MED-SURG CH 35: THE ENDOCRINE
SYSTEM QUESTIONS AND CORRECT
ANSWERS
IntakeA2ofA2whichA2nutrientsA2directlyA2impactsA2thyroidA2hormoneA2production?
A.A2ProteinA2andA2iodine
B.A2FatsA2andA2vitamins
C.A2CarbohydratesA2andA2minerals
D.A2SodiumA2andA2potassiumA2-A2Ans--ProteinA2andA2iodine
*TheA2productionA2ofA2thyroidA2hormoneA2isA2dependentA2onA2theA2intakeA2ofA2proteinA2an
dA2iodine
WhichA2hormoneA2actsA2onA2boneA2toA2releaseA2calciumA2intoA2theA2blood?
A.A2ThryoxineA2(T4)
B.A2Thyrocalcitonin
C.A2TriiodothyronineA2(T3)
D.A2ParathormoneA2-A2Ans--Parathormone
*Parathormone,A2orA2parathyroidA2hormone,A2isA2producedA2andA2secretedA2byA2theA2par
athyroidA2glands.A2LowA2calciumA2levelsA2willA2stimulateA2releaseA2ofA2parathormone,A2wh
ichA2increasesA2theA2plasmaA2levelA2ofA2calcium.A2ParathormoneA2actsA2onA2theA2renalA2t
ubulesA2toA2increaseA2theA2excretionA2ofA2phosphorusA2inA2theA2urineA2andA2toA2stimulateA
2theA2reabsorptionA2ofA2calcium.A2ParathormoneA2alsoA2actsA2onA2bone,A2causingA2theA2re
leaseA2ofA2calciumA2fromA2theA2boneA2intoA2theA2bloodstream
WhichA2glandA2secretesA2epinephrineA2andA2norepinephrine?
A.A2Thyroid
B.A2Pituitary
C.A2Pancreas
D.A2AdrenalA2medullaA2-A2Ans--AdrenalA2medulla
WhereA2inA2theA2bodyA2areA2mineralcorticorticoidsA2andA2glucocorticoidsA2produced?
A.A2AdrenalA2cortex
B.A2AdrenalA2medulla
C.A2Pancreas
D.A2HypothalamusA2-A2Ans--AdrenalA2cortex
WhichA2glandA2secretesA2androgenicA2hormones?
,A.A2AdrenalA2cortex
B.A2Hypothalamus
C.A2PancreasA2
D.A2PituitaryA2-A2Ans--AdrenalA2cortex
WhichA2actionA2describesA2aA2functionA2ofA2aldosterone?
A.A2ConserveA2water
B.A2ExcreteA2sodium
C.A2ConstrictA2bloodA2vessels
D.A2ExcreteA2phosphorusA2-A2Ans--ConserveA2water
*AldosteroneA2isA2classifiedA2asA2aA2mineralcorticoid.A2ItA2promotesA2conservationA2ofA2w
aterA2byA2actingA2onA2theA2kidneysA2toA2retainA2sodiumA2inA2exchangeA2forA2ptassium,A2w
hichA2isA2excretedA2inA2theA2urine
WhichA2corticoidA2counteractsA2theA2inflammatoryA2response?
A.A2Thyroxine
B.A2Cortisol
C.A2Insulin
D.A2NorepinephrineA2-A2Ans--Cortisol
*CortisolA2isA2theA2corticoidA2thatA2counteractsA2theA2inflammatoryA2process.A2ThyroxineA2
isA2secretedA2byA2theA2thyroidA2glad.A2InsulinA2isA2secretedA2byA2theA2betaA2cellsA2ofA2theA2
pancreas.A2ItA2isA2responsibleA2forA2regulationA2ofA2bloodA2glucoseA2levels.A2Norepinephri
neA2isA2secretedA2byA2theA2adrenalA2medullaA2inA2responseA2toA2stimulationA2fromA2theA2s
ympatheticA2nervousA2system.A2ItA2functionsA2asA2aA2pressorA2(causingA2bloodA2vesselA2c
onstriction)A2hormoneA2toA2maintaineA2bloodA2pressure
WhichA2glandA2isA2theA2onlyA2glandA2thatA2isA2bothA2anA2endocrineA2glandA2andA2exocrine
A2gland?
