Exam 4 Endocrine Questions with
Correct Answers
The nurse is preparing teaching for a patient diagnosed with Graves disease. What
should the nurse explain about the etiology of this health problem?
-It is a genetic disorder.
-It is caused by an allergy.
-It occurs in response to an infection.
-It develops as an autoimmune response. - ANSWER-It develops as an autoimmune
response.
A patient with hyperthyroidism is scheduled to receive radioactive iodine. What
should the nurse explain about the use of radioactive iodine in hyperthyroidism?
-The thyroid gland takes up iodine in any form.
-Radioactive iodine reduces the vascularity of the thyroid gland.
-Irradiation of the thyroid gland decreases the risk of hypothyroidism.
-Doses of radioactive iodine are too small to be hazardous to other body parts. -
ANSWER-The thyroid gland takes up iodine in any form.
During a physical examination, the nurse assesses a patient with hypothyroidism as
having a goiter. The nurse teaches the patient that which physiologic process
caused the thyroid gland to enlarge?
-An increased dietary iodine intake
-A compensatory effort to produce more TH
-An excess of TH that stimulated thyroid follicles
-Tissue hypertrophy in response to increased TH - ANSWER-A compensatory effort
to produce more TH
While reviewing a medication list, the nurse learns that a new patient has taken
cortisone as treatment for rheumatoid arthritis for several years. The nurse increases
assessment for which endocrine disorder?
-Acromegaly
-Hypothyroidism
-Hyperthyroidism
-Cushing syndrome - ANSWER-Cushing syndrome
The nurse is teaching a patient with Addison disease about the disease process.
Which statement illustrates that the patient understands the teaching?
-"I wonder why I look tan all the time."
-"I know I should never alter my dose of medications."
-"I have purchased an emergency kit and keep it with me all the time."
-"I will be sure to stop taking my medications when I have an infection." -
ANSWER-"I have purchased an emergency kit and keep it with me all the time."
, The nurse suspects that a patient with syndrome of inappropriate antidiuretic
hormone secretion is experiencing hyponatremia. Which manifestation of
hyponatremia did the nurse most likely assess? (Select all that apply.)
-Irritability
-Weight loss
-Constipation
-Hyperkalemia
-Lethargy - ANSWER--Irritability
-Lethargy
The home health nurse is planning care for a patient with hyperparathyroidism and
osteoporosis. Which patient problem is the priority in this situation?
-The patient is fearful.
-The patient is at risk for falls and other injury.
-The patient does not want to go out in public.
-The patient has low self-esteem. - ANSWER-The patient is at risk for falls and other
injury.
A patient has been diagnosed with hypercalcemia. The nurse would attribute which
finding to that diagnosis?
-Oliguria
-Positive Chvostek sign
-Constipation
-Hyperactive deep tendon reflexes
-Cardiac dysrhythmias - ANSWER--Constipation
-Cardiac dysrhythmias
A patient recovering from a thyroidectomy is experiencing tingling around the mouth
and fingertips. The nurse would assess for findings associated with which condition?
-Addisonian crisis
-Hypoparathyroidism
-Cushing syndrome
-Hyperparathyroidism - ANSWER-Hypoparathyroidism
A female patient with Cushing syndrome is distressed because of the appearance of
abdominal stretch marks. What should the nurse explain to the patient about this
skin change?
-Excessive mineralocorticoids reduce the absorption of calcium.
-Excessive glucocorticoids affect normal carbohydrate metabolism.
-Excessive glucocorticoids cause a loss of collagen and connective tissue.
-Excessive cortisol results in changes in protein metabolism and protein catabolism.
- ANSWER-Excessive glucocorticoids cause a loss of collagen and connective
tissue.
A patient is scheduled for a serum cortisol level.
Which should the nurse instruct the patient in preparation for this test?
-Do not eat or drink anything and rest for 2 hours before the test.
-Avoid salt and rest in the supine position for 1 hour before the test.
-Avoid all food and fluid other than water for 6 to 8 hours before the test.
