Medical Surgical Endocrine Practice Quiz

ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 1 of 76

Insulin requirement for diabetics are reduced in:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 2 of 76

A 55-year-old man has experienced increasing lethargy for the past 7 months. Physical examination shows hyperpigmentation of the skin. Vital signs include temperature of 36.9Â°C, pulse of 70/min, respirations of 14/min, and blood pressure of 95/65 mm Hg. Laboratory studies include a serum cortisol level of 3 ÃŽÂ¼g/mL at 8:00 am with a serum corticotropin level of 65 pg/mL. Which of the following diseases most often occurs in patients with this disorder?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 3 of 76

The primary role of the phosphate buffer system is to?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 4 of 76

If insufficient PTH is produced, the blood calcium level drops, resulting in ______.

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 5 of 76

Match the correct hormone pair that have antagonistic effects?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 6 of 76

Steroid hormones lead to the ______ .

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 7 of 76

Which one of the following hormones signals the kidneys to control water balance?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 8 of 76

Which action describes a function of aldosterone?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 9 of 76

Growth hormone

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 10 of 76

A 51-year-old woman has had dysuria and urinary frequency for the past week. On physical examination, her temperature is 38Â°C, and she has pain on palpation over the left costovertebral angle. Laboratory findings show glucose, 177 mg/dL; hemoglobin A1c, 9.8%; hemoglobin, 13.1 g/dL; platelet count, 232,200/mm3; and WBC count, 11,320/mm3. Urinalysis shows a pH of 6.5; specific gravity, 1.016; 2+ glucosuria; and no blood, protein, or ketones. Microscopic examination of the urine shows numerous neutrophils, and a urine culture is positive for Escherichia coli. Which of the following complications is most likely to develop in this patient?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 11 of 76

Identify a common function of atrial natriuretic hormone (ANH), aldosterone and antidiuretic hormone.Which of the following hormones does NOT help regulate blood pressure and volume?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 12 of 76

Myoclonic seizures

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 13 of 76

Which is TRUE?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 14 of 76

Which of the following is NOT related to adrenal medulla structure and function?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 15 of 76

All the following would be characteristic in this patient except:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 16 of 76

Myasthenia gravis:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 17 of 76

Select the incorrect association.

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 18 of 76

The nurse is caring for a client who requires treatment for hyperglycemic-hyperosmolar state (HHS). Which of the following interventions should the nurse be prepared to implement first?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 19 of 76

Uric acid is formed by the breakdown of:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 20 of 76

Which finding is a sign or symptom of hypothyroidism?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 21 of 76

Immunologic aberration has been implicated in all but one of the following disease:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 22 of 76

___ and ___ are essential for normal growth and development.

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 23 of 76

What effect can starting a dose of levothyroxine too high or increasing a dose too rapidly have on a client?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 24 of 76

What stimulates glucagon secretion?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 25 of 76

The target organs of ADH are the:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 26 of 76

Peptide hormones function by binding to receptor proteins within the ________. Once the hormone binds to a receptor, it activates ______.

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 27 of 76

The largest endocrine gland(s) that makes 3 hormones that affect the metabolism is the:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 28 of 76

GLUT is an example of:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 29 of 76

What is the priority action by the nurse in providing care to a patient diagnosed with thyrotoxicosis?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 30 of 76

Which symptom should the nurse monitor the client for that is diagnosed with diabetes insipidus?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 31 of 76

Which association is least appropriate?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 32 of 76

All is true regarding the unique shape of red blood cells except:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 33 of 76

The nurse reviews a patient's lab results, noting a blood glucose level of 895 mg/dl. The patient is most likely experiencing which acid-base imbalance?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 34 of 76

Iodine is not used exclusively in the treatment of grave's disease because of:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 35 of 76

The exocrine cells of the pancreas produce:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 36 of 76

Clubbing occurs in:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 37 of 76

Tuberculous enteritis is usually secondary to:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 38 of 76

Which causative factor(s) may be responsible for primary endocrine disorders?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 39 of 76

The nurse is caring for a client who has adrenal insufficiency and is experiencing an exacerbation. Which of the following nursing actions should the nurse incorporate into the client's plan of care?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 40 of 76

Steroids

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 41 of 76

How does the drug desmopressin (DDAVP) decrease urine output in a client with diabetes insipidus (DI)?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 42 of 76

