NCLEX Pharmacology Quiz 23 Hormonal And Reproductive Drugs

1. When caring for a client taking parathyroid medication. which of the following nursing interventions is a priority?

Monitor serum calcium levels.

Evaluate bowel function.

Measure serum acid phosphatase.

Check for side effects.

Serum calcium levels are altered when pathology exists in this gland. This is because the gland regulates the balance of calcium and phosphorus.

Explanation

Serum calcium levels are altered when pathology exists in this gland. This is because the gland regulates the balance of calcium and phosphorus.

2. Drew is diagnosed with Type I diabetes mellitus. As a nurse taking care of the client. you should know that in his condition:

Insulin is produced but is malformed.

The beta cells of the pancreas stop producing insulin.

The client cannot be treated.

Diagnosis is made in clients over age 50.

In type I diabetes mellitus. the beta cells stop producing insulin completely. There is no such pathophysiologic process as malformed insulin. Clients with type I diabetes can be treated with insulin. The diagnosis can be made in clients at any age.

Explanation

In type I diabetes mellitus. the beta cells stop producing insulin completely. There is no such pathophysiologic process as malformed insulin. Clients with type I diabetes can be treated with insulin. The diagnosis can be made in clients at any age.

3. A major side effect of insulin use that can be life threatening is:

Hyperglycemia

Stomach upset

Hypoglycemia

Tremors

The action of insulin will lower glucose levels. which may prove fatal if levels drop too low.

Explanation

The action of insulin will lower glucose levels. which may prove fatal if levels drop too low.

4. Signs of hypoglycemia include:

Fruity breath. thirst. flushed skin

Diarrhea. itching. hypertension

Anxiety. weakness. pallor. sweating

Muscle ache. fever. thirst

These are signs of hypoglycemia. along with restlessness. chills. confusion. nausea. hunger. tachycardia. weakness. or headache. Choice A are signs of hyperglycemia.

Explanation

These are signs of hypoglycemia. along with restlessness. chills. confusion. nausea. hunger. tachycardia. weakness. or headache. Choice A are signs of hyperglycemia.

5. Which of the following is a contraindication to the administration of growth hormone?

The height of the child is under 4 feet.

The child’s age is between 5 and 6.

The epiphyseal shaft is open.

The epiphyseal shaft is closed.

A closed epiphyseal shaft is a contraindication for administration of growth hormone. There are no exact height or age requirements for the administration of growth hormone.

Explanation

A closed epiphyseal shaft is a contraindication for administration of growth hormone. There are no exact height or age requirements for the administration of growth hormone.

6. Which of the following statements involving Type II diabetes mellitus is correct?

It involves inefficient insulin production.

It involves cessation of Insulin production by the beta cells of the pancreas.

It involves increased insulin receptor responsiveness.

It involves the infant client.

In type II diabetes mellitus. insulin is produced in insufficient amounts along with reduced insulin receptor responsiveness. In type II diabetes mellitus. the beta cells do produce insulin but in inadequate amounts. There is decreased rather than increased insulin responsiveness.

Explanation

In type II diabetes mellitus. insulin is produced in insufficient amounts along with reduced insulin receptor responsiveness. In type II diabetes mellitus. the beta cells do produce insulin but in inadequate amounts. There is decreased rather than increased insulin responsiveness.

7. Vasopressin is which of the following pituitary hormone?

Oxytocin

ACTH

Antidiuretic hormone

Desmopressin acetate

Vasopressin is antidiuretic hormone.

Explanation

Vasopressin is antidiuretic hormone.

8. Which of the following drugs will decrease the effects of vasopressin?

Lithium (Lithane)

Digoxin (Lanoxin)

Penicillin (Pen-Vee-K)

Azithromycin (Zithromax)

Lithium is known to decrease the effects of vasopressin. Lithium is a salt. and antidiuretic hormone acts on the water that influences the sodium/water balance.

Explanation

Lithium is known to decrease the effects of vasopressin. Lithium is a salt. and antidiuretic hormone acts on the water that influences the sodium/water balance.

9. Nurse Casey is studying about insulin administration. She should be knowledgeable that regular insulin:

Is slow acting

Is used IV

Is a suspended insulin

Peaks in 6 to 12 hours

Regular insulin is the only insulin preparation that can be administered IV. Regular insulin is rapid acting. It is a crystalline zinc preparation and peaks in 2 to 4 hours.

Explanation

Regular insulin is the only insulin preparation that can be administered IV. Regular insulin is rapid acting. It is a crystalline zinc preparation and peaks in 2 to 4 hours.

10. Miley has been taking growth hormones for a quite sometime now. As a recipient of the agent. she should be aware that a side effect of growth hormone is:

Hyperthyroidism

Soft tissue hypertrophy

Dwarfism

Increased tumor growth

Growth hormone may increase the size of a tumor if one is present. Hypothyroidism and soft tissue atrophy are the side effects. Dwarfism is the indication for therapy.

Explanation

Growth hormone may increase the size of a tumor if one is present. Hypothyroidism and soft tissue atrophy are the side effects. Dwarfism is the indication for therapy.