (elaborations)
Adrenal, Thyroid, Parathyroid Exam Questions and answers
Adrenal, Thyroid, Parathyroid Exam Questions and 
answers 
A client with a diagnosis of addisonian crisis is being admitted to the intensive care unit. Which findings 
will the interprofessional health care team focus on? Select all that apply. 
1. Hypotension 
2. Leukocytosis 
3. Hyperkalemia 
4. Hypercalcemia 
5. Hypernatremia - Hypotension
Exam (elaborations)
Adrenal Thyroid Exam Questions and answers
Adrenal Thyroid Exam Questions and answers 
A client with Addison's disease is hospitalized for an acute crisis. During the crisis, which of the following 
nursing diagnoses is a priority? - Deficit fluid volume 
Activity intolerance 
Anxiety
Exam (elaborations)
Adrenal medulla Exam Questions and answers
Adrenal medulla Exam Questions and answers 
What are the 5 elements of the adrenal gland? - 1. capsule 
2. zona glomerulosa 
3. zona fasciculata 
4. zona reticularis 
5. medulla 
What is the function of the zona glomerulosa? - makes and releases aldosterone and some of its 
precursors 
What is the function of zonas fasciculata and reticularis? - anatomically separate but both release 
cortisol and adrenal androgens
Exam (elaborations)
Adrenal Insufficiency Questions and answers
Adrenal Insufficiency Questions and answers 
Adrenal Insufficiency - Glucocorticoid deficient state 
Frequently associated with other autoimmune diseases: 
Vitiligo 
Type 1 diabetes 
Hashimoto's disease of the thyroid 
Pernicious anemia 
Celiac sprue
Exam (elaborations)
Adrenal Glands Exam Questions and answers
Adrenal Glands Exam Questions and answers 
how is the adrenal gland regulated? - By ACTH, which is released from the anterior pituitary 
gland. 
What is the stimulus for ACTH release? - low cortisol, aldosterone, or testosterone 
What does ACTH tell the adrenal glands to do? - release steroids: 
CORTISOL (AKA glucocorticoids because they increase blood sugar) 
ALDOSTERONE (AKA mineralocorticoids because they increase salt retention) 
TESTOSTERONE (AKA androgens for "male forming")
Exam (elaborations)
Adrenal Exam Questions and answers
Adrenal Exam Questions and answers 
What should be a nurse's priority when admitting a client with suspected hyperaldosteronism? 
A. Preparing client for a CT scan. 
B. Administering medication for a headache. 
C. Monitoring the client to assess for cardiac dysrhythmias 
D. Protecting the client from falls due to muscle weakness. - C. monitoring the client to assess for 
cardiac dysrhythmias
Exam (elaborations)
Adrenal Exam Questions and answers
Adrenal Exam Questions and answers 
What will the nurse expect to find in a client diagnosed with pheochromocytoma 
1. Pallor 
2. Headache 
3. Bradycardia 
4. Hypoglycemia - Headache 
Signs and symptoms of pheochromocytoma include - * tachycardia (heartbeat above 100 BPM) 
* hypertension 
* headache, 
* diaphoresis (excessive sweating),
Exam (elaborations)
Adrenal Drugs Exam Questions and answers
Adrenal Drugs Exam Questions and answers 
D 
Glucocorticoids can cause gastrointestinal (GI) distress and should be given with milk or food. They 
should not be administered with coffee, which contains caffeine and may increase gastric irritation. The 
best time to give exogenous glucocorticoids is early in the morning (6 AM to 9 AM) to minimize the 
amount of adrenal suppression. These medications should be tapered off slowly to prevent adrenal crisis 
and can be administered intravenousl...
Exam (elaborations)
Endocrine NCLEX Exam Questions and answers
Endocrine NCLEX Exam Questions and answers 
An agitated, confused female client arrives in the emergency department. Her history includes type 1 
diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, 
and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an 
acute hypoglycemic reaction. After recovery, nurse Lily teaches the client to treat hypoglycemia by 
ingesting: 
a. 2 to 5 g of a simple carbo...
Exam (elaborations)
Disorders of the Adrenal Medulla Exam Questions and answers
Disorders of the Adrenal Medulla Exam Questions 
and answers 
What does the Adrenal medulla secrete? 
catecholamines 
(epinephrine, norepinephrine, dopamine) 
Fill in the Blank: 
A 39-year-old woman comes to the office complaining of episodic anxiety, headache, and palpitations. 
Without dieting, she has lost 15 pounds over the past 6 months.
Exam (elaborations)
Disorders of the Adrenal Gland Exam Questions and answers
Disorders of the Adrenal Gland Exam Questions 
and answers 
Which is secondary cause of adrenal insufficiency? (select all that apply) - pituitary tumors 
hypophysectomy 
abrupt discontinuation of corticosteroids 
Which is a common side effect of spironolactone therapy for hyperaldosteronism? - urticaria 
Which disorder causes the adrenal cortex to secrete too much cortisol? - cushing disease
Exam (elaborations)
Diseases of the Adrenal Glands (PEARLS) Exam Questions and answers
Diseases of the Adrenal Glands (PEARLS) Exam 
Questions and answers 
↑ cortisol caused by a pituitary adenoma resulting in ↑ ACTH secretion which causes the adrenal gland 
to secrete excess cortisol - Cushing's Disease: secondary 
↑ cortisol secretion from an adrenal tumor - Cushing's Syndrome: primary 
Adrenal gland destruction causing lack of cortisol and aldosterone secretion usually autoimmune - 
Primary adrenocortical insufficiency (Addison's disease)