Question 1

A nurse is reading an article that describes the function of the neurohypophysis. The nurse identifies this as which of the following?

Accepted Answer

A)   Hypothalamus
B)   Pineal gland
C)   Posterior pituitary
D)   Thymus glandE) B) and C)
F) B) and D)

Question 2

A nurse is collecting data from a client who is suspected of having an endocrine disorder and is scheduled for diagnostic testing that involves the use of a contrast medium. The nurse would inform the physician if the client stated which of the following?

Accepted Answer

A)   "My father had diabetes when he got older."
B)   "I have an allergy to shrimp and shellfish."
C)   "I take a multivitamin every day."
D)   "Years ago, I took a steroid for my asthma."E) None of the above
F) B) and C)

Question 3

Which of the following hormones would the nurse identify as being secreted by the thyroid gland?

Accepted Answer

A)   Parathormone
B)   Thymosin
C)   Thyroxine
D)   SomatotropinE) A) and C)
F) None of the above

Question 4

When describing the difference between endocrine and exocrine glands, which of the following would the instructor include as characteristic of endocrine glands?

Accepted Answer

A)   The secretions are released directly into the blood stream.
B)   The glands contain ducts that produce the hormones.
C)   The secreted hormones act like target cells.
D)   The glands play a minor role in maintaining homeostasis.E) A) and B)
F) B) and C)

Question 5

A group of students are reviewing for a test on hormones. The students demonstrate understanding of the material when they state which of the following as being secreted by the kidneys?

Accepted Answer

A)   Atrial natriuretic peptide
B)   Estrogen
C)   Renin
D)   GastrinE) B) and C)
F) A) and C)

Question 6

An instructor is preparing a teaching plan for a class on the various pituitary hormones. Which hormone would the instructor include as being released by the posterior pituitary gland?

Accepted Answer

A)   Somatotropin
B)   Prolactin
C)   Oxytocin
D)   Adrenocorticotropic hormoneE) B) and D)
F) B) and C)

Question 7

A client is scheduled for a thyroid panel. The nurse understands that this test would involve which of the following?

Accepted Answer

A)   Radiograph of the neck
B)   Radioactive iodine uptake test
C)   Measurement of blood hormone levels
D)   Scan using an injected radioactive substanceE) B) and C)
F) A) and D)

Question 8

A group of students are reviewing information about the relationship of the hypothalamus and the pituitary gland. The students demonstrate the need for additional study when they state which of the following?

Accepted Answer

A)   "The pituitary gland, as the master gland controls, the secretion of hormones by the hypothalamus."
B)   "The hypothalamus, a portion of the brain between the cerebrum and brain stem, creates a pathway for neurohormones."
C)   "Corticotropin-releasing hormone from the hypothalamus triggers ACTH secretion by the pituitary gland."
D)   "The hypothalamus secretes releasing hormones that stimulate or inhibit pituitary gland secretions."E) None of the above
F) A) and B)

Question 9

During physical examination of a client with a suspected endocrine disorder, the nurse assesses the body structures. The nurse gathers this data based on the understanding that it is an important aid in which of the following?

Accepted Answer

A)   Detecting evidence of hormone hypersecretion.
B)   Detecting information about possible tumor growth.
C)   Determining the presence or absence of testosterone levels.
D)   Determining the size of the organs and location.E) A) and B)
F) C) and D)

Question 10

A nurse is preparing to palpate the thyroid gland. Where would the nurse expect to find this gland?

Accepted Answer

A)   In the upper part of the chest near the heart
B)   In the abdomen, directly above the kidneys
C)   In the right to left upper quadrant of the abdomen
D)   In the lower neck, anterior to the tracheaE) None of the above
F) A) and B) D

Question 11

A client's history reveals a disruption in his sleep-wake cycles due to an increased exposure to light. Which hormone would the nurse suspect as being affected?

Accepted Answer

A)   Prolactin
B)   Luteinizing hormone
C)   Melatonin
D)   Antidiuretic hormoneE) B) and C)
F) All of the above C

Question 12

During the physical examination of a client with a suspected endocrine disorder, the nurse observes an abnormal bulging of the eyes. The nurse documents this finding as which of the following?

Accepted Answer

A)   Thyroid enlargement
B)   Exophthalmos
C)   Hypopigmentation
D)   TremorE) A) and B)
F) A) and C)

Question 13

A client is experiencing an increase in blood glucose levels. The nurse understands that which of the following hormones would be important in lowering the client's blood glucose level?

Accepted Answer

A)   Insulin
B)   Parathormone
C)   Melatonin
D)   CalcitoninE) None of the above
F) All of the above

Question 14

Which hormone would be responsible for increasing blood glucose levels by stimulating glycogenolysis?

Accepted Answer

A)   Somatostatin
B)   Insulin
C)   Glucagon
D)   CholecystokininE) A) and B)
F) B) and D)

Question 15

When preparing teaching plan for a client with an endocrine disorder, the nurse includes information about hormone regulation. Which of the following would the nurse include?

