DAVIS ADVANTAGE FOR PATHOPHYSIOLOGY 2ND EDITION CAPRIOTTI TEST BANK
Chapter 24, Endocrine Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which disorder does the nurse recognize as being caused by an increase in the hormones that are
secreted from the adrenal gland?
1. Addison’s disease
2. Hypothyroidism
3. Diabetes mellitus
4. Cushing’s syndrome
____ 2. A client tells the nurse, “I’ve been feeling excessively thirsty for the last 2 days.” On examination,
the nurse finds the client has poor skin turgor, low blood pressure, and dry skin. A computerized
tomography scan of the client’s head shows a pituitary tumor. Which treatment does the nurse expect
to be prescribed by the health-care provider?
1. Bromocriptine
2. Growth hormone
3. Arginine vasopressin
4. Adrenocorticotropic hormone
____ 3. A client who underwent laryngotomy presented with depression, increased sensitivity to cold, and
constipation. On assessment, the nurse identifies the client with a puffy face and periorbital edema.
The blood report shows a high
NURthyroid-stimulating
SINGTB.COM hormone (TSH) level. Which does the nurse
interpret from the findings?
1. The client has hypothyroidism.
2. The client has hyperthyroidism.
3. The client has hypoparathyroidism.
4. The client has hyperparathyroidism.
____ 4. Which condition exhibits “moon facies” as a characteristic symptom?
1. Myxedema
2. Graves’s disease
3. Cushing’s syndrome
4. Adrenal insufficiency
____ 5. A client is being scheduled for thyroid testing. For which diagnostic test does the nurse prepare the
client for detecting hyperactivity of the thyroid gland?
1. Sestamibi scan
2. Ultrasound
3. Radioactive iodine scan
4. Computerized tomography (CT) scan of the anterior neck
____ 6. The nurse is caring for a client with seizures, severely elevated blood pressure, and impaired
mentation. The health-care provider suspects the client’s condition is an endocrine disorder. A
24-hour urinalysis report shows an excess amount of catecholamine metabolites. What is the
diagnosis of the client?
1. The client has a pineal tumor.
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, DAVIS ADVANTAGE FOR PATHOPHYSIOLOGY 2ND EDITION CAPRIOTTI TEST BANK
2. The client has pheochromocytoma.
3. The client has Cushing’s syndrome.
4. The client has multiple endocrine neoplasia.
____ 7. Which endocrine disorder involves treatment using antithyroid hormone medication such as
propylthiouracil (PTU)?
1. Graves’s disease
2. Plummer’s disease
3. Cushing’s disease
4. Addison’s disease
____ 8. Which congenital condition does the nurse recognize as being due to thyroid hormone deficiency
during embryonic development and early neonatal life?
1. Cretinism
2. Pheochromocytoma
3. Sheehan’s syndrome
4. Fetal alcohol syndrome
____ 9. The nurse educator is reviewing treatment strategies that are beneficial to a client with
hyperparathyroidism with a group of staff nurses. Which statement by an attending nurse does the
nurse educator correct?
1. “The client is prescribed calcitonin to inhibit bone breakdown.”
2. “The client is prescribed calcium and vitamins for bone building.”
3. “The client is advised to increase water intake to prevent kidney stones.”
4. “The client is prescribedNbisphosphonates
URSINGTB.CtoOM stimulate osteoclast activity.”
____ 10. A client is experiencing issues with abnormal blood glucose levels and infertility. The health-care
provider prescribes a magnetic resonance imaging (MRI) of the client’s head. If asked, which
explanation for the test does the nurse provide?
1. “Your issues may be related to your pituitary gland.”
2. “The test will rule out the possibility of a brain aneurysm.”
3. “This helps identify brain damage from abnormal glucose levels.”
4. “A variety of tests will narrow down possible causes of your issues.”
____ 11. A client is diagnosed with multiple endocrine neoplasia. Which sign or symptom observed in the
client indicates the presence of pituitary tumors?
1. Bone pain
2. Galactorrhea
3. Gynecomastia
4. Visual disturbances
____ 12. Which medication does the health-care provider prescribe for the treatment of prolactinoma in a
client with hyperpituitarism?
1. Conivaptan
2. Furosemide
3. Bromocriptine
4. Levothyroxine
Copyright © 2020 F. A. Davis Company
WWW.NURSINGTB.COM
, DAVIS ADVANTAGE FOR PATHOPHYSIOLOGY 2ND EDITION CAPRIOTTI TEST BANK
____ 13. Which diagnostic test is appropriate to rule out ectopic adrenocorticotropic hormone
(ACTH)–secreting tumors in the body?
