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ENDOCRINE

Total questions: 10

Worksheet time: 8mins

Name
Class
Date
1.

The nurse is assessing the laboratory results of a client diagnosed with chronic adrenal insufficiency. The nurse would expect the results to identify:

a)

decreased ACTH levels

b)

increased levels of thyroid hormone

c)

decreased TSH levels

d)

decreased cortisol levels

2.

A client has developed a tumor of the posterior pituitary gland. The client is at risk for problems with secretions of:

a)

ACTH and vasopressin

b)

GHRH and dopamine

c)

ADH and oxytocin

d)

somatostatin and prolactin

3.

A client has developed a tumor of the anterior pituitary gland. The nurse is aware that the client is at risk for alterations of: SATA

a)

growth and metabolism

b)

storage and release of ADH

c)

glucocorticoid hormone levels

d)

function of the thyroid gland

e)

function of the gonads

4.

The nurse is caring for a client who has been diagnosed with severe chronic obstructive pulmonary disease and has been taking oral steroids for several years. The nurse is aware that the client is at risk for:

a)

suppression of the client's hypothalamic-pituitary-target cell system

b)

experiencing increased levels of adrenocorticotropic hormone (ACTH)

c)

suppression of the body's positive feedback mechanisms

d)

increased levels of epinephrine and norepinephrine

5.

The nurse is reviewing the test results of a client who was given thyrotropin releasing hormone (TRH) to evaluate the function of the pituitary gland. The nurse would recognize pituitary dysfunction as:

a)

decreased TRH levels

b)

increased TSH levels

c)

decreased TSH levels

d)

increased TRH levels

6.

A client asks the nurse what causes the secretion of growth hormone (GH) and adrenocorticotropic hormone (ACTH) to fluctuate. The best response by the nurse would be:

a)

complicated cyclic manner

b)

sleep-wake cycles

c)

feedback mechanisms

d)

dietary factors

7.

An adolescent boy asks the nurse what increases the secretion of growth hormone. The best response would be:

a)

elevated glucose levels

b)

increased levels of cortisol

c)

starvation

d)

obesity

8.

A 25 year old patient exhibits exophthalmos of both eyes. The health care provider recognizes this as a manifestation of:

a)

acquired hypothyroidism

b)

Hashimoto thyroiditis

c)

myxedema

d)

Graves Disease

9.

A client with a suspected diagnosis of primary hypothyroidism would most likely demonstrate which of the following serum lab values?

a)

elevated TSH, thyroxine (T4) and T3

b)

decreased TSH, thyroxine (T4) and T3

c)

decreased TSH related to poor thyroid function

d)

elevated TSH and decreased thyroxine (T4)

10.

The nurse is assessing a female patient with a diagnosis of primary adrenal cortical insufficiency. The nurse anticipates the client will manifest:

a)

pale skin and increased hunger

b)

anorexia and increased excitability

c)

sparse axillary and pubic hair

d)

weight gain and fluid retention