Chapter 56: Assessment of the Endocrine System Ignatavicius: Med-
ical-Surgical Nursing, 10th Edition
1. 1. The nurse assesses an older client. What age-related physiologic
changes would the nurse expect?
a. Heat intolerance
b. Rheumatoid arthritis
c. Dehydration
d. Increased appetite: ANS: C
As people age, the many of the endocrine glands decrease hormone
production, including a decrease in antidiuretic hormone production.
This change, in addition to less body fluid being present as one ages,
can cause dehydration. Older adults usually have cold intolerance and a
decrease in appetite. Rheumatoid arthritis is not an age-related change;
osteoarthritis causes primarily by aging.
2. 2. A client is scheduled to have a glycosylated hemoglobin (A1C) drawn
and asks the nurse why she has to have it. How would the nurse respond?
a. "It measures your average blood glucose level for the past 3 months."
b. "It determines what type of anemia you may have."
c. "It measures the amount of liver glycogen you have."
d. "It determines you have some type of leukemia or other blood cancer.":
ANS: A
A1C measures the average blood glucose level to determine if the client
is a diabetic or how controlled a diabetic client is.
3. 3. The nurse assesses a client who is scheduled to have a laboratory
test to determine if the client's adrenal glands are hypoactive. What type of
1/
, Chapter 56: Assessment of the Endocrine System Ignatavicius: Med-
ical-Surgical Nursing, 10th Edition
testing would the client likely have?
a. Catecholamine testing
b. Suppression testing
c. Bone marrow testing
d. Provocative testing: ANS: D
Provocative testing is done to determine if an endocrine gland is
capable of produc- ing its normal level of hormone(s), especially when a
client is suspected of having a hypoactive endocrine gland.
4. 4. A nurse assesses a client who is prescribed a medication that
stimulates beta1 receptors. Which assessment finding would indicate that
the medication is effective?
a. Heart rate of 92 beats/min
b. Respiratory rate of 18 breaths/min
c. Oxygenation saturation of 92%
d. Blood pressure of 144/69 mm Hg: ANS: A
Stimulation of beta1 receptor sites in the heart has positive
chronotropic and inotropic actions. The nurse expects an increase in
heart rate and increased cardiac output. The other vital signs are within
normal limits and do not indicate any response to the medication.
5. 5. A nurse collaborates with assistive personnel (AP) to provide care for
a client who is prescribed a 24-hour urine specimen collection. Which
statement would the nurse include when teaching the AP about this
activity?
2/
ical-Surgical Nursing, 10th Edition
1. 1. The nurse assesses an older client. What age-related physiologic
changes would the nurse expect?
a. Heat intolerance
b. Rheumatoid arthritis
c. Dehydration
d. Increased appetite: ANS: C
As people age, the many of the endocrine glands decrease hormone
production, including a decrease in antidiuretic hormone production.
This change, in addition to less body fluid being present as one ages,
can cause dehydration. Older adults usually have cold intolerance and a
decrease in appetite. Rheumatoid arthritis is not an age-related change;
osteoarthritis causes primarily by aging.
2. 2. A client is scheduled to have a glycosylated hemoglobin (A1C) drawn
and asks the nurse why she has to have it. How would the nurse respond?
a. "It measures your average blood glucose level for the past 3 months."
b. "It determines what type of anemia you may have."
c. "It measures the amount of liver glycogen you have."
d. "It determines you have some type of leukemia or other blood cancer.":
ANS: A
A1C measures the average blood glucose level to determine if the client
is a diabetic or how controlled a diabetic client is.
3. 3. The nurse assesses a client who is scheduled to have a laboratory
test to determine if the client's adrenal glands are hypoactive. What type of
1/
, Chapter 56: Assessment of the Endocrine System Ignatavicius: Med-
ical-Surgical Nursing, 10th Edition
testing would the client likely have?
a. Catecholamine testing
b. Suppression testing
c. Bone marrow testing
d. Provocative testing: ANS: D
Provocative testing is done to determine if an endocrine gland is
capable of produc- ing its normal level of hormone(s), especially when a
client is suspected of having a hypoactive endocrine gland.
4. 4. A nurse assesses a client who is prescribed a medication that
stimulates beta1 receptors. Which assessment finding would indicate that
the medication is effective?
a. Heart rate of 92 beats/min
b. Respiratory rate of 18 breaths/min
c. Oxygenation saturation of 92%
d. Blood pressure of 144/69 mm Hg: ANS: A
Stimulation of beta1 receptor sites in the heart has positive
chronotropic and inotropic actions. The nurse expects an increase in
heart rate and increased cardiac output. The other vital signs are within
normal limits and do not indicate any response to the medication.
5. 5. A nurse collaborates with assistive personnel (AP) to provide care for
a client who is prescribed a 24-hour urine specimen collection. Which
statement would the nurse include when teaching the AP about this
activity?
2/
