Walden University NURS 6501N Week 9 Quiz – Question and Answers (Latest).
Results Displayed: Selected Answers and Correct Answers
Question 1
1
... [Show More] out of 1 points
While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually _____ with hypothyroidism.
Selected Answer: b.
Low
Correct Answer: b.
Low
Question 2
1 out of 1 points
A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect?
Selected Answer: c.
Hypokalemia
Correct Answer: c.
Hypokalemia
Question 3
1 out of 1 points
A patient wants to know why ADH is important in the body. What is the nurse’s best response? ADH is important in:
Selected Answer: a.
The body’s water balance and urine concentration
Correct Answer: a.
The body’s water balance and urine concentration
Question 4
1 out of 1 points
When catecholamines are released in a patient, what should the nurse assess for?
Selected Answer: d.
Hyperglycemia
Correct Answer: d.
Hyperglycemia
Question 5
1 out of 1 points
Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is:
Selected Answer: b.
Orbital edema and protrusion of the eyeball
Correct Answer: b.
Orbital edema and protrusion of the eyeball
Question 6
1 out of 1 points
If the patient has a problem with the pineal gland, which substance would the nurse monitor?
Selected Answer: a.
Melatonin
Correct Answer: a.
Melatonin
Question 7
1 out of 1 points
A nurse recalls insulin has an effect on which of the following groups of electrolytes?
Selected Answer: d.
Potassium, magnesium, phosphate
Correct Answer: d.
Potassium, magnesium, phosphate
Question 8
1 out of 1 points
A 40-year-old male undergoes surgery for a PTH-secreting tumor in which the parathyroid is removed. Which of the following would the nurse expect following surgery?
Selected Answer: c.
Decreased calcium reabsorption in the kidney
Correct Answer: c.
Decreased calcium reabsorption in the kidney
Question 9
1 out of 1 points
If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease?
Selected Answer: b.
ADH
Correct Answer: b.
ADH
Question 10
1 out of 1 points
A 45-year-old female has elevated thyroxine production. Which of the following would accompany this condition?
Selected Answer: d.
Decreased thyroid-stimulating hormone (TSH)
Correct Answer: d.
Decreased thyroid-stimulating hormone (TSH)
Question 11
1 out of 1 points
A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective?
Selected Answer: a.
Neurogenic diabetes insipidus
Correct Answer: a.
Neurogenic diabetes insipidus
Question 12
1 out of 1 points
When a nurse is assessing the physical features of individuals with Cushing syndrome, these findings will include:
Selected Answer: b.
Truncal obesity and moon face
Correct Answer: b.
Truncal obesity and moon face
Question 13
1 out of 1 points
A 25-year-old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is a dysfunction in the:
Selected Answer: d.
Pituitary stalk
Correct Answer: d.
Pituitary stalk
Question 14
1 out of 1 points
A nurse is teaching a patient about insulin. Which information should the nurse include? Insulin is primarily regulated by:
Selected Answer: b.
Serum glucose levels
Correct Answer: b.
Serum glucose levels
Question 15
1 out of 1 points
A 30-year-old male presents to his primary care provider reporting visual disturbances. CT reveals a pituitary tumor and lab tests reveal elevated prolactin. He is diagnosed with prolactinoma. Which of the following treatments would the nurse help implement?
Selected Answer: a.
Dopaminergic agonists
Correct Answer: a.
Dopaminergic agonists
Question 16
1 out of 1 points
A 22-year-old female has a low level of TSH. What condition does the nurse expect the patient is experiencing?
Selected Answer: b.
Secondary hypothyroidism
Correct Answer: b.
Secondary hypothyroidism
Question 17
1 out of 1 points
A 15-year-old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. What does the nurse suspect as the most likely cause for these assessment findings?
Selected Answer: a.
A pituitary adenoma
Correct Answer: a.
A pituitary adenoma
Question 18
1 out of 1 points
A nurse is caring for a patient with SIADH. What severe complication should the nurse assess for?
Selected Answer: c.
Neurologic damage
Correct Answer: c.
Neurologic damage
Question 19
1 out of 1 points
A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond?
Selected Answer: c.
Cortisol
Correct Answer: c.
Cortisol
Question 20
1 out of 1 points
If a patient had a problem with the hypothalamus, which of the following hormones would be affected?
Selected Answer: c.
ACTH
Correct Answer: c.
ACTH
Question 21
1 out of 1 points
A patient has high levels of hormones. To adapt to the high hormone concentrations, the patient’s target cells have the capacity for:
Selected Answer: c.
Down-regulation
Correct Answer: c.
Down-regulation
Question 22
1 out of 1 points
A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find?
Selected Answer: d.
Type 2 DM
Correct Answer: d.
Type 2 DM
Question 23
1 out of 1 points
A 50-year-old male patient is deficient in ADH production. Which of the following assessment findings would the nurse expect to find?
Selected Answer: c.
ADH is decreased by changes in intravascular volume
Correct Answer: c.
ADH is decreased by changes in intravascular volume
Question 24
1 out of 1 points
A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient?
Selected Answer: a.
Hyponatremia
Correct Answer: a.
Hyponatremia
Question 25
1 out of 1 points
A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate?
Selected Answer: b.
Dehydration from polyuria
Correct Answer: b.
Dehydration from polyuria
Question 26
1 out of 1 points
Which principle should the nurse include while planning care for a patient with an ADH problem? ADH release from the posterior pituitary is stimulated by:
Selected Answer: b.
High serum osmolarity sensed by osmoreceptors in the hypothalamus
Correct Answer: b.
High serum osmolarity sensed by osmoreceptors in the hypothalamus
Question 27
1 out of 1 points
A 30-year-old male was diagnosed with hypothyroidism. Synthesis of which of the following would decrease in this patient?
Selected Answer: a.
TSH and TH
Correct Answer: a.
TSH and TH
Question 28
1 out of 1 points
What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?
Selected Answer: b.
Visual disturbances
Correct Answer: b.
Visual disturbances
Question 29
1 out of 1 points
A 30-year-old male is diagnosed with a hormone-secreting tumor of the pancreas alpha cells. Which of the following would the nurse expect to be most likely increased in this patient?
Selected Answer: b.
Glucagon
Correct Answer: b.
Glucagon
Question 30
1 out of 1 points
An endocrinologist isolated a new hormone and found it to be a water-soluble amine. Which of the following is most like this new hormone?
Selected Answer: d.
Epinephrine
Correct Answer: d.
Epinephrine
Question 31
1 out of 1 points
A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal:
Selected Answer: d.
Diffuse thyroid enlargement
Correct Answer: d.
Diffuse thyroid enlargement
Question 32
1 out of 1 points
A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state?
Selected Answer: d.
Insulin deficiency promotes lipid metabolism and ketone formation.
Correct Answer: d.
Insulin deficiency promotes lipid metabolism and ketone formation.
Question 33
1 out of 1 points
A 3-year-old male was diagnosed with congenital hypothyroidism. The parents ask the nurse if left untreated what will happen. What is the nurse’s best response? If left untreated, the child would have:
Selected Answer: a.
Mental retardation and stunted growth
Correct Answer: a.
Mental retardation and stunted growth
Question 34
1 out of 1 points
A 35-year-old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find?
Selected Answer: a.
High levels of circulating thyroid-stimulating antibodies
Correct Answer: a.
High levels of circulating thyroