A 19-year-old woman has had a fever and chills accompanied by right flank pain for the past 3 days. She has had two similar episodes during the past year. On physical examination, her temperature is 38.3°C, her blood pressure is 152/94 mm Hg, and there is right costovertebral angle tenderness. Laboratory findings show a serum glucose level of 77 mg/dL and creatinine level of 1 mg/dL. Urinalysis shows a pH of 6.5; specific gravity, 1.018; and no protein, blood, glucose, or ketones. Microscopic examination of the urine shows many WBCs and WBC casts. Which of the following is the most useful test to obtain on this patient?
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Question 2 of 72
The nurse is assigned to care for a client who had a thyroidectomy 24 hours ago. On initial assessment which finding requires the most immediate action by the nurse?
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Question 3 of 72
A client with SIADH is admitted with a serum sodium level of 105 mEq/L. Which request by the health care provider does the nurse address first?
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Question 4 of 72
Parasitic infection
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Question 5 of 72
The hypothalamus secretes releasing and inhibiting hormones that regulate the production and secretion of hormones from the:
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Question 6 of 72
Which gland secretes epinephrine and norepinephrine?
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Question 7 of 72
Which statement about hypophysiotropic hormones is/are correct?
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Question 8 of 72
These data are obtained by the RN who is assessing a client who had a transsphenoidal hypophysectomy yesterday. What information has the most immediate implications for the client's care?
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Question 9 of 72
The nurse is caring for a client who has adrenal insufficiency. Which of the following medications should the nurse expect to be prescribed for the client?
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Question 10 of 72
A 7-year-old boy has become less active over the past 10 days. On physical examination, the boy has facial puffiness. Urinalysis shows no blood, glucose, or ketones, and microscopic examination shows no casts or crystals. The serum creatinine level is normal. A 24-hour urine collection yields 3.8 g of protein. He improves after corticosteroid therapy. He has two more episodes of proteinuria over the next 4 years, both of which respond to corticosteroid therapy. What is the most likely mechanism causing his disease?
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Question 11 of 72
A client with Addison's disease is experiencing nausea, vomiting, and confusion. Which priority intervention should the nurse anticipate to be included in the plan of care?
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Question 12 of 72
All but one of the following are true of multiple sclerosis:
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Question 13 of 72
Most cases of true Addison's disease are caused by:
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Question 14 of 72
The most common causes for panhypopituitarism in the adult include all, except:
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Question 15 of 72
Diabetes mellitus is a deficiency or limited activity of which hormone?
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Question 16 of 72
Nutritionally essential amino acids include:
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Question 17 of 72
The antagonistic hormone to insulin is __________.
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Question 18 of 72
The 'Adams' Apple' is the:
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Question 19 of 72
A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then to start an insulin drip per protocol. The patient's labs are the following: pH 7.25, Glucose 455, potassium 2.5. Which of the following is the most appropriate nursing intervention to perform next?
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Question 20 of 72
Thyroxine (T_4) has great affinity for:
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Question 21 of 72
Hormones can be put into two categories based on chemical make up. What are these categories?
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Question 22 of 72
The nurse is performing her routine physical assessment on a patient with Cushing's syndrome. Which of the following assessment findings is the nurse most likely to discover?
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Question 23 of 72
An infant is born following premature delivery. Multiple external congenital anomalies are noted. The infant exhibits a seizure soon after birth. The blood glucose is 19 mg/dL. Which of the following maternal diseases is the most likely cause for the observed findings in this infant?
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Question 24 of 72
The transport of lipid-soluble hormones in the blood is accomplished by
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Question 25 of 72
Which of the following increases Ca2+ absorption?
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Question 26 of 72
What should the nurse include in preoperative teaching for Mrs. Elber? After surgery she'll have to:
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Question 27 of 72
An obstruction in blood flow to the kidneys would most likely result in:
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Question 28 of 72
Which describes the function of the thyroid gland?
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Question 29 of 72
Which assessment findings should the nurse anticipate for the client with Cushing's syndrome?
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Question 30 of 72
Diabetes insipidus is characterized by all but which of the following:
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Question 31 of 72
Which of the following is NOT true of growth hormone?
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Question 32 of 72
A client had a parathyroidectomy 18 hours ago. Which finding requires immediate attention?