A.A2Thyroid
B.A2Hypothalamus
C.A2Pancreas
D.A2ParathyroidA2-A2Ans--Pancreas
*TheA2pancreasA2actsA2asA2anA2endocrineA2gland,A2secretingA2insulinA2directlyA2intoA2theA2
bloodstream,A2andA2anA2exocrineA2gland,A2secretingA2digestiveA2enzymesA2throughA2duct
s
WhichA2statementA2accuratelyA2describesA2endocrineA2glands?
A.A2EndocrineA2glandsA2releaseA2secretionsA2directlyA2intoA2theA2bloodstream
, B.A2EndocrineA2glandsA2releaseA2secretionsA2viaA2aA2ductA2intoA2theA2bloodstream
C.A2EndocrineA2glandsA2holdA2secretionsA2inA2aA2reservoirA2untilA2needed
D.A2EndocrineA2glandsA2canA2produceA2constantlyA2forA2bodyA2needsA2-A2Ans--
EndocrineA2glandsA2releaseA2secretionsA2directlyA2intoA2theA2bloodstream
*EndocrineA2glandsA2secreteA2directlyA2intoA2theA2bloodstream,A2whereasA2exocrineA2glan
dsA2secreteA2viaA2aA2duct
TheA2nurseA2isA2caringA2forA2aA2patientA2whoA2hasA2beenA2experiencingA2infertility.A2Whic
hA2statementA2indicatesA2thaA2theA2patientA2understandsA2theA2impactA2ofA2inadequateA2lu
teinizingA2hormoneA2(LH)?
A.A2SinceA2luteinizingA2hormoneA2maintainsA2myA2secondaryA2sexA2characterisitics,A2lowA
2levelsA2explainA2myA2smallA2breasts."
B.A2"LowA2levelsA2ofA2luteinizingA2hormoneA2causeA2theA2swellingA2IA2experienceA2duringA
2myA2menstrualA2cycle."
C.A2"LowA2levelsA2ofA2luteinizingA2hormoneA2causeA2myA2menstrualA2cycleA2irregularities."
D.A2"SinceA2luteinizingA2hormoneA2stimulatesA2ovulationA2andA2progesteroneA2production,
A2lowA2levelsA2couldA2causeA2inferility."A2-
A2Ans--"SinceA2luteinizingA2hormoneA2stimulatesA2ovulationA2andA2progesteroneA2producti
on,A2lowA2levelsA2couldA2causeA2inferility."
*LHA2isA2producedA2byA2theA2anteriorA2pituitaryA2gland.A2ItA2targestA2theA2ovaries.A2LHA2sti
mulatesA2ovulationA2andA2productionA2ofA2progesterone.A2LHA2doesA2notA2affectA2mainten
anceA2ofA2secondaryA2sexA2characterisitics,A2fluidA2retention,A2orA2menstrualA2cycleA2regul
arity
TheA2nurseA2isA2caringA2forA2anA280A2yearA2oldA2patientA2withA2aA2historyA2ofA2typeA22A2dia
betesA2andA2hypothyroidism.A2TheA2physicianA2wantsA2toA2evaulateA2theA2patient'sA2blood
A2glucoseA2levelsA2andA2ordersA2aA2fructosamineA2assay.A2WhichA2factorA2bestA2explainsA
2whyA2theA2physicianA2choseA2thisA2laboratoryA2testA2insteadA2ofA2aA2glycosylatedA2hemog
lobinA2(HBA1c)A2test?
A.A2TheA2patient'sA2age
B.A2TypeA22A2diabetes
C.A2Hypothryoidism
D.A2TheA2tests'A2costsA2-A2Ans--TypeA22A2diabetes
*TheA2fructosamineA2assayA2isA2aA2diagnosticA2testA2usedA2toA2assessA2theA2degreeA2ofA2
diabeticA2controlA2ofA2bloodA2sugarA2overA2theA2precedingA22-to-3-
weekA2period.A2TheA2fructosamineA2assayA2isA2aA2betterA2toolA2forA2theA2olderA2adultA2asA2
itA2isA2lessA2influencedA2byA2age.A2TheA2fructosamineA2assayA2isA2notA2specificA2toA2typeA2
1A2orA2typeA22A2diabetes.A2ItsA2accuracyA2isA2notA2affectedA2byA2hypothyroidism.A2WhileA2t
heA2fructosamineA2assayA2isA2simplerA2andA2cheaperA2thanA2HbA1cA2test,A2theA2accuracy
A2ofA2resultsA2forA2thisA2patientA2takeA2priority
SYSTEM QUESTIONS AND CORRECT
ANSWERS
IntakeA2ofA2whichA2nutrientsA2directlyA2impactsA2thyroidA2hormoneA2production?
