Medical Surgical Endocrine Quiz

ATI LPN · Medical Surgical Endocrine Quiz

Question 1 of 76

Hypothyroidism in adults due to an underactive thyroid is ____.

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ATI LPN · Medical Surgical Endocrine Quiz

Question 2 of 76

Fluid is reabsorbed in which of the following vessels?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 3 of 76

pyrogenic liver abscess

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ATI LPN · Medical Surgical Endocrine Quiz

Question 4 of 76

The nurse monitors for which clinical manifestations in the patient diagnosed with hyperthyroidism? SelectONE that does not apply.

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ATI LPN · Medical Surgical Endocrine Quiz

Question 5 of 76

Skeletal metastatic lesions are common in carcinoma of:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 6 of 76

Which of the following is not occurring in the heart when the first heart sound (S1) is heard?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 7 of 76

Which patient receiving levothyroxine requires close monitoring of vital signs during medication titration?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 8 of 76

Which corticoid counteracts the inflammatory response?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 9 of 76

Most hormones travel from the gland where they were produced to the tissues and cells which they act upon:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 10 of 76

If ______ is lacking in the diet, the thyroid gland enlarges, producing a goiter.

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ATI LPN · Medical Surgical Endocrine Quiz

Question 11 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 Quiz

Question 12 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 Quiz

Question 13 of 76

The most common second messenger used by hydrophilic hormones is

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ATI LPN · Medical Surgical Endocrine Quiz

Question 14 of 76

A patient is very ill with pneumonia, despite large doses of sulfadiazine. Suddenly he develops weakness of the left arm and leg and becomes semi-stuporous. The stupor gradually clears and the weakness of the left side improves a little, but after three weeks a papilledema of four diopters appears. The patient is probably suffering from:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 15 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 Quiz

Question 16 of 76

The one of the following neoplasms of the chest which commonly gives rise to hemoptysis is:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 17 of 76

The hypothalamus determines the secretion of hormones from the anterior lobe of the pituitary gland by means of releasing hormones | Thyroxine plays a key role in maintenance of body temperature and is secreted from the thyroid gland, which is located close to the larynx

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ATI LPN · Medical Surgical Endocrine Quiz

Question 18 of 76

A class of immunoglobulins found concentrated in breast milk, and thus serve to passively and naturally enhance the specific immune system of a newborn is:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 19 of 76

Pellagra

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ATI LPN · Medical Surgical Endocrine Quiz

Question 20 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 Quiz

Question 21 of 76

Amines are

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ATI LPN · Medical Surgical Endocrine Quiz

Question 22 of 76

There is/are ______ type(s) of diabetes mellitus.

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ATI LPN · Medical Surgical Endocrine Quiz

Question 23 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 Quiz

Question 24 of 76

Hypercalciuria is characteristic of all states of hypercalcemia except:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 25 of 76

Fanconi syndrome

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ATI LPN · Medical Surgical Endocrine Quiz

Question 26 of 76

The adrenal crisis is characterized by all but one:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 27 of 76

Which electrolyte disturbance should the nurse assess a client for that is receiving hydrocortisone therapy?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 28 of 76

Which of the following is NOT PRESENT when the thyroid gland is inactive?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 29 of 76

Dwarfism may be the result of a deficiency of

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ATI LPN · Medical Surgical Endocrine Quiz

Question 30 of 76

A portal system exists between the

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ATI LPN · Medical Surgical Endocrine Quiz

Question 31 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 Quiz

Question 32 of 76

What laboratory findings would the nurse expect to find in Mr. Manning before surgery?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 33 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 Quiz

Question 34 of 76

When a person is frightened or anxious, the sympathetic nervous system stimulates the adrenal medulla to secrete ___

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ATI LPN · Medical Surgical Endocrine Quiz

Question 35 of 76

The nurse is caring for an 80-year-old patient with a history of type 2 diabetes and hypothyroidism. The physician wants to evaluate the patient's blood glucose levels and orders a fructosamine assay. Which factor best explains why the physician chose this test over other blood glucose tests?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 36 of 76

Asthma

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ATI LPN · Medical Surgical Endocrine Quiz

Question 37 of 76

which of the following have been found to explain hyperuricemia:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 38 of 76

inhibiting secretion represents a long-loop negative feedback mechanism.

