Nursing Assessment: Endocrine System

20 Questions | Total Attempts: 337

SettingsSettingsSettings
Please wait...
Endocrine System Quizzes & Trivia

Questions and Answers
  • 1. 
    When evaluating the laboratory results for a patient with increased secretion of the anterior pituitary hormones, the nurse would expect to find
    • A. 

      Decreased serum thyroxine levels.

    • B. 

      Elevated serum aldosterone levels.

    • C. 

      An increase in urinary free cortisol.

    • D. 

      Low urinary excretion of catecholamines.

  • 2. 
    When the nurse is obtaining the health history, which statement by a patient indicates further assessment of thyroid function may be necessary?
    • A. 

      “I notice my breasts are tender lately.”

    • B. 

      “I am so thirsty that I drink all day long.”

    • C. 

      “I get up several times at night to urinate.”

    • D. 

      “I feel a lump in my throat when I swallow.”

  • 3. 
    A patient is admitted with a serum sodium level of 118 mEq/L. The nurse will anticipate the need for which diagnostic test?
    • A. 

      Urinary 17-ketosteroids

    • B. 

      Antidiuretic hormone level

    • C. 

      Growth hormone stimulation test

    • D. 

      Adrenocorticotropic hormone level

  • 4. 
    The nurse is interviewing a patient who has a possible thyroid disorder. Which question will provide the most useful information?
    • A. 

      “What methods do you use to help cope with stress?”

    • B. 

      “Have you experienced any blurring or double vision?”

    • C. 

      “Do you have to get up at night to empty your bladder?”

    • D. 

      “Have you had any recent unplanned weight gain or loss?”

  • 5. 
    When a patient in the outpatient clinic has an order for blood cortisol testing, which instruction will the nurse provide for the patient?
    • A. 

      “Avoid adding any salt to your foods for 24 hours before the test.”

    • B. 

      “You will need to lie down for 30 minutes before the blood is drawn.”

    • C. 

      “Come to the laboratory to have the blood drawn early in the morning.”

    • D. 

      “Do not have anything to eat or drink before the blood test is obtained.”

  • 6. 
    A patient has a total serum calcium level of 13.3 mg/dL (3.3 mmol/L). The nurse will anticipate the need to teach the patient about testing for
    • A. 

      Calcitonin levels.

    • B. 

      Catecholamine levels.

    • C. 

      Thyroid hormone levels.

    • D. 

      Parathyroid hormone levels.

  • 7. 
    During a physical examination, the nurse finds that a patient’s thyroid gland cannot be palpated. The most appropriate action by the nurse is to
    • A. 

      Palpate the patient’s neck more deeply.

    • B. 

      Document that the thyroid was nonpalpable.

    • C. 

      Notify the health care provider immediately.

    • D. 

      Teach the patient about thyroid hormone testing.

  • 8. 
    When a patient has clinical manifestations of hypothyroidism, which laboratory value should the nurse review to determine whether the hypothyroidism is caused by a problem with the anterior pituitary gland or with the thyroid gland?
    • A. 

      Thyroxine (T4) level

    • B. 

      Triiodothyronine (T3) level

    • C. 

      Thyroid-stimulating hormone (TSH) level

    • D. 

      Thyrotropin-releasing hormone (TRH) level

  • 9. 
    When working with a patient who has diabetes mellitus, the nurse reviews the results of testing for glycosylated hemoglobin (HbA1C) to evaluate for
    • A. 

      Glucose levels 2 hours after a meal.

    • B. 

      Circulating, nonfasting glucose levels.

    • C. 

      Glucose control over the past 3 months.

    • D. 

      Hypoglycemic episodes in the past 90 days.

  • 10. 
    When a patient is taking spironolactone (Aldactone), a drug that blocks the action of aldosterone on the kidney, the nurse will monitor for
    • A. 

      Decreased urinary output.

    • B. 

      Evidence of fluid overload.

    • C. 

      Increased serum sodium levels.

    • D. 

      Elevated serum potassium levels.

  • 11. 
    Which information about a patient with newly diagnosed diabetes mellitus will be most useful to the nurse in developing strategies for successful adaptation to this disease?
    • A. 

      Ideal weight

    • B. 

      Value system

    • C. 

      Activity level

    • D. 

      Visual changes

  • 12. 
    The nurse will plan patient care that will decrease the patient’s physical and emotional stress when the patient is undergoing
    • A. 

      A water deprivation test.

    • B. 

      Testing for serum T3 and T4 levels.

    • C. 

      A 24-hour urine test for free cortisol. .

    • D. 

      A radioactive iodine (I-131) uptake test

  • 13. 
    A patient is scheduled for a growth hormone stimulation test. In preparation for the test, the nurse will obtain a
    • A. 

      Basin of ice.

    • B. 

      Cardiac monitor.

    • C. 

      Vial of glargine insulin. .

    • D. 

      Vial of 50% dextrose solution

  • 14. 
    A patient is scheduled for a 24-hour urine collection for 17-ketosteroids. The nurse will need to
    • A. 

      Keep the specimen on ice.

    • B. 

      Insert a retention catheter.

    • C. 

      Have the patient void and save that specimen to start the collection.

    • D. 

      Encourage the patient to drink 2 to 3 L of fluid during the 24 hours.

  • 15. 
    When reviewing the laboratory results for a patient’s total calcium level, which information will the nurse need to consider?
    • A. 

      The blood glucose is elevated.

    • B. 

      The phosphate level is normal.

    • C. 

      The serum albumin level is low.

    • D. 

      The magnesium level is normal.

  • 16. 
     When the nurse is caring for a patient who was admitted with tetany, which laboratory value should be monitored?
    • A. 

      Total protein

    • B. 

      Blood glucose

    • C. 

      Ionized calcium

    • D. 

      Serum phosphate

  • 17. 
    Which information about a patient who is scheduled for an oral glucose tolerance test should be reported to the health care provider before starting the test?
    • A. 

      The patient reports having occasional orthostatic dizziness.

    • B. 

      The patient has had a 10-pound weight gain in the last month.

    • C. 

      The patient drank several glasses of water an hour previously.

    • D. 

      The patient takes oral corticosteroids for rheumatoid arthritis.

  • 18. 
    After the nurse manager at the endocrine clinic has completed the orientation of a new RN, which action by the new RN who is caring for a patient with a goiter and possible hyperthyroidism indicates the charge nurse needs to do more teaching?
    • A. 

      The RN palpates the neck to check thyroid size.

    • B. 

      The RN checks the blood pressure on both arms.

    • C. 

      The RN orders nonmedicated eye drops to lubricate the patient’s eyes.

    • D. 

      The RN lowers the thermostat to decrease the temperature in the room.

  • 19. 
    When caring for a patient having a water deprivation test, which finding is most important for the nurse to communicate to the health care provider?
    • A. 

      The patient complains of intense thirst.

    • B. 

      The patient has a 5-lb (2.3 kg) weight loss.

    • C. 

      The patient feels dizzy when sitting up on the edge of the bed.

    • D. 

      The patient’s urine osmolality does not change after antidiuretic hormone (ADH) is given.

  • 20. 
    A patient with a possible pituitary adenoma is scheduled for a computed tomography (CT) scan with contrast media. Which patient information is most important for the nurse to communicate to the health care provider before the test?
    • A. 

      Bilateral poor peripheral vision

    • B. 

      Allergies to iodine and shellfish

    • C. 

      Recent weight loss of 20 pounds

    • D. 

      Complaints of ongoing headaches

Back to Top Back to top