Week 10 NURSE

Multiple Choice

Which of the following best describes the primary function of the endocrine system?

• To regulate body functions through hormones

• To provide structural support to the body

• To transport oxygen in the blood

• To break down food for energy

Multiple Choice

Which hormone is primarily responsible for stimulating growth in tissue and bone, not gland?

• Growth hormone (GH)

• Insulin

• Thyroxine (T4)

• Testosterone

Multiple Choice

Which hormone is responsible for stimulating growth in tissue and bone, and not in glands?

• Insulin

• Testosterone

• Growth hormone

• Estrogen

Multiple Select

Which of the following are responsibilities of a nurse when caring for a patient receiving growth hormone therapy?

• Monitor blood glucose and electrolyte levels

• Report findings of physical growth

• Administer orally

• Monitor for signs of hyperglycemia

Multiple Choice

Which of the following glands is responsible for controlling the release of hormones from other endocrine glands?

• Pituitary gland

• Thyroid gland

• Adrenal gland

• Pancreas

Multiple Choice

Which of the following is a common symptom of hypothyroidism in adults?

• Weight gain

• Heat intolerance

• Tachycardia

• Increased metabolism

Multiple Choice

A nursing student with instructor is preparing to administer Levothyroxine Sodium to a patient diagnosed with hypothyroidism. Which action by the student reflects appropriate clinical judgment regarding the administration of Levothyroxine Sodium?

• Allowing the patient to skip doses on days when they feel overly fatigued.

• Advising the patient to take the medication along with calcium supplements for enhanced efficacy.

• Administering the medication with a high-fat meal to improve absorption.

• Instructing the patient to report symptoms of tachycardia, chest pain, and palpitations promptly.

Multiple Select

Which symptoms may indicate hyperthyroidism due to excessive thyroid hormone levels or overmedication?

• Tachycardia

• Weight loss

• Bradycardia

• Heat intolerance

Multiple Select

Which of the following are potential side effects of growth hormone therapy?

• Hyperglycemia

• Pancreatitis

• Weight loss

• Bradycardia

Multiple Choice

Which of the following symptoms is most commonly associated with Graves' disease?

• Bulging eyes (exophthalmos)

• Weight gain

• Bradycardia

• Cold intolerance

Multiple Choice

What is the primary function of the negative feedback mechanism involving the hypothalamic-pituitary-adrenal axis?

• To increase steroid secretion when serum steroid levels are high

• To increase steroid secretion when serum steroid levels are low

• To maintain constant blood glucose levels

• To stimulate the adrenal medulla to release catecholamines

Multiple Choice

A nurse is preparing to administer Prednisone, a glucocorticoid, to a patient with rheumatoid arthritis. Which nursing intervention is essential in monitoring for potential adverse effects of Prednisone?

• Assess the patient's respiratory rate before administration.

• Instruct the patient to avoid foods rich in potassium during treatment.

• Monitor the patient's serum electrolyte levels frequently.

• Encourage the patient to engage in vigorous physical activities to prevent weight gain.

Multiple Select

Which symptoms are commonly associated with hypothyroidism?

• Weight gain

• Cold intolerance

• Heat intolerance

• Bradycardia

Multiple Select

Which of the following are important nursing responsibilities when caring for a patient on long-term corticosteroid therapy?

• Monitor for weight gain

• Assess for hypokalemia

• Educate about infection risk

• All of the above

Multiple Choice

Which of the following is a common adverse reaction associated with corticosteroid therapy?

• Hypokalemia

• Polyuria

• Bradycardia

• Hypotension

Multiple Choice

Which of the following processes involves the synthesis of new glucose from non-carbohydrate sources such as amino acids and lactate?

• Glycogenesis

• Glycogenolysis

• Gluconeogenesis

• Glycolysis

Multiple Select

Which of the following are possible side effects of Propylthiouracil (PTU) used in hyperthyroidism treatment?

• Agranulocytosis

• Hepatotoxicity

• Weight gain

• Bradycardia

Multiple Select

Select all symptoms that are commonly associated with hypoglycemia.

• Tremors

• Polyuria

• Sweating

• Cold, clammy skin

Multiple Choice

Which of the following is a common symptom of hyperthyroidism?

• Weight gain

• Bradycardia

• Bulging eyes (exophthalmos)

• Cold intolerance

Multiple Choice

A nurse is caring for a patient who is prescribed insulin lispro for diabetes management. The patient's blood glucose level is 68 mg/dL, and the next meal is scheduled in 30 minutes. Which action by the nurse best reflects the optimal approach to managing the situation?

• Hold the insulin lispro and recheck the blood glucose level before administering.