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ATI LPN · Medical Surgical Endocrine Quiz

Question 39 of 76

Quadriceps weakness is characteristic of:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 40 of 76

A very high blood protein is likely to be caused by:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 41 of 76

When an action potential reaches the axon terminal, what happens next?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 42 of 76

A 29-year-old man with chronic hepatitis C virus infection has noted dark urine for the past 2 weeks. On examination he is hypertensive but afebrile. Laboratory studies show serum creatinine of 3.8 mg/dL and urea nitrogen of 35 mg/dL. Cryoglobulins are detected. Urinalysis shows RBCs and RBC casts. A renal biopsy is performed and microscopically shows hypercellular glomeruli with lobulation and a double-contour appearance to split basement membranes adjacent to subendothelial immune complexes. Which of the following cell types has most likely proliferated in his glomeruli?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 43 of 76

Neurosecretory neurons

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ATI LPN · Medical Surgical Endocrine Quiz

Question 44 of 76

Pulmonary abscess occurs most often as:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 45 of 76

K^+ is actively reabsorbed from the GIT lumen in the:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 46 of 76

The nurse correlates which laboratory value to a patient diagnosed with hypoparathyroidism?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 47 of 76

The _________ produces the hormone melatonin.

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ATI LPN · Medical Surgical Endocrine Quiz

Question 48 of 76

An increase in the level of carbon dioxide in the blood will result in a(n):

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ATI LPN · Medical Surgical Endocrine Quiz

Question 49 of 76

One week after a mild flulike illness, a 9-year-old boy has an episode of hematuria that subsides within 2 days. One month later, he tells his parents that his urine is red again. On physical examination, there are no significant findings. Urinalysis shows a pH of 7; specific gravity, 1.015; 1+ proteinuria; 1+ hematuria; and no ketones, glucose, or urobilinogen. The serum urea nitrogen level is 36 mg/dL, and the creatinine level is 3.2 mg/dL. Serum electrophoresis shows increased IgA1. Which of the following glomerular structures is most likely to show structural alterations in this boy?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 50 of 76

Which of the following is true regarding the endocrine system?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 51 of 76

A tumor which frequently metastasizes to the lung:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 52 of 76

Which should the nurse instruct a client to report that has been prescribed methimazole (Tapazole)?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 53 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 ONE that does not apply.)

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ATI LPN · Medical Surgical Endocrine Quiz

Question 54 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 Quiz

Question 55 of 76

Identify the hormone that stimulates uterine contraction and the release of milk during nursing.

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ATI LPN · Medical Surgical Endocrine Quiz

Question 56 of 76

Regarding the adrenal glands:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 57 of 76

Which of the following medications is known to be successful in reducing cerebral edema post cerebral infarction:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 58 of 76

Which is TRUE:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 59 of 76

All of the following are true of hypothyroidism, except:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 60 of 76

In the process of negative feedback,

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ATI LPN · Medical Surgical Endocrine Quiz

Question 61 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 Quiz

Question 62 of 76

Impaired achilles reflexes

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ATI LPN · Medical Surgical Endocrine Quiz

Question 63 of 76

The secretes insulin and glucagon.

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ATI LPN · Medical Surgical Endocrine Quiz

Question 64 of 76

Calcitonin secretion is increased by:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 65 of 76

A 74-year-old woman is admitted to the hospital in an obtunded condition. Her temperature is 37Â°C, pulse is 95/min, respirations are 22/min, and blood pressure is 90/60 mm Hg. She appears dehydrated and has poor skin turgor. Her serum glucose level is 872 mg/dL. Urinalysis shows 4+ glucosuria, but no ketones, protein, or blood. Which of the following factors is most important in the pathogenesis of this patient's condition?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 66 of 76

A 40-year-old woman notes lethargy, weakness, and constipation for the past 6 months. On physical examination, she is afebrile and normotensive, and her heart rate is irregular. There is pain on palpation of the left third proximal finger. An ECG shows a prolonged QT (corrected) interval. Laboratory studies show glucose, 73 mg/dL; creatinine, 1.2 mg/dL; calcium, 11.6 mg/dL; phosphorus, 2.1 mg/dL; total protein, 7.1 g/dL; albumin, 5.3 g/dL; and alkaline phosphatase, 202 U/L. A radiograph of the left hand shows focal expansion by a cystic lesion of the third proximal phalanx. A technetium radionuclide scan shows a 1-cm area of increased uptake in the right lateral neck. A mutation in which of the following genes is most likely present in this woman?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 67 of 76

Identify the mechanisms that control the production and release of hormones.

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ATI LPN · Medical Surgical Endocrine Quiz

Question 68 of 76

Which of the following is true of female sex hormones?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 69 of 76

The treatment of exophthalmos includes all of the following, except:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 70 of 76

Which of the following hormones acts on its target tissues by a steroid hormone mechanism of action?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 71 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 Quiz

Question 72 of 76

The dartos muscle is responsible for:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 73 of 76

Which of the following is NOT true of aldosterone?

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ATI LPN · Medical Surgical Endocrine Quiz

Question 74 of 76

Islet cells tumors cause the following:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 75 of 76

In myxedema the significant ECG changes are:

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ATI LPN · Medical Surgical Endocrine Quiz

Question 76 of 76

Vitamin B_1 (thiamine) deficiency leads to:

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