Medical Surgical Endocrine ATI

ATI LPN · Medical Surgical Endocrine ATI

Question 1 of 76

Which actual structural unit secretes insulin?

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ATI LPN · Medical Surgical Endocrine ATI

Question 2 of 76

A patient with hyperthyroidism is prescribed propylthiouracil (PTU). The nurse includes which formation about the mechanism of action of this medication in the teaching plan?

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ATI LPN · Medical Surgical Endocrine ATI

Question 3 of 76

Identify the growth factor that is released by cancer cells to create a capillary network that aids the cancer growth.

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ATI LPN · Medical Surgical Endocrine ATI

Question 4 of 76

The nurse is caring for a client who has developed SIADH. It would be necessary for the nurse to immediately notify the primary health care provider (PHCP) if the client

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ATI LPN · Medical Surgical Endocrine ATI

Question 5 of 76

Identify the hormone(s) produced by the hypothalamus.

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ATI LPN · Medical Surgical Endocrine ATI

Question 6 of 76

The nurse is caring for a client with suspected hypoparathryoidism. Which of the following would be an expected finding?

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ATI LPN · Medical Surgical Endocrine ATI

Question 7 of 76

Petit mal seizures

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ATI LPN · Medical Surgical Endocrine ATI

Question 8 of 76

The nurse is developing a plan of care for a client with type 1 diabetes mellitus who is being admitted with DKA and influenza. Which of the following should the nurse recognize as the priority intervention?

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ATI LPN · Medical Surgical Endocrine ATI

Question 9 of 76

Which hormone acts on bone to release calcium into the blood?

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ATI LPN · Medical Surgical Endocrine ATI

Question 10 of 76

Which is TRUE in respect to insulin secretion?

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ATI LPN · Medical Surgical Endocrine ATI

Question 11 of 76

Calculate the net filtration pressure (NFP) with a capillary hydrostatic pressure (CHP) of 20 mm Hg and a blood colloid oncotic pressure (BCOP) of 25 mm Hg. Then determine if filtration or reabsorption occurs.

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ATI LPN · Medical Surgical Endocrine ATI

Question 12 of 76

Activity of acromegaly is suggested by all of the following, except:

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ATI LPN · Medical Surgical Endocrine ATI

Question 13 of 76

Which statement is incorrect?

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ATI LPN · Medical Surgical Endocrine ATI

Question 14 of 76

The nurse caring for a critical patient with hypoparathyroidism. Which of the following complications should the nurse be alert for in a patient with severe hyposecretion of the parathyroid hormone?

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ATI LPN · Medical Surgical Endocrine ATI

Question 15 of 76

Which of the following is NOT true of Cushing syndrome?

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ATI LPN · Medical Surgical Endocrine ATI

Question 16 of 76

Which of the following is NOT true of parathyroid hormone action?

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ATI LPN · Medical Surgical Endocrine ATI

Question 17 of 76

Calcitonin ____________.

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ATI LPN · Medical Surgical Endocrine ATI

Question 18 of 76

Which action does the PACU nurse perform first when caring for a client who has just arrived after a total thyroidectomy?

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ATI LPN · Medical Surgical Endocrine ATI

Question 19 of 76

The blood sugar fails to rise normally during an oral glucose tolerance test in:

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ATI LPN · Medical Surgical Endocrine ATI

Question 20 of 76

Asthma

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ATI LPN · Medical Surgical Endocrine ATI

Question 21 of 76

Which class(es) of hormones is/are released by exocytosis upon appropriate stimulation?

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ATI LPN · Medical Surgical Endocrine ATI

Question 22 of 76

A 48-year-old man has had increased swelling in the extremities for 2 months. Physical examination showed generalized edema. A 24-hour urine collection yielded 4.1 g of protein (albumin and globulins). He did not respond to a course of corticosteroid therapy. A renal biopsy was done, and microscopic examination showed diffuse thickening of the basement membrane. Immunofluorescence staining with antibody to the C3 component of complement was positive in a granular pattern in the glomerular capillary loops. Two years later, he experiences increasing malaise. Laboratory studies now show serum creatinine level of 4.5 mg/dL and urea nitrogen level of 44 mg/dL. Which of the following immunologic mechanisms was most likely responsible for the glomerular changes observed in the biopsy specimen?

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ATI LPN · Medical Surgical Endocrine ATI

Question 23 of 76

Identify the hormone that causes the development of the breast and milk production.

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ATI LPN · Medical Surgical Endocrine ATI

Question 24 of 76

The nurse is instructing a client who has suspected Graves' disease and is scheduled to have a radioactive iodine uptake (RAIU) test. Which of the following client statements would indicate a correct understanding about this test?