• Administer the insulin lispro immediately to prevent hypoglycemia.

• Delay the administration of insulin lispro until just before the meal.

• Provide the patient with a sugary snack before giving the insulin lispro.

Multiple Choice

A nursing instructor is teaching a group of nursing students about insulin administration. Which statement made by a student indicates a clear understanding of the principles of insulin injection site rotation to prevent complications?

• "I will inject insulin in the same spot on my abdomen every day for optimal results."

• "Rotating injection sites is unnecessary and can lead to inconsistent insulin absorption."

• "I should avoid injecting insulin in a site that will be exercised to prevent interference with absorption."

• "I will inject each dose of insulin a knuckle length apart from the previous injection to prevent lipodystrophy."

Multiple Choice

What is the primary purpose of measuring HbA1c in patients with diabetes?

• To measure the amount of glucose attached to hemoglobin

• To determine the amount of insulin in the blood

• To check kidney function

• To assess liver enzyme levels

Multiple Select

Which of the following are important instructions for patients using insulin pumps and continuous glucose monitoring?

• Remove the insulin pump before bathing or swimming

• Monitor glucose levels at least 4 times daily

• Count carbohydrates and bolus doses before meals

• Never check glucose levels

Multiple Choice

A nurse is caring for a patient with Type 1 diabetes who is prescribed Regular Insulin. The nurse understands that Regular Insulin is generally administered:

• 15 minutes before meals to ensure optimal glucose control.

• Immediately after meals to prevent hypoglycemia.

• 30 to 60 minutes before meals to lower blood glucose levels.

• Once daily in the morning for sustained glycemic control.

Multiple Choice

What is the primary use of prednisone in clinical practice?

• Treating bacterial infections

• Suppressing inflammation and immune responses

• Increasing insulin sensitivity

• Promoting protein synthesis

Multiple Select

Which nursing responsibilities are important when caring for a patient on long-term corticosteroid therapy?

• Monitor serum electrolytes and glucose

• Abruptly stop the drug if side effects occur

• Assess for signs of osteoporosis

• Instruct patient to consume a high potassium diet

Multiple Choice

Which symptoms should patients be taught to recognize as signs of hypoglycemic reaction?

• Headache, nervousness, sweating, tremors, rapid pulse

• Fever, cough, sore throat, rash

• Constipation, dry mouth, blurred vision

• Back pain, joint pain, swelling

Multiple Choice

Which of the following is a distinguishing feature of Type 1 diabetes compared to Type 2 diabetes?

• Autoimmune destruction of insulin-producing cells

• Insulin resistance and impaired insulin secretion

• Primarily caused by obesity and sedentary lifestyle

• Associated with posterior pituitary gland disorder

Multiple Select

Which of the following are symptoms of diabetes insipidus?

• Polyuria

• Polydipsia

• Blurred vision

• Dehydration

Multiple Choice

What is the primary function of the hypothalamus in the endocrine system?

• It acts as the control center, regulating hormone release from the pituitary gland.

• It produces insulin for glucose regulation.

• It stores calcium for the body.

• It filters toxins from the blood.

Multiple Choice

Which hormone is released from the posterior pituitary gland?

• Oxytocin

• TSH

• Prolactin

• Growth Hormone

Multiple Choice

What is the most important nursing responsibility when administering insulin lispro?

• Administer within 5 to 15 minutes before mealtime

• Monitor for signs of infection

• Rotate injection sites every month

• Administer with oral antidiabetic drugs

Multiple Choice

Which site is preferred for the fastest absorption of insulin injections?

• Abdomen

• Arm

• Thigh

• Buttock

Multiple Choice

What is the peak action time for regular insulin (e.g., Humulin R, Novolin R)?

• 0.5–1 hour

• 1.5–3.5 hours

• 4–6 hours

• 6–8 hours

Multiple Select

Which of the following are responsibilities of a nurse when caring for a patient on metformin?

• Identify drugs the patient currently takes.

• Monitor blood glucose levels and report changes.

• Administer metformin with food to minimize gastric upset.

• Advise patients to keep metformin in the freezer.

Multiple Choice

In managing a patient with type 2 diabetes mellitus prescribed Glipizide, a second-generation sulfonylurea, what critical nursing action is essential to prevent adverse effects and ensure optimal treatment outcomes?

• Administer Glipizide in the evening to reduce the risk of morning hyperglycemia.

• Monitor for signs of hypoglycemia, such as irritability, sweating, and confusion.

• Encourage taking Glipizide on an empty stomach for better absorption.

• Combine Glipizide with insulin in type 1 diabetes to enhance its efficacy.