DUNPHY ENDOCRINE AND METABOLIC
PROBLEMS EXAM AND PRACTICE EXAM
NEWEST 2025 ACTUAL EXAM 150 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |A+ GRADED
The nurse is caring for a patient with decreased
secretion of the anterior pituitary gland. Which
abnormalities should the nurse expect to find? (Think:
Which hormones are reduced if the anterior pituitary
doesn't send signals?) - .....ANSWER ...✔✔ Symptoms
of Addison's disease and hypothyroidism.Memory trick:
Anterior pituitary = target glands underactive.
Identify the hormones secreted from the adrenal cortex.
(Think: Cortex makes steroids, medulla makes
catecholamines.) - .....ANSWER ...✔✔ Glucocorticoids
and Mineralocorticoids. Memory trick: Salt, Sugar, Sex
— the deeper it goes, the sweeter it gets.
Identify the lab abnormalities found with
hypercortisolism. (Think: Cushing's = everything puffed
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up except potassium.) - .....ANSWER ...✔✔
Hyperglycemia and elevated sodium. Memory trick:
Cushing = Cushion → high sugar, high sodium, low
potassium.
The nurse is caring for a patient with excess
catecholamines. What assessment changes should be
anticipated? (Think: fight-or-flight effects.) - .....ANSWER
...✔✔ Hypoactive bowel sounds, diaphoresis,
hypertension. Memory trick: Fight or Flight = Fast, Dry
Gut, High Pressure.
A patient with increased aldosteronism will experience
which electrolyte abnormality? (Think: Aldo saves salt,
dumps potassium.) - .....ANSWER ...✔✔ Sodium
reabsorption. Memory trick: Aldo saves salt.
Releasing gland of corticotropin-releasing hormone
(CRH). (Think: Who starts the stress pathway?) -
.....ANSWER ...✔✔ Hypothalamus. Memory trick:
Hypo → Pit → Adrenal.
Releasing gland of follicle-stimulating hormone (FSH).
(Think: Where does FSH come from? Remember "FLAT
PiG".) - .....ANSWER ...✔✔ Anterior Pituitary. Memory
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trick: FLAT PiG = anterior pituitary hormones (FSH, LH,
ACTH, TSH, Prolactin, GH).
Releasing gland of cortisol. (Think: Which part of
adrenal makes steroids?) - .....ANSWER ...✔✔
Adrenal Cortex. Memory trick: Cortex = Cortisol.
Releasing gland of T3 and T4. (Think: Which gland sets
metabolism like a thermostat?) - .....ANSWER ...✔✔
Thyroid gland. Memory trick: T3 & T4 = Thyroid
Thermostat.
Releasing gland of parathyroid hormone (PTH). (Think:
Which gland controls calcium levels?) - .....ANSWER
...✔✔ Parathyroid gland. Memory trick: PTH = Pulls
The Calcium Higher.
Releasing gland of testosterone. (Think: Male hormone
source?) - .....ANSWER ...✔✔ Testes. Memory trick:
Testes → Testosterone.
Releasing gland of insulin. (Think: Which organ controls
blood sugar by lowering it?) - .....ANSWER ...✔✔
Pancreas (beta cells). Memory trick: Insulin = IN the cell
(brings glucose in).
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Releasing gland of glucagon. (Think: Which hormone
raises blood sugar?) - .....ANSWER ...✔✔ Pancreas
(alpha cells). Memory trick: Alpha = Add glucose.
The functioning of the endocrine system works on what
type of system? (Think: Balance, not runaway effects.) -
.....ANSWER ...✔✔ Negative feedback system.
Memory trick: Negative keeps it normal.
Which disorder occurs when an endocrine gland itself
causes the hypersecretion or hyposecretion of a
hormone? (Think: Who's directly broken?) - .....ANSWER
...✔✔ Primary disorder. Memory trick: Primary =
problem in the gland itself.
When a patient is experiencing a lack of cortisol, which
gland could be the cause? (Think: CRH → ACTH →
cortisol pathway.) - .....ANSWER ...✔✔ Adrenal
gland, Hypothalamus, Pituitary gland. Memory trick: 3-
step relay race → starter (hypothalamus), runner
(pituitary), finisher (adrenal).
Which hormones function to maintain metabolism of the
body? (Think: Thermostat hormones.) - .....ANSWER