CCS Exam 4 MULTIPLE CHOICE QUESTIONS AND ANSWERS
2024-2025| GRADED A+ WITH 100% ACCURATE ANSWERS |
CORRECT SCORE!!
A patient has just suffered a serious traumatic injury, resulting in the release of high levels
of endogenous catecholamines. As part of the admission laboratory assessment, the nurse
notices a high serum glucose level. What is the most appropriate nursing assessment? - ✔✔
- Reassess glucose levels.
A patient with stable type 1 diabetes is in the ICU. He has been taking insulin injections
regularly. The nurse receives blood test results back for this patient. What should she most
expect to see in the test results? - ✔✔ - Low C-peptide
A patient in the ICU has been under tremendous stress following myocardial infarction. She
has no history of diabetes, but her blood glucose level is elevated. Increase in the serum
level of which substance would most likely explain the elevated blood glucose level in this
patient? - ✔✔ - Cortisol
A patient has been prescribed an incretin. Which of the following should the nurse expect
to seen in the patient as a result of taking this medication? - ✔✔ - Delayed gastric emptying
A patient just underwent a kidney transplant and is receiving a glucocorticoid to suppress
his immune system to avoid organ rejection. Which side effect should the nurse most
expect to find in this patient? - ✔✔ - Cushing's syndrome
A patient has been diagnosed with a tumor of the hypothalamus gland and demonstrates
sustained elevated corticotropin-releasing hormone (CRH) levels. What should the nurse
,most expect to see in this patient? - ✔✔ - Abnormal glucocorticoid secretion pattern over
the course of 24 hours
Patients being cared for in ICUs secrete increased amounts of glucocorticoids in response
to stress. What laboratory test result is most indicative of the development of a life-
threatening complication secondary to the increased secretion of glucocorticoids? - ✔✔ -
Decreased lymphocytes
A patient is found to have a vitamin D deficiency, putting her at risk for bone
demineralization. What factors would contribute to this deficiency? Select all that apply. -
✔✔ - A. Lack of exposure to sunlight
D. Dietary deficiency
A patient has a plasma calcium level of 10.5 mg/dL due to excessive intake of vitamin D-
enriched foods. In response, the nurse should expect to see which of the following? - ✔✔ -
Increased serum calcitonin
A patient with poorly controlled type 2 diabetes demonstrates high levels of serum C-
peptide. What other findings should the nurse expect in this patient? Select all that apply. -
✔✔ - A. High levels of serum insulin
B. High levels of blood glucose
A patient in the ICU has cardiac failure and resultant low renal perfusion, which triggers
the renin-angiotensin mechanism. Which of the following should the nurse expect to
happen as a result of this mechanism? - ✔✔ - Elevation of systemic blood pressure
A patient with hypertension is receiving medication that disrupts the renin-angiotensin
mechanism and thus lowers his systemic blood pressure. Which of the following is most
likely the medication he is on? - ✔✔ - Propranolol
, Due to an interruption in the communication between the hypothalamus and the posterior
pituitary gland, a patient has a deficit of antidiuretic hormone (ADH). What physical
symptom does the nurse expect? - ✔✔ - Very dilute urine with high volume
An adult has experienced damage to the anterior pituitary gland that has interfered with
the secretion of growth hormone. The nurse expects what adverse effect on the patient as a
direct result? - ✔✔ - Increased risk for anemia
In a patient with hyperthyroidism, what symptoms does the nurse most expect? - ✔✔ -
Tachycardia and muscle weakness
A patient has a parathyroid tumor causing oversecretion of parathyroid hormone. What
intervention does the nurse implement to prevent a complication of this oversecretion? -
✔✔ - Fall precautions
What is the main aspect of diabetes mellitus type 2 that is not found in type 1? - ✔✔ -
Increased secretion of insulin by the pancreas
A patient is receiving a glucocorticoid to reduce inflammation and has a persistently high
blood glucose level. What action is this glucose level most likely due to? - ✔✔ - Glucagon
Patients being cared for in critical care units secrete increased amounts of glucocorticoids
in response to stress. What laboratory test result is most indicative of the development of a
life-threatening complication secondary to the increased secretion of glucocorticoids? - ✔✔
- Decreased lymphocytes
A patient is in hypovolemic shock but has a normal blood pressure. The nurse understands
that part of the rationale for this effect is activation of the renin-angiotensin system and the
subsequent secretion of aldosterone. What physiologic effect does the activation of
aldosterone result in? - ✔✔ - Reabsorption of sodium and water
2024-2025| GRADED A+ WITH 100% ACCURATE ANSWERS |
CORRECT SCORE!!
