PN3 Exam Questions All Solved
Correctly.
A malfunctioning posterior pituitary gland can result in which disorders? - Answer Diabetes
insipidus
SIADH
A malfunctioning anterior pituitary gland can result in which disorders? - Answer Pituitary
hypofunction
Pituitary hyperfunction
Hypothyroidism
Osteoporosis
The nurse is performing an assessment of an adult patient with new onset acromegaly. What
does the nurse expect to find? - Answer Thickened lips
A deficiency of which anterior pituitary hormones is considered life threatening? Select all that
apply. - Answer Thyroid stimulating hormone (TSH)
Adrenocorticotropic hormone (ACTH)
A patient requires 100 grams of oral glucose for suppression testing and growth hormone (GH)
levels are measured serially for 120 minutes. The results of the suppression testing are
abnormal. The nurse assess for the signs and symptoms of which endocrine disorders? - Answer
Hyperpituitarism
A patient with hypophysectomy can postoperatively experience transient diabetes insipidus (DI).
Which manifestation alerts the nurse to this problem? - Answer Urine output much greater
than intake
The action of antidiuretic hormone (ADH) influences normal kidney function by stimulating
which mechanism> - Answer Distal nephron tubules and collecting ducts to reabsorb water
What is the disorder that results from a deficiency of vasopressin (ADH) from the posterior
pituitary gland called? - Answer DI
Which statements about diabetes insipidus (DI) are accurate? Select all that apply - Answer It
is caused by ADH deficiency
Urine output of greater than 4L/24 hours is the first diagnostic indication
, The water loss increases plasma osmolarity
Increased thirst is a mechanism of the body to attempt maintaining fluid balance
What does the nurse instruct patients with permanent diabetes insipidus (DI) to do? - Answer
Monitor for recurrence of polydipsia and polyuria
Monitor and record weight daily
Wear a medical alert bracelet
Urge the patient to drink fluids in an amount equal to urine output
A hospitalized patient is prescribed desmopressin acetate metered dose spray as a replacement
hormone for vasopressin (ADH). Which is an indication for another dose? Select all that apply.' -
Answer Excessive urination
Specific gravity of 1.003
The nurse is caring for a patient with diabetes insipidus (DI). What is the priority goal of
collaborative care? - Answer Correct the water metabolism problem
Which medication is used to treat diabetes insipidus (DI)? - Answer Desmopressin acetate
Which statement about the pathophysiology of SIADH is correct? - Answer Water retention
results in dilutional hyponatremia and expanded extracellular fluid (ECF) volume?
In SIADH, as a result of water retention from excess ADH, which laboratory values does the
nurse expect to find? Select all that apply. - Answer Increased sodium in urine
Increased urine specific gravity
Decreased serum osmolarity
Decreased serum sodium level
Which nursing intervention is the priority for a patient with SIADH? - Answer Restrict fluid
intake
Which type of IV fluid does the nurse use to treat a patient with SIADH when the serum sodium
level is very low? - Answer 3% normal saline
In addition to IV fluids a patient with SIADH is on fluid restriction as low as 550 to 600 mL/24
hours. Which serum and urine results demonstrate effectiveness of this treatment? Select all
that apply. - Answer Decreased urine specific gravity
Increased urine output
Correctly.
A malfunctioning posterior pituitary gland can result in which disorders? - Answer Diabetes
insipidus
SIADH
A malfunctioning anterior pituitary gland can result in which disorders? - Answer Pituitary
hypofunction
Pituitary hyperfunction
Hypothyroidism
Osteoporosis
The nurse is performing an assessment of an adult patient with new onset acromegaly. What
does the nurse expect to find? - Answer Thickened lips
A deficiency of which anterior pituitary hormones is considered life threatening? Select all that
apply. - Answer Thyroid stimulating hormone (TSH)
Adrenocorticotropic hormone (ACTH)
A patient requires 100 grams of oral glucose for suppression testing and growth hormone (GH)
levels are measured serially for 120 minutes. The results of the suppression testing are
abnormal. The nurse assess for the signs and symptoms of which endocrine disorders? - Answer
Hyperpituitarism
A patient with hypophysectomy can postoperatively experience transient diabetes insipidus (DI).
Which manifestation alerts the nurse to this problem? - Answer Urine output much greater
than intake
The action of antidiuretic hormone (ADH) influences normal kidney function by stimulating
which mechanism> - Answer Distal nephron tubules and collecting ducts to reabsorb water
What is the disorder that results from a deficiency of vasopressin (ADH) from the posterior
pituitary gland called? - Answer DI
Which statements about diabetes insipidus (DI) are accurate? Select all that apply - Answer It
is caused by ADH deficiency
Urine output of greater than 4L/24 hours is the first diagnostic indication
, The water loss increases plasma osmolarity
Increased thirst is a mechanism of the body to attempt maintaining fluid balance
What does the nurse instruct patients with permanent diabetes insipidus (DI) to do? - Answer
Monitor for recurrence of polydipsia and polyuria
Monitor and record weight daily
Wear a medical alert bracelet
Urge the patient to drink fluids in an amount equal to urine output
A hospitalized patient is prescribed desmopressin acetate metered dose spray as a replacement
hormone for vasopressin (ADH). Which is an indication for another dose? Select all that apply.' -
Answer Excessive urination
Specific gravity of 1.003
The nurse is caring for a patient with diabetes insipidus (DI). What is the priority goal of
collaborative care? - Answer Correct the water metabolism problem
Which medication is used to treat diabetes insipidus (DI)? - Answer Desmopressin acetate
Which statement about the pathophysiology of SIADH is correct? - Answer Water retention
results in dilutional hyponatremia and expanded extracellular fluid (ECF) volume?
In SIADH, as a result of water retention from excess ADH, which laboratory values does the
nurse expect to find? Select all that apply. - Answer Increased sodium in urine
Increased urine specific gravity
Decreased serum osmolarity
Decreased serum sodium level
Which nursing intervention is the priority for a patient with SIADH? - Answer Restrict fluid
intake
Which type of IV fluid does the nurse use to treat a patient with SIADH when the serum sodium
level is very low? - Answer 3% normal saline
In addition to IV fluids a patient with SIADH is on fluid restriction as low as 550 to 600 mL/24
hours. Which serum and urine results demonstrate effectiveness of this treatment? Select all
that apply. - Answer Decreased urine specific gravity
Increased urine output