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ATI LPN · Medical Surgical Endocrine ATI

Question 25 of 76

Which of the following is a valve that contains 2 cusps and allows blood to flow into a ventricle?

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ATI LPN · Medical Surgical Endocrine ATI

Question 26 of 76

Which of the following is NOT a function of hormones?

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ATI LPN · Medical Surgical Endocrine ATI

Question 27 of 76

Ketone bodies:

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ATI LPN · Medical Surgical Endocrine ATI

Question 28 of 76

The 'zona' regions of a particular endocrine gland do not secrete

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ATI LPN · Medical Surgical Endocrine ATI

Question 29 of 76

Tendon xanthomas and an elevated serum cholesterol is characterized of:

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ATI LPN · Medical Surgical Endocrine ATI

Question 30 of 76

Bone lesions characteristic of sarcoidosis may be:

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ATI LPN · Medical Surgical Endocrine ATI

Question 31 of 76

A 19-year-old, previously healthy woman collapsed after complaining of a mild sore throat the previous day. On examination she is hypotensive and febrile with purpuric skin lesions. Her peripheral blood smear shows schistocytes. Imaging studies show her adrenal glands are enlarged, and there are extensive bilateral cortical hemorrhages. Infection with which of the following organisms best accounts for these findings?

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ATI LPN · Medical Surgical Endocrine ATI

Question 32 of 76

Fatty liver occurs in:

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ATI LPN · Medical Surgical Endocrine ATI

Question 33 of 76

A patient presents with generalized paresthesias and a spinal fluid which is normal, except for a protein of 90 mgm%:

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ATI LPN · Medical Surgical Endocrine ATI

Question 34 of 76

The nurse is reviewing assessment data for the following clients. It would require immediate follow up by the nurse if a client

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ATI LPN · Medical Surgical Endocrine ATI

Question 35 of 76

If an endocrine gland begins to hypersecrete, it usually causes which result?

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ATI LPN · Medical Surgical Endocrine ATI

Question 36 of 76

The approx ratio of fat : CHO energy stores is:

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ATI LPN · Medical Surgical Endocrine ATI

Question 37 of 76

In hyperparathyroidism all of the following are seen except:

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ATI LPN · Medical Surgical Endocrine ATI

Question 38 of 76

The nurse has provided education for a client prescribed desmopressin (DDAVP). Which statement made by the client indicates an understanding of the information?

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ATI LPN · Medical Surgical Endocrine ATI

Question 39 of 76

The one of the following which does not occur in a patient receiving cortisone or corticotropin is:

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ATI LPN · Medical Surgical Endocrine ATI

Question 40 of 76

The etiology of costal chondritis (tieteze's syndrome) is:

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ATI LPN · Medical Surgical Endocrine ATI

Question 41 of 76

Which result from the diagnostic testing with cosyntropin (Cortrosyn) for adrenocortical insufficiency indicates secondary adrenocortical insufficiency has occurred?

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ATI LPN · Medical Surgical Endocrine ATI

Question 42 of 76

Which hormone plays a central role in determining the rate of sodium reabsorption and potassium secretion?

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ATI LPN · Medical Surgical Endocrine ATI

Question 43 of 76

A 46-year-old woman has hirsutism, hyperglycemia, obesity, muscle wasting, and increased circulating levels of adrenocorticotropic hormone (ACTH). The most likely cause of her symptoms is

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ATI LPN · Medical Surgical Endocrine ATI

Question 44 of 76

Which of the following can increase blood flow?

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ATI LPN · Medical Surgical Endocrine ATI

Question 45 of 76

The is the target for ACTH.

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ATI LPN · Medical Surgical Endocrine ATI

Question 46 of 76

a patient presents with hypothyroidism. The thyroid gland is found to be normal in size. The serum cholesterol is normal. The patient is started on thyroid replacement and develops high fever, nausea and vomiting. The error in clinical acumen is:

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ATI LPN · Medical Surgical Endocrine ATI

Question 47 of 76

Which of the following structures protects the lower respiratory system from food and fluid bolus during swallowing?

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ATI LPN · Medical Surgical Endocrine ATI

Question 48 of 76

Pregnancy

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ATI LPN · Medical Surgical Endocrine ATI

Question 49 of 76

A client with pheochromocytoma is admitted for surgery. What does the nurse do for the admitting assessment?

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ATI LPN · Medical Surgical Endocrine ATI

Question 50 of 76

TSN secretion is stimulated by:

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ATI LPN · Medical Surgical Endocrine ATI

Question 51 of 76

do(es) not require membrane receptors to invoke cell responses.

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ATI LPN · Medical Surgical Endocrine ATI

Question 52 of 76

The nurse is assessing a patient admitted with SIADH. Which assessment finding suggests this condition?