Correct Answers
The nurse is preparing teaching for a patient diagnosed with Graves disease. What
should the nurse explain about the etiology of this health problem?
-It is a genetic disorder.
-It is caused by an allergy.
-It occurs in response to an infection.
-It develops as an autoimmune response. - ANSWER-It develops as an autoimmune
response.
A patient with hyperthyroidism is scheduled to receive radioactive iodine. What
should the nurse explain about the use of radioactive iodine in hyperthyroidism?
-The thyroid gland takes up iodine in any form.
-Radioactive iodine reduces the vascularity of the thyroid gland.
-Irradiation of the thyroid gland decreases the risk of hypothyroidism.
-Doses of radioactive iodine are too small to be hazardous to other body parts. -
ANSWER-The thyroid gland takes up iodine in any form.
During a physical examination, the nurse assesses a patient with hypothyroidism as
having a goiter. The nurse teaches the patient that which physiologic process
caused the thyroid gland to enlarge?
-An increased dietary iodine intake
-A compensatory effort to produce more TH
-An excess of TH that stimulated thyroid follicles
-Tissue hypertrophy in response to increased TH - ANSWER-A compensatory effort
to produce more TH
While reviewing a medication list, the nurse learns that a new patient has taken
cortisone as treatment for rheumatoid arthritis for several years. The nurse increases
assessment for which endocrine disorder?
-Acromegaly
-Hypothyroidism
-Hyperthyroidism
-Cushing syndrome - ANSWER-Cushing syndrome
The nurse is teaching a patient with Addison disease about the disease process.
Which statement illustrates that the patient understands the teaching?
-"I wonder why I look tan all the time."
-"I know I should never alter my dose of medications."
-"I have purchased an emergency kit and keep it with me all the time."
-"I will be sure to stop taking my medications when I have an infection." -
ANSWER-"I have purchased an emergency kit and keep it with me all the time."
, The nurse suspects that a patient with syndrome of inappropriate antidiuretic
hormone secretion is experiencing hyponatremia. Which manifestation of
hyponatremia did the nurse most likely assess? (Select all that apply.)
-Irritability
-Weight loss
-Constipation
-Hyperkalemia
-Lethargy - ANSWER--Irritability
-Lethargy
The home health nurse is planning care for a patient with hyperparathyroidism and
osteoporosis. Which patient problem is the priority in this situation?
-The patient is fearful.
-The patient is at risk for falls and other injury.
-The patient does not want to go out in public.
-The patient has low self-esteem. - ANSWER-The patient is at risk for falls and other
injury.
A patient has been diagnosed with hypercalcemia. The nurse would attribute which
finding to that diagnosis?
-Oliguria
-Positive Chvostek sign
-Constipation
-Hyperactive deep tendon reflexes
-Cardiac dysrhythmias - ANSWER--Constipation
-Cardiac dysrhythmias
A patient recovering from a thyroidectomy is experiencing tingling around the mouth
and fingertips. The nurse would assess for findings associated with which condition?
-Addisonian crisis
-Hypoparathyroidism
-Cushing syndrome
-Hyperparathyroidism - ANSWER-Hypoparathyroidism
A female patient with Cushing syndrome is distressed because of the appearance of
abdominal stretch marks. What should the nurse explain to the patient about this
skin change?
-Excessive mineralocorticoids reduce the absorption of calcium.
-Excessive glucocorticoids affect normal carbohydrate metabolism.
-Excessive glucocorticoids cause a loss of collagen and connective tissue.
-Excessive cortisol results in changes in protein metabolism and protein catabolism.
- ANSWER-Excessive glucocorticoids cause a loss of collagen and connective
tissue.
A patient is scheduled for a serum cortisol level.
Which should the nurse instruct the patient in preparation for this test?
-Do not eat or drink anything and rest for 2 hours before the test.
-Avoid salt and rest in the supine position for 1 hour before the test.
-Avoid all food and fluid other than water for 6 to 8 hours before the test.