A.A2ProteinA2andA2iodine
B.A2FatsA2andA2vitamins
C.A2CarbohydratesA2andA2minerals
D.A2SodiumA2andA2potassiumA2-A2Ans--ProteinA2andA2iodine
*TheA2productionA2ofA2thyroidA2hormoneA2isA2dependentA2onA2theA2intakeA2ofA2proteinA2an
dA2iodine
WhichA2hormoneA2actsA2onA2boneA2toA2releaseA2calciumA2intoA2theA2blood?
A.A2ThryoxineA2(T4)
B.A2Thyrocalcitonin
C.A2TriiodothyronineA2(T3)
D.A2ParathormoneA2-A2Ans--Parathormone
*Parathormone,A2orA2parathyroidA2hormone,A2isA2producedA2andA2secretedA2byA2theA2par
athyroidA2glands.A2LowA2calciumA2levelsA2willA2stimulateA2releaseA2ofA2parathormone,A2wh
ichA2increasesA2theA2plasmaA2levelA2ofA2calcium.A2ParathormoneA2actsA2onA2theA2renalA2t
ubulesA2toA2increaseA2theA2excretionA2ofA2phosphorusA2inA2theA2urineA2andA2toA2stimulateA
2theA2reabsorptionA2ofA2calcium.A2ParathormoneA2alsoA2actsA2onA2bone,A2causingA2theA2re
leaseA2ofA2calciumA2fromA2theA2boneA2intoA2theA2bloodstream
WhichA2glandA2secretesA2epinephrineA2andA2norepinephrine?
A.A2Thyroid
B.A2Pituitary
C.A2Pancreas
D.A2AdrenalA2medullaA2-A2Ans--AdrenalA2medulla
WhereA2inA2theA2bodyA2areA2mineralcorticorticoidsA2andA2glucocorticoidsA2produced?
A.A2AdrenalA2cortex
B.A2AdrenalA2medulla
C.A2Pancreas
D.A2HypothalamusA2-A2Ans--AdrenalA2cortex
WhichA2glandA2secretesA2androgenicA2hormones?
,A.A2AdrenalA2cortex
B.A2Hypothalamus
C.A2PancreasA2
D.A2PituitaryA2-A2Ans--AdrenalA2cortex
WhichA2actionA2describesA2aA2functionA2ofA2aldosterone?
A.A2ConserveA2water
B.A2ExcreteA2sodium
C.A2ConstrictA2bloodA2vessels
D.A2ExcreteA2phosphorusA2-A2Ans--ConserveA2water
*AldosteroneA2isA2classifiedA2asA2aA2mineralcorticoid.A2ItA2promotesA2conservationA2ofA2w
aterA2byA2actingA2onA2theA2kidneysA2toA2retainA2sodiumA2inA2exchangeA2forA2ptassium,A2w
hichA2isA2excretedA2inA2theA2urine
WhichA2corticoidA2counteractsA2theA2inflammatoryA2response?
A.A2Thyroxine
B.A2Cortisol
C.A2Insulin
D.A2NorepinephrineA2-A2Ans--Cortisol
*CortisolA2isA2theA2corticoidA2thatA2counteractsA2theA2inflammatoryA2process.A2ThyroxineA2
isA2secretedA2byA2theA2thyroidA2glad.A2InsulinA2isA2secretedA2byA2theA2betaA2cellsA2ofA2theA2
pancreas.A2ItA2isA2responsibleA2forA2regulationA2ofA2bloodA2glucoseA2levels.A2Norepinephri
neA2isA2secretedA2byA2theA2adrenalA2medullaA2inA2responseA2toA2stimulationA2fromA2theA2s
ympatheticA2nervousA2system.A2ItA2functionsA2asA2aA2pressorA2(causingA2bloodA2vesselA2c
onstriction)A2hormoneA2toA2maintaineA2bloodA2pressure
WhichA2glandA2isA2theA2onlyA2glandA2thatA2isA2bothA2anA2endocrineA2glandA2andA2exocrine
A2gland?