Accepted Answer

A)   The gland becomes enlarged leading to a deficiency of the hormone.
B)   Most disorders result from over- or underproduction of the hormone.
C)   The gland slows hormone secretion when the hormone level decreases.
D)   Hormone secretion occurs as a straight-line continuous process.E) A) and B)
F) A) and C)

Question 16

Which action would be most appropriate when evaluating a client's neck for thyroid enlargement?

Accepted Answer

A)   Inspect changes in pigmentation in the neck.
B)   Perform repeated palpation of the thyroid gland.
C)   Palpate the thyroid gland gently.
D)   Examine the skin of the neck for excessive oiliness.E) All of the above
F) B) and C) C

Question 17

The nurse obtains a complete family history of a client with a suspected endocrine disorder based on which rationale?

Accepted Answer

A)   An allergy to iodine is inherited.
B)   Endocrine disorders can be inherited.
C)   It helps determine the client's general status.
D)   Diet and drug histories are related to the family history.E) None of the above
F) A) and B)

Question 18

After teaching a class about the endocrine system, the instructor determines that the students need additional instruction when they identify which of the following as an endocrine gland?

Accepted Answer

A)   Pancreas
B)   Adrenal gland
C)   Testes
D)   KidneysE) A) and B)
F) A) and C)

Question 19

A client, aged 84 who is experiencing cognitive decline, is scheduled for a diagnostic test. Which action by the nurse reflects best practice when recording the client's drug history before the diagnostic test?

Accepted Answer

A)   Giving printed directions to the client about participation in the test.
B)   Consulting with the client's family or caregiver to confirm the information.
C)   Offering assurance about the diagnostic test.
D)   Consulting with the institution's procedure manual for specific instructions.E) None of the above
F) B) and C)

Question 20

A group of students are reviewing material about endocrine system function. The students demonstrate understanding of the information when they identify which of the following as secreted by the adrenal medulla?

Accepted Answer

A)   Glucocorticoids
B)   Mineralocorticoids
C)   Glucagon
D)   EpinephrineE) B) and D)
F) A) and B)

Exam 49: Introduction Tothe Endocrine System

A nurse is reading an article that describes the function of the neurohypophysis. The nurse identifies this as which of the following?

Correct AnswerverifiedShow Answer

A nurse is collecting data from a client who is suspected of having an endocrine disorder and is scheduled for diagnostic testing that involves the use of a contrast medium. The nurse would inform the physician if the client stated which of the following?

Correct AnswerverifiedShow Answer

Which of the following hormones would the nurse identify as being secreted by the thyroid gland?

Correct AnswerverifiedShow Answer

When describing the difference between endocrine and exocrine glands, which of the following would the instructor include as characteristic of endocrine glands?

Correct AnswerverifiedShow Answer

A group of students are reviewing for a test on hormones. The students demonstrate understanding of the material when they state which of the following as being secreted by the kidneys?

Correct AnswerverifiedShow Answer

An instructor is preparing a teaching plan for a class on the various pituitary hormones. Which hormone would the instructor include as being released by the posterior pituitary gland?

Correct AnswerverifiedShow Answer

A client is scheduled for a thyroid panel. The nurse understands that this test would involve which of the following?

Correct AnswerverifiedShow Answer

A group of students are reviewing information about the relationship of the hypothalamus and the pituitary gland. The students demonstrate the need for additional study when they state which of the following?

Correct AnswerverifiedShow Answer

During physical examination of a client with a suspected endocrine disorder, the nurse assesses the body structures. The nurse gathers this data based on the understanding that it is an important aid in which of the following?

Correct AnswerverifiedShow Answer

A nurse is preparing to palpate the thyroid gland. Where would the nurse expect to find this gland?

Correct AnswerverifiedD

A client's history reveals a disruption in his sleep-wake cycles due to an increased exposure to light. Which hormone would the nurse suspect as being affected?

Correct AnswerverifiedC

During the physical examination of a client with a suspected endocrine disorder, the nurse observes an abnormal bulging of the eyes. The nurse documents this finding as which of the following?

Correct AnswerverifiedShow Answer

A client is experiencing an increase in blood glucose levels. The nurse understands that which of the following hormones would be important in lowering the client's blood glucose level?

Correct AnswerverifiedShow Answer

Which hormone would be responsible for increasing blood glucose levels by stimulating glycogenolysis?

Correct AnswerverifiedShow Answer

When preparing teaching plan for a client with an endocrine disorder, the nurse includes information about hormone regulation. Which of the following would the nurse include?

Correct AnswerverifiedShow Answer

Which action would be most appropriate when evaluating a client's neck for thyroid enlargement?

Correct AnswerverifiedC

The nurse obtains a complete family history of a client with a suspected endocrine disorder based on which rationale?

Correct AnswerverifiedShow Answer

After teaching a class about the endocrine system, the instructor determines that the students need additional instruction when they identify which of the following as an endocrine gland?

Correct AnswerverifiedShow Answer

A client, aged 84 who is experiencing cognitive decline, is scheduled for a diagnostic test. Which action by the nurse reflects best practice when recording the client's drug history before the diagnostic test?

Correct AnswerverifiedShow Answer

A group of students are reviewing material about endocrine system function. The students demonstrate understanding of the information when they identify which of the following as secreted by the adrenal medulla?

Correct AnswerverifiedShow Answer

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C

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