Medical Surgical Endocrine Questions

ATI LPN · Medical Surgical Endocrine Questions

Question 1 of 72

Hormones are classified into three types:

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ATI LPN · Medical Surgical Endocrine Questions

Question 2 of 72

The nurse is caring for a patient who has been experiencing infertility. Which statement indicates that the patient understands the impact of inadequate luteinizing hormone (LH) levels?

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ATI LPN · Medical Surgical Endocrine Questions

Question 3 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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ATI LPN · Medical Surgical Endocrine Questions

Question 4 of 72

A 26-year-old man developed sudden severe abdominal pain. On physical examination, he had marked abdominal tenderness and guarding. Laboratory studies showed serum glucose, 76 mg/dL; calcium, 12.2 mg/dL; phosphorus, 2.6 mg/dL; creatinine, 1.1 mg/dL; and parathyroid hormone, 62 pg/mL (normal range 9 to 60 pg/mL). During surgery, four enlarged parathyroid glands were found and excised, with reimplantation of one half of one gland. After the surgery, his serum calcium concentration returned to normal. Three years later, he had an episode of upper gastrointestinal hemorrhage. An endoscopy and biopsy specimen showed multiple benign gastric ulcerations. Abdominal MRI indicated multiple 1- to 2-cm mass lesions in the pancreas. He underwent surgery, and multiple tumors were found. Which of the following additional neoplasm lesions is he most likely to have?

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ATI LPN · Medical Surgical Endocrine Questions

Question 5 of 72

Which class of hormones triggers the synthesis of new intracellular proteins within the target cell?

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ATI LPN · Medical Surgical Endocrine Questions

Question 6 of 72

Growth hormone exerts its effects on growth by

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ATI LPN · Medical Surgical Endocrine Questions

Question 7 of 72

Which of the following is TRUE?

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ATI LPN · Medical Surgical Endocrine Questions

Question 8 of 72

Activated c3b to the cell wall of an infected cell or pathogen is the end-result of which of the following pathway(s)?

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ATI LPN · Medical Surgical Endocrine Questions

Question 9 of 72

The nurse has become aware of the following client situations. It would be a priority for the nurse to follow up with the client who

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ATI LPN · Medical Surgical Endocrine Questions

Question 10 of 72

The only endocrine glands that lay dormant during childhood to activate at puberty are the:

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ATI LPN · Medical Surgical Endocrine Questions

Question 11 of 72

Which of the following symptoms of diabetes mellitus is correctly matched to its description?

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ATI LPN · Medical Surgical Endocrine Questions

Question 12 of 72

The total amount of fluid entering the intestine per day is:

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ATI LPN · Medical Surgical Endocrine Questions

Question 13 of 72

Which statement is false regarding blood flow and phase of the cardiac cycle?

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ATI LPN · Medical Surgical Endocrine Questions

Question 14 of 72

Hormone secretion from the anterior pituitary gland is controlled by

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ATI LPN · Medical Surgical Endocrine Questions

Question 15 of 72

Which of the following is characterized by normal calcium phosphorous and phosphatase studies:

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ATI LPN · Medical Surgical Endocrine Questions

Question 16 of 72

All the following are effects of glucagon, except:

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ATI LPN · Medical Surgical Endocrine Questions

Question 17 of 72

A completely obstructed bronchial lumen causes:

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ATI LPN · Medical Surgical Endocrine Questions

Question 18 of 72

Which action describes a function of aldosterone?

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ATI LPN · Medical Surgical Endocrine Questions

Question 19 of 72

Which of the following proteins has largest capacity to bind with thyroxine?

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ATI LPN · Medical Surgical Endocrine Questions

Question 20 of 72

Which statement regarding endocrine glands is incorrect?

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ATI LPN · Medical Surgical Endocrine Questions

Question 21 of 72

Which of the following is a neurohormone?

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ATI LPN · Medical Surgical Endocrine Questions

Question 22 of 72

The nurse is caring for a client who has lung cancer and has developed syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following would be an expected finding?