Which of the following structures most is responsible for determining pulmonary resistance?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 43 of 76

Which of the following signs or symptoms indicates thyroid storm?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 44 of 76

Which statement about tropic hormones is incorrect?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 45 of 76

Which of the following lymphocytes are involved in innate immunity?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 46 of 76

The nurse is evaluating teaching provided to a patient with hyperparathyroidism. Which statement by the patient indicates the need for further teaching?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 47 of 76

Blood levels of which of the following substances is decreased in Graves disease?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 48 of 76

Herpes zoster (shingles) is an inflammation of:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 49 of 76

Regarding cholera; which is TRUE?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 50 of 76

Peptide hormones

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 51 of 76

Bronchitis can be a complication of:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 52 of 76

Which statements made by a client indicate an understanding of the education for corticosteroid therapy? (Select ONE that does not apply.)

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 53 of 76

A 6-year-old girl has become increasingly lethargic over the past 2 weeks. On examination she has puffiness around the eyes. Her temperature is 36.9Â°C, and blood pressure is 100/60 mm Hg. Laboratory findings show serum creatinine, 0.7 mg/dL; urea nitrogen, 12 mg/dL; and cholesterol, 217 mg/dL. Urinalysis shows pH, 6.5; specific gravity, 1.011; 4+ proteinuria; lipiduria; and no blood or glucose. The 24-hour urine protein level is 3.8 g. The child's condition improves after glucocorticoid therapy. Which of the following findings by electron microscopy is most likely to characterize this disease process?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 54 of 76

A client has undergone a transsphenoidal hypophysectomy. Which intervention does the nurse implement to avoid increasing ICP in the client?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 55 of 76

One of the following thyroid carcinomas is associated with the production of thyrocalcitonin and pheochromocytoma:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 56 of 76

You are the nurse who is about to give Metformin to a patient with type 2 diabetes. As a nurse you know that the mechanism of action of Biguinides (metformin) is to

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 57 of 76

Myeloid metaplasia

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 58 of 76

Gallstones are statistically associated in a positive way with all of the following except:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 59 of 76

Spider fingers, high arched palate, aortic abnormalities and ectopic lenses are seen in what syndrome:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 60 of 76

Which of the following statements is false regarding heart disease and myocardial infarction (MI)?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 61 of 76

Which of the following is NOT an action of insulin?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 62 of 76

Too little activity of a particular hormone can arise from

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 63 of 76

The nurse in ICU cares for a client with adrenocortical insufficiency (Addison's) disease. The client reports nausea and abdominal pain. The blood pressure suddenly drops from 120/74 to 88/48, HR increases from 80 to 100/min and the client appears confused. Which action should the nurse take first?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 64 of 76

Isoniazide (INH): (Select one that doen not apply)

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 65 of 76

Symptoms of intracranial tumor may include:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 66 of 76

Although thyroid hormone levels decrease with advancing age, which mechanism offsets this output reduction?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 67 of 76

The effective plasma concentration of a hormone is normally regulated by appropriate adjustments in the hormone's rate of

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 68 of 76

Low levels of adrenal cortex hormones result in __________.

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 69 of 76

Moon face, cutaneous telangectasia, muscular weakness and buffalo hump are characteristic of:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 70 of 76

The nurse is providing care to a client who has hypoparathyroidism and has developed a positive Trousseau's sign and reports tingling of the hands and lips. Which of the following actions should the nurse be prepared to take?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 71 of 76

If growth hormone is overproduced in the adult, what is the resulting condition called?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 72 of 76

The chvostek sign is of importance in the diagnosis of:

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 73 of 76

A client recently admitted with hyperparathyroidism has a very high urine output. What does the nurse do first?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 74 of 76

The nurse has instructed a client who has hyperthyroidism and been prescribed propylthiouracil. Which of the following client statements would indicate a correct understanding of the teaching?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 75 of 76

A clinical study is conducted in patients diagnosed with either type 1 or type 2 diabetes mellitus. Persons with either type develop complications of accelerated and advanced atherosclerosis. All untreated patients have an elevated hemoglobin A1c. Which of the following features common to patients with either type 1 or type 2 diabetes mellitus is most likely to be found by this study?

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ATI LPN · Medical Surgical Endocrine Practice Quiz

Question 76 of 76

Which patient is MOST likely to develop Diabetic Ketoacidosis?

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