A patient has just suffered a serious traumatic injury, resulting in the release of high levels
of endogenous catecholamines. As part of the admission laboratory assessment, the nurse
notices a high serum glucose level. What is the most appropriate nursing assessment? - ✔✔
- Reassess glucose levels.
A patient with stable type 1 diabetes is in the ICU. He has been taking insulin injections
regularly. The nurse receives blood test results back for this patient. What should she most
expect to see in the test results? - ✔✔ - Low C-peptide
A patient in the ICU has been under tremendous stress following myocardial infarction. She
has no history of diabetes, but her blood glucose level is elevated. Increase in the serum
level of which substance would most likely explain the elevated blood glucose level in this
patient? - ✔✔ - Cortisol
A patient has been prescribed an incretin. Which of the following should the nurse expect
to seen in the patient as a result of taking this medication? - ✔✔ - Delayed gastric emptying
A patient just underwent a kidney transplant and is receiving a glucocorticoid to suppress
his immune system to avoid organ rejection. Which side effect should the nurse most
expect to find in this patient? - ✔✔ - Cushing's syndrome
A patient has been diagnosed with a tumor of the hypothalamus gland and demonstrates
sustained elevated corticotropin-releasing hormone (CRH) levels. What should the nurse
,most expect to see in this patient? - ✔✔ - Abnormal glucocorticoid secretion pattern over
the course of 24 hours
Patients being cared for in ICUs secrete increased amounts of glucocorticoids in response
to stress. What laboratory test result is most indicative of the development of a life-
threatening complication secondary to the increased secretion of glucocorticoids? - ✔✔ -
Decreased lymphocytes
A patient is found to have a vitamin D deficiency, putting her at risk for bone
demineralization. What factors would contribute to this deficiency? Select all that apply. -
✔✔ - A. Lack of exposure to sunlight
D. Dietary deficiency
A patient has a plasma calcium level of 10.5 mg/dL due to excessive intake of vitamin D-
enriched foods. In response, the nurse should expect to see which of the following? - ✔✔ -
Increased serum calcitonin
A patient with poorly controlled type 2 diabetes demonstrates high levels of serum C-
peptide. What other findings should the nurse expect in this patient? Select all that apply. -
✔✔ - A. High levels of serum insulin
B. High levels of blood glucose
A patient in the ICU has cardiac failure and resultant low renal perfusion, which triggers
the renin-angiotensin mechanism. Which of the following should the nurse expect to
happen as a result of this mechanism? - ✔✔ - Elevation of systemic blood pressure
A patient with hypertension is receiving medication that disrupts the renin-angiotensin
mechanism and thus lowers his systemic blood pressure. Which of the following is most
likely the medication he is on? - ✔✔ - Propranolol
, Due to an interruption in the communication between the hypothalamus and the posterior
pituitary gland, a patient has a deficit of antidiuretic hormone (ADH). What physical
symptom does the nurse expect? - ✔✔ - Very dilute urine with high volume
An adult has experienced damage to the anterior pituitary gland that has interfered with
the secretion of growth hormone. The nurse expects what adverse effect on the patient as a
direct result? - ✔✔ - Increased risk for anemia
In a patient with hyperthyroidism, what symptoms does the nurse most expect? - ✔✔ -
Tachycardia and muscle weakness
A patient has a parathyroid tumor causing oversecretion of parathyroid hormone. What
intervention does the nurse implement to prevent a complication of this oversecretion? -
✔✔ - Fall precautions
What is the main aspect of diabetes mellitus type 2 that is not found in type 1? - ✔✔ -
Increased secretion of insulin by the pancreas
A patient is receiving a glucocorticoid to reduce inflammation and has a persistently high
blood glucose level. What action is this glucose level most likely due to? - ✔✔ - Glucagon
Patients being cared for in critical care units secrete increased amounts of glucocorticoids
in response to stress. What laboratory test result is most indicative of the development of a
life-threatening complication secondary to the increased secretion of glucocorticoids? - ✔✔
- Decreased lymphocytes
A patient is in hypovolemic shock but has a normal blood pressure. The nurse understands
that part of the rationale for this effect is activation of the renin-angiotensin system and the
subsequent secretion of aldosterone. What physiologic effect does the activation of
aldosterone result in? - ✔✔ - Reabsorption of sodium and water