1. Chest x-ray
2. Octreotide scintigraphy
3. Contrast-enhanced magnetic resonance imaging (MRI)
4. Abdominal computerized tomography (CT) scan
____ 14. Which value of cortisol levels does the nurse expect to find in the laboratory report of a client with
Cushing’s disease?
1. 0.6 mcg/dL
2. 1.8 mcg/dL
3. 2.4 mcg/dL
4. 3.8 mcg/dL
____ 15. The nurse finds the symptoms of thyroid dysfunction in a client are due to abnormal pituitary
activity. The client’s laboratory report shows a low TSH level, which supports the nurse’s finding.
Which type of endocrine disorder is likely present in the client?
1. Primary hypothyroidism
2. Tertiary hyperthyroidism
3. Primary hyperthyroidism
4. Secondary hypothyroidism
____ 16. A male adolescent client with an age of 13 years is assessed at a height of 4 feet, 2 inches. The
manifestation is related to abnormal growth hormone levels. Which treatment does the nurse expect
to be prescribed? NURSINGTB.COM
1. Transsphenoidal surgery of the pituitary
2. Regular administration of bromocriptine
3. Radioactive iodine ablation therapy
4. Growth hormone replacement therapy
____ 17. Which disorder is described as the complete loss of all of the pituitary hormones?
1. Hypopituitarism
2. Panhypopituitarism
3. Sheehan’s syndrome
4. Empty sella syndrome
____ 18. The nurse is caring for four clients in a health-care setting diagnosed with different endocrine
disorders. Which client requires treatment by placement of a ventriculoperitoneal shunt?
1. The client diagnosed with pineal tumor
2. The client diagnosed with diabetes insipidus
3. The client diagnosed with pheochromocytoma
4. The client diagnosed with Cushing’s syndrome
____ 19. The nurse observes the final diagnosis of four clients in their case reports as given here. In which
client does the nurse notice the presence of Chvostek’s sign and Trousseau’s sign?
1. The client diagnosed with pineal tumor
2. The client diagnosed with hypothyroidism
3. The client diagnosed with pheochromocytoma
Copyright © 2020 F. A. Davis Company
WWW.NURSINGTB.COM
Chapter 24, Endocrine Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which disorder does the nurse recognize as being caused by an increase in the hormones that are
secreted from the adrenal gland?
1. Addison’s disease
2. Hypothyroidism
3. Diabetes mellitus
4. Cushing’s syndrome
____ 2. A client tells the nurse, “I’ve been feeling excessively thirsty for the last 2 days.” On examination,
the nurse finds the client has poor skin turgor, low blood pressure, and dry skin. A computerized
tomography scan of the client’s head shows a pituitary tumor. Which treatment does the nurse expect
to be prescribed by the health-care provider?
1. Bromocriptine
2. Growth hormone
3. Arginine vasopressin
4. Adrenocorticotropic hormone
____ 3. A client who underwent laryngotomy presented with depression, increased sensitivity to cold, and
constipation. On assessment, the nurse identifies the client with a puffy face and periorbital edema.
The blood report shows a high
NURthyroid-stimulating
SINGTB.COM hormone (TSH) level. Which does the nurse
interpret from the findings?
1. The client has hypothyroidism.
2. The client has hyperthyroidism.
3. The client has hypoparathyroidism.
4. The client has hyperparathyroidism.
____ 4. Which condition exhibits “moon facies” as a characteristic symptom?
1. Myxedema
2. Graves’s disease
3. Cushing’s syndrome
4. Adrenal insufficiency
____ 5. A client is being scheduled for thyroid testing. For which diagnostic test does the nurse prepare the
client for detecting hyperactivity of the thyroid gland?
1. Sestamibi scan
2. Ultrasound
3. Radioactive iodine scan
4. Computerized tomography (CT) scan of the anterior neck
____ 6. The nurse is caring for a client with seizures, severely elevated blood pressure, and impaired
mentation. The health-care provider suspects the client’s condition is an endocrine disorder. A
24-hour urinalysis report shows an excess amount of catecholamine metabolites. What is the
diagnosis of the client?
1. The client has a pineal tumor.
Copyright © 2020 F. A. Davis Company
WWW.NURSINGTB.COM
, DAVIS ADVANTAGE FOR PATHOPHYSIOLOGY 2ND EDITION CAPRIOTTI TEST BANK
2. The client has pheochromocytoma.
3. The client has Cushing’s syndrome.
4. The client has multiple endocrine neoplasia.
____ 7. Which endocrine disorder involves treatment using antithyroid hormone medication such as
propylthiouracil (PTU)?