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ATI LPN · Medical Surgical Endocrine Questions

Question 23 of 72

In obstructive emphysema of the lungs:

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ATI LPN · Medical Surgical Endocrine Questions

Question 24 of 72

A patient with hypothyroidism is recovering from orthopedic surgery. Which findings suggest that this patient is developing myxedema coma? Select ONE that does not apply.

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ATI LPN · Medical Surgical Endocrine Questions

Question 25 of 72

A patient with hypothyroidism is prescribed levothyroxine (Synthroid). At which time should the nurse schedule this medication to be administered?

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ATI LPN · Medical Surgical Endocrine Questions

Question 26 of 72

Glucagon secretion is stimulated by:

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ATI LPN · Medical Surgical Endocrine Questions

Question 27 of 72

The posterior pituitary stores and secretes _________.

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ATI LPN · Medical Surgical Endocrine Questions

Question 28 of 72

A 36-year-old woman has had increased malaise for 3 weeks and urine output

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ATI LPN · Medical Surgical Endocrine Questions

Question 29 of 72

Chromium deficiency leads to:

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ATI LPN · Medical Surgical Endocrine Questions

Question 30 of 72

___ stimulates the uterus to contract at the end of pregnancy and is essential for the let-down reflex in breastfeeding mothers.

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ATI LPN · Medical Surgical Endocrine Questions

Question 31 of 72

All are true except: hypothyroidism

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ATI LPN · Medical Surgical Endocrine Questions

Question 32 of 72

Regarding aldosterone:

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ATI LPN · Medical Surgical Endocrine Questions

Question 33 of 72

The production and release of hormones caused by a chemical such as calcium is a _____ mechanism.

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ATI LPN · Medical Surgical Endocrine Questions

Question 34 of 72

Cloudy spinal fluid is seen in:

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ATI LPN · Medical Surgical Endocrine Questions

Question 35 of 72

A nurse evaluates the following laboratory results for a client who has hypoparathyroidism: Calcium 7.2 mg/dL, Sodium 144 mEq/L, Magnesium 1.2 mEq/L, Potassium 5.7 mEq/L. Based on these results, which medications should the nurse anticipate administering? (Select all that apply.)

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ATI LPN · Medical Surgical Endocrine Questions

Question 36 of 72

A 63-year-old woman had frequent headaches for 1 month. She now suddenly experiences a generalized seizure and becomes obtunded. She is taken to the emergency department, where a physical examination reveals an irregular heart rate. Laboratory findings include serum calcium of 15.4 mg/dL, serum phosphorus of 1.9 mg/dL, and albumin of 4.2 g/dL. A chest radiograph shows multiple lung masses and lytic lesions of the vertebral column. Which of the following conditions best accounts for these findings?

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ATI LPN · Medical Surgical Endocrine Questions

Question 37 of 72

The nurse is aware of the following client situations. The nurse should first follow up with the client who

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ATI LPN · Medical Surgical Endocrine Questions

Question 38 of 72

Identify a hormone that increases metabolic rate.

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ATI LPN · Medical Surgical Endocrine Questions

Question 39 of 72

A client had a parathyroidectomy 18 hours ago. Which finding requires immediate attention?

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ATI LPN · Medical Surgical Endocrine Questions

Question 40 of 72

Renal shut down

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ATI LPN · Medical Surgical Endocrine Questions

Question 41 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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ATI LPN · Medical Surgical Endocrine Questions

Question 42 of 72

Which of the following factors would decrease the amount of oxygen discharged by hemoglobin to peripheral tissues?

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ATI LPN · Medical Surgical Endocrine Questions

Question 43 of 72

Primary atypical pneumonia is caused by:

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ATI LPN · Medical Surgical Endocrine Questions

Question 44 of 72

Increased catecholamines in the urine are diagnostic of:

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ATI LPN · Medical Surgical Endocrine Questions

Question 45 of 72

Hyper mobility of the joints is a feature of:

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ATI LPN · Medical Surgical Endocrine Questions

Question 46 of 72

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

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ATI LPN · Medical Surgical Endocrine Questions

Question 47 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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ATI LPN · Medical Surgical Endocrine Questions

Question 48 of 72

Which food selection should the client with hyperthyroidism be instructed to avoid?