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Question 33 of 72
A patient is recovering from a thyroidectomy. Which observation needs to be reported immediately to the healthcare provider?
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Question 34 of 72
A hormone's effective plasma concentration can be influenced by
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Question 35 of 72
Which of the following would be expected in a patient with Graves disease?
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Question 36 of 72
Acute osteomyelitis is often preceded by a history of:
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Question 37 of 72
Which of the following is characterized by psychotic manifestations, neurological findings and dermatitis:
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Question 38 of 72
The nurse correlates flank pain to which disorder in the patient with hyperparathyroidism?
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Question 39 of 72
Which is TRUE, regarding acid secretion?
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Question 40 of 72
Synergism occurs when
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Question 41 of 72
Which hormone does not play a role in regulating fluid and electrolyte balance?
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Question 42 of 72
The nurse is assessing a client who has hyperthyroidism and is at risk for developing thyroid storm. It would be necessary for the nurse to notify the primary health care provider (PHCP) if the client
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Question 43 of 72
Supplemental potassium is usually used in the treatment of:
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Question 44 of 72
There are four parathyroid glands, each about the size of a grain of rice, embedded in the thyroid gland and they make and secrete ___, which plays a part in calcium homeostasis.
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Question 45 of 72
Select the incorrect statement about peptide hormones.
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Question 46 of 72
Causes of hypoglycemia include:
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Question 47 of 72
is not secreted from an organ located in the abdominal cavity.
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Question 48 of 72
The nurse is admitting a client who has hyperglycemic-hyperosmolar state (HHS). Which of the following assessment findings is consistent with this diagnosis?
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Question 49 of 72
Which of the following hormones does NOT aid in regulating fuel metabolism?
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Question 50 of 72
The cerebrospinal fluid sugar is normal in each of the following cases, except:
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Question 51 of 72
Parathyroid hormone (PTH) ___________.
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Question 52 of 72
Growth hormone
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Question 53 of 72
Identify the gland that secretes cortisol and aldosterone.
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Question 54 of 72
A patient complains of episodes of palpitations, headache & during one of these attacks glycosuria was discovered, the history is most compatible with:
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Question 55 of 72
Which of the following is responsible for closing the left AV valve?
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Question 56 of 72
The characteristic bone lesions of sarcoidosis are:
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Question 57 of 72
The RN has just received change-of-shift report on the med-surg unit. Which client will need to be assessed first?
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Question 58 of 72
The endocrine gland(s) referred to as the 'master gland' is the:
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Question 59 of 72
Of the following. Pellagra is due to deficiency of:
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Question 60 of 72
The nurse is caring for a patient who is scheduled to have a thyroid panel drawn next week. After confirming with physician, which information is most important for the nurse to include in the patient instructions?
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Question 61 of 72
What are the signs of hypoglycaemia?
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Question 62 of 72
Symptoms of hypoglycemia two hours after eating in a postgastrectomy patient should be treated with:
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Question 63 of 72
Which of the following are true of tuberculoid leprosy:
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Question 64 of 72
The nurse working on a surgical unit has been made aware of the following client situations. The nurse should first see the client who had a
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Question 65 of 72
Regarding migrating motor complex (MMC), which is TRUE?
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Question 66 of 72
Any of the following may provoke an immune response except:
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Question 67 of 72
Diazoxide
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Question 68 of 72
Which hormone is produced in the hours of darkness and encourages sleep?
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Question 69 of 72
In which body process(es) is/are the endocrine system involved?
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Question 70 of 72
A 29-year-old woman with systemic lupus erythematosus has been treated with corticosteroid therapy for several years because of recurrent lupus nephritis. She undergoes an emergency appendectomy for acute appendicitis. On postoperative day 2, she becomes somnolent and develops severe nausea and vomiting. She then becomes hypotensive. Blood cultures are negative, and laboratory studies now show Na+ of 128 mmol/L, K+ of 4.9 mmol/L, Cl- of 89 mmol/L, CO2 of 19 mmol/L, glucose of 52 mg/dL, and creatinine of 1.3 mg/dL. Which of the following morphologic findings in the adrenal gland cortex is most likely to be present in this patient?
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Question 71 of 72
Grand mal seizures
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Question 72 of 72
Which of the following hormones is released from the hypothalamus?
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