1. Graves’s disease
2. Plummer’s disease
3. Cushing’s disease
4. Addison’s disease
____ 8. Which congenital condition does the nurse recognize as being due to thyroid hormone deficiency
during embryonic development and early neonatal life?
1. Cretinism
2. Pheochromocytoma
3. Sheehan’s syndrome
4. Fetal alcohol syndrome
____ 9. The nurse educator is reviewing treatment strategies that are beneficial to a client with
hyperparathyroidism with a group of staff nurses. Which statement by an attending nurse does the
nurse educator correct?
1. “The client is prescribed calcitonin to inhibit bone breakdown.”
2. “The client is prescribed calcium and vitamins for bone building.”
3. “The client is advised to increase water intake to prevent kidney stones.”
4. “The client is prescribedNbisphosphonates
URSINGTB.CtoOM stimulate osteoclast activity.”
____ 10. A client is experiencing issues with abnormal blood glucose levels and infertility. The health-care
provider prescribes a magnetic resonance imaging (MRI) of the client’s head. If asked, which
explanation for the test does the nurse provide?
1. “Your issues may be related to your pituitary gland.”
2. “The test will rule out the possibility of a brain aneurysm.”
3. “This helps identify brain damage from abnormal glucose levels.”
4. “A variety of tests will narrow down possible causes of your issues.”
____ 11. A client is diagnosed with multiple endocrine neoplasia. Which sign or symptom observed in the
client indicates the presence of pituitary tumors?
1. Bone pain
2. Galactorrhea
3. Gynecomastia
4. Visual disturbances
____ 12. Which medication does the health-care provider prescribe for the treatment of prolactinoma in a
client with hyperpituitarism?
1. Conivaptan
2. Furosemide
3. Bromocriptine
4. Levothyroxine
Copyright © 2020 F. A. Davis Company
WWW.NURSINGTB.COM
, DAVIS ADVANTAGE FOR PATHOPHYSIOLOGY 2ND EDITION CAPRIOTTI TEST BANK
____ 13. Which diagnostic test is appropriate to rule out ectopic adrenocorticotropic hormone
(ACTH)–secreting tumors in the body?
1. Chest x-ray
2. Octreotide scintigraphy
3. Contrast-enhanced magnetic resonance imaging (MRI)
4. Abdominal computerized tomography (CT) scan
____ 14. Which value of cortisol levels does the nurse expect to find in the laboratory report of a client with
Cushing’s disease?
1. 0.6 mcg/dL
2. 1.8 mcg/dL
3. 2.4 mcg/dL
4. 3.8 mcg/dL
____ 15. The nurse finds the symptoms of thyroid dysfunction in a client are due to abnormal pituitary
activity. The client’s laboratory report shows a low TSH level, which supports the nurse’s finding.
Which type of endocrine disorder is likely present in the client?
1. Primary hypothyroidism
2. Tertiary hyperthyroidism
3. Primary hyperthyroidism
4. Secondary hypothyroidism
____ 16. A male adolescent client with an age of 13 years is assessed at a height of 4 feet, 2 inches. The
manifestation is related to abnormal growth hormone levels. Which treatment does the nurse expect
to be prescribed? NURSINGTB.COM
1. Transsphenoidal surgery of the pituitary
2. Regular administration of bromocriptine
3. Radioactive iodine ablation therapy
4. Growth hormone replacement therapy
____ 17. Which disorder is described as the complete loss of all of the pituitary hormones?
1. Hypopituitarism
2. Panhypopituitarism
3. Sheehan’s syndrome
4. Empty sella syndrome
____ 18. The nurse is caring for four clients in a health-care setting diagnosed with different endocrine
disorders. Which client requires treatment by placement of a ventriculoperitoneal shunt?
1. The client diagnosed with pineal tumor
2. The client diagnosed with diabetes insipidus
3. The client diagnosed with pheochromocytoma
4. The client diagnosed with Cushing’s syndrome
____ 19. The nurse observes the final diagnosis of four clients in their case reports as given here. In which
client does the nurse notice the presence of Chvostek’s sign and Trousseau’s sign?
1. The client diagnosed with pineal tumor
2. The client diagnosed with hypothyroidism
3. The client diagnosed with pheochromocytoma
Copyright © 2020 F. A. Davis Company
WWW.NURSINGTB.COM