A.A2Thyroid
B.A2Hypothalamus
C.A2Pancreas
D.A2ParathyroidA2-A2Ans--Pancreas
*TheA2pancreasA2actsA2asA2anA2endocrineA2gland,A2secretingA2insulinA2directlyA2intoA2theA2
bloodstream,A2andA2anA2exocrineA2gland,A2secretingA2digestiveA2enzymesA2throughA2duct
s
WhichA2statementA2accuratelyA2describesA2endocrineA2glands?
A.A2EndocrineA2glandsA2releaseA2secretionsA2directlyA2intoA2theA2bloodstream
, B.A2EndocrineA2glandsA2releaseA2secretionsA2viaA2aA2ductA2intoA2theA2bloodstream
C.A2EndocrineA2glandsA2holdA2secretionsA2inA2aA2reservoirA2untilA2needed
D.A2EndocrineA2glandsA2canA2produceA2constantlyA2forA2bodyA2needsA2-A2Ans--
EndocrineA2glandsA2releaseA2secretionsA2directlyA2intoA2theA2bloodstream
*EndocrineA2glandsA2secreteA2directlyA2intoA2theA2bloodstream,A2whereasA2exocrineA2glan
dsA2secreteA2viaA2aA2duct
TheA2nurseA2isA2caringA2forA2aA2patientA2whoA2hasA2beenA2experiencingA2infertility.A2Whic
hA2statementA2indicatesA2thaA2theA2patientA2understandsA2theA2impactA2ofA2inadequateA2lu
teinizingA2hormoneA2(LH)?
A.A2SinceA2luteinizingA2hormoneA2maintainsA2myA2secondaryA2sexA2characterisitics,A2lowA
2levelsA2explainA2myA2smallA2breasts."
B.A2"LowA2levelsA2ofA2luteinizingA2hormoneA2causeA2theA2swellingA2IA2experienceA2duringA
2myA2menstrualA2cycle."
C.A2"LowA2levelsA2ofA2luteinizingA2hormoneA2causeA2myA2menstrualA2cycleA2irregularities."
D.A2"SinceA2luteinizingA2hormoneA2stimulatesA2ovulationA2andA2progesteroneA2production,
A2lowA2levelsA2couldA2causeA2inferility."A2-
A2Ans--"SinceA2luteinizingA2hormoneA2stimulatesA2ovulationA2andA2progesteroneA2producti
on,A2lowA2levelsA2couldA2causeA2inferility."
*LHA2isA2producedA2byA2theA2anteriorA2pituitaryA2gland.A2ItA2targestA2theA2ovaries.A2LHA2sti
mulatesA2ovulationA2andA2productionA2ofA2progesterone.A2LHA2doesA2notA2affectA2mainten
anceA2ofA2secondaryA2sexA2characterisitics,A2fluidA2retention,A2orA2menstrualA2cycleA2regul
arity
TheA2nurseA2isA2caringA2forA2anA280A2yearA2oldA2patientA2withA2aA2historyA2ofA2typeA22A2dia
betesA2andA2hypothyroidism.A2TheA2physicianA2wantsA2toA2evaulateA2theA2patient'sA2blood
A2glucoseA2levelsA2andA2ordersA2aA2fructosamineA2assay.A2WhichA2factorA2bestA2explainsA
2whyA2theA2physicianA2choseA2thisA2laboratoryA2testA2insteadA2ofA2aA2glycosylatedA2hemog
lobinA2(HBA1c)A2test?
A.A2TheA2patient'sA2age
B.A2TypeA22A2diabetes
C.A2Hypothryoidism
D.A2TheA2tests'A2costsA2-A2Ans--TypeA22A2diabetes
*TheA2fructosamineA2assayA2isA2aA2diagnosticA2testA2usedA2toA2assessA2theA2degreeA2ofA2
diabeticA2controlA2ofA2bloodA2sugarA2overA2theA2precedingA22-to-3-
weekA2period.A2TheA2fructosamineA2assayA2isA2aA2betterA2toolA2forA2theA2olderA2adultA2asA2
itA2isA2lessA2influencedA2byA2age.A2TheA2fructosamineA2assayA2isA2notA2specificA2toA2typeA2
1A2orA2typeA22A2diabetes.A2ItsA2accuracyA2isA2notA2affectedA2byA2hypothyroidism.A2WhileA2t
heA2fructosamineA2assayA2isA2simplerA2andA2cheaperA2thanA2HbA1cA2test,A2theA2accuracy
A2ofA2resultsA2forA2thisA2patientA2takeA2priority