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ATI LPN · Medical Surgical Endocrine ATI

Question 53 of 76

Endocrine glands are different than exocrine glands in that exocrine glands:

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ATI LPN · Medical Surgical Endocrine ATI

Question 54 of 76

Endocrine disorders resulting in too little hormone activity may stem from all of the following except

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ATI LPN · Medical Surgical Endocrine ATI

Question 55 of 76

A 63-year-old man is in stable condition after an acute myocardial infarction when he became hypotensive for 3 hours before paramedical personnel arrived. Over the next week, the serum urea nitrogen level increases to 48 mg/dL, the serum creatinine level increases to 5 mg/dL, and the urine output decreases. He undergoes hemodialysis for the next 2 weeks and then develops marked polyuria, with urine output of 2 to 3 L/day. His renal function gradually returns to normal. Release of which of the following substances most likely participated in the elevation of BUN, creatinine, and reduced urinary output?

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ATI LPN · Medical Surgical Endocrine ATI

Question 56 of 76

Which of the following is not an effect of a hormone secreted by the adrenal gland?

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ATI LPN · Medical Surgical Endocrine ATI

Question 57 of 76

Which hormone dramatically affects physical appearance?

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ATI LPN · Medical Surgical Endocrine ATI

Question 58 of 76

Radioactive iodine uptake in excess of 50% is usually observed in the course of:

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ATI LPN · Medical Surgical Endocrine ATI

Question 59 of 76

A client being treated for hyperthyroidism calls the home health nurse and mentions that his heart rate is slower than usual. What is the nurse's best response?

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ATI LPN · Medical Surgical Endocrine ATI

Question 60 of 76

VIP:

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ATI LPN · Medical Surgical Endocrine ATI

Question 61 of 76

For which condition does vasopressin (Vasostrict) treat?

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ATI LPN · Medical Surgical Endocrine ATI

Question 62 of 76

A small irregular pupil responding to convergence accommodation but not to light is:

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ATI LPN · Medical Surgical Endocrine ATI

Question 63 of 76

A study of patients more than 25 years of age with body mass index above 30, dyslipidemia, hypertension, and fasting glucose averaging 115 mg/dL is performed. They have adipose tissue abnormalities including increased nonesterified fatty acid release, altered adipokines with decreased adiponectin, greater proinflammatory cytokine release, and diminished peroxisome proliferator-activated receptor gamma (PPARÃŽÂ³) function. Which of the following is the best initial therapeutic intervention for these patients?

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ATI LPN · Medical Surgical Endocrine ATI

Question 64 of 76

is not a function of GH.

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ATI LPN · Medical Surgical Endocrine ATI

Question 65 of 76

A nurse cares for a client with elevated triiodothyronine and thyroxine, and normal thyroid-stimulating hormone levels. Which actions should the nurse take? (Select all that apply.)

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ATI LPN · Medical Surgical Endocrine ATI

Question 66 of 76

Mrs Jones is prescribed a GIK infusion that is commenced intraoperatively. As her postoperative nurse on the ward when will you cease her GIK infusion - GIK - Glucose, insulin and potassium

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ATI LPN · Medical Surgical Endocrine ATI

Question 67 of 76

The posterior pituitary gland is sometimes called the neurohypophysis and it secretes which neurohormones?

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ATI LPN · Medical Surgical Endocrine ATI

Question 68 of 76

___ - which tells the kidneys how much water to conserve - is called a neurohormone because it is made by neurons in the hypothalamus and stored in the posterior pituitary gland before it is released.

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ATI LPN · Medical Surgical Endocrine ATI

Question 69 of 76

Hemolytic jaundice

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ATI LPN · Medical Surgical Endocrine ATI

Question 70 of 76

The hyperventilation syndrome consists of all the following, except:

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ATI LPN · Medical Surgical Endocrine ATI

Question 71 of 76

The primary target organ of aldosterone is _________.

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ATI LPN · Medical Surgical Endocrine ATI

Question 72 of 76

Common causes of stupor and coma include:

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ATI LPN · Medical Surgical Endocrine ATI

Question 73 of 76

LH stimulates the

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ATI LPN · Medical Surgical Endocrine ATI

Question 74 of 76

Among bacterial endocarditis the species of causative organism most prone to develop resistance to penicillin:

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ATI LPN · Medical Surgical Endocrine ATI

Question 75 of 76

A goal for Mrs. Elber's care is to keep her comfortable. What advice should the nurse provide?

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ATI LPN · Medical Surgical Endocrine ATI

Question 76 of 76

A patient with chronic renal failure is diagnosed with hyperparathyroidism. Which treatment approach is most effective in this patient?

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