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ATI LPN · Medical Surgical Endocrine Questions

Question 49 of 72

Hashimoto's thyroiditis is manifested clinically by all but one of the following:

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ATI LPN · Medical Surgical Endocrine Questions

Question 50 of 72

Symptoms and signs specific for internal carotid artery occlusion include:

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ATI LPN · Medical Surgical Endocrine Questions

Question 51 of 72

A patient is seen in the ER after abruptly discontinuing her thyroid medication. She is hypotensive, hypoglycemic, and is unresponsive. This clinical picture is most common with:

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ATI LPN · Medical Surgical Endocrine Questions

Question 52 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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ATI LPN · Medical Surgical Endocrine Questions

Question 53 of 72

One of the following drugs which is useful in the treatment of myasthenia gravis is:

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ATI LPN · Medical Surgical Endocrine Questions

Question 54 of 72

Blood sugar may be raised by:

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ATI LPN · Medical Surgical Endocrine Questions

Question 55 of 72

Which of the following is found in rigor mortis?

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ATI LPN · Medical Surgical Endocrine Questions

Question 56 of 72

A 25-year-old man has a 5-year history of celiac sprue. Four days after a mild upper respiratory infection, he begins passing dark red-brown urine. The dark urine persists for the next 3 days and then becomes clear and yellow, only to become red-brown again 1 month later. There are no remarkable findings on physical examination. Urinalysis shows a pH of 6.5; specific gravity, 1.018; 3+ hematuria; 1+ proteinuria; and no glucose or ketones. Microscopic examination of the urine shows RBCs, but no WBCs, casts, or crystals. A 24-hour urine protein level is 200 mg. A renal biopsy specimen from the glomeruli of this patient is most likely to show which of the following alterations?

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ATI LPN · Medical Surgical Endocrine Questions

Question 57 of 72

is a pituitary hormone that has no role in reproductive physiology.

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ATI LPN · Medical Surgical Endocrine Questions

Question 58 of 72

The nurse monitors for which clinical manifestations in the patient diagnosed with hypoparathyroidism?

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ATI LPN · Medical Surgical Endocrine Questions

Question 59 of 72

Which of the following fits the picture of someone who has been on long term steroid therapy?

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ATI LPN · Medical Surgical Endocrine Questions

Question 60 of 72

Which of the following situations represents negative feedback?

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ATI LPN · Medical Surgical Endocrine Questions

Question 61 of 72

The drug of choice for treatment of pneumococcal pneumonia in patients with penicillin sensitivity is:

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ATI LPN · Medical Surgical Endocrine Questions

Question 62 of 72

The thymus aids the differentiation of ______ cells.

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ATI LPN · Medical Surgical Endocrine Questions

Question 63 of 72

Vitamin B12 deficiency

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ATI LPN · Medical Surgical Endocrine Questions

Question 64 of 72

Which hormone from the anterior pituitary gland regulates the release of corticosteroid hormones from the adrenal cortex?

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ATI LPN · Medical Surgical Endocrine Questions

Question 65 of 72

Wilson's disease

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ATI LPN · Medical Surgical Endocrine Questions

Question 66 of 72

A client with a possible adrenal gland tumor is admitted for testing and treatment. Which nursing action is most appropriate for the charge nurse to delegate to the nursing assistant?

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ATI LPN · Medical Surgical Endocrine Questions

Question 67 of 72

Hypocapnia refers to:

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ATI LPN · Medical Surgical Endocrine Questions

Question 68 of 72

Which of the following is NOT true of cortisol?

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ATI LPN · Medical Surgical Endocrine Questions

Question 69 of 72

Which information should the nurse include in education for a client prescribed methimazole (Tapazole)?

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ATI LPN · Medical Surgical Endocrine Questions

Question 70 of 72

The common pathway of coagulation ends with the:

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ATI LPN · Medical Surgical Endocrine Questions

Question 71 of 72

The incorrect statement concerning chronic pancreatitis is:

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ATI LPN · Medical Surgical Endocrine Questions

Question 72 of 72

Present opinion is that solitary thyroid nodules that do not take up iodine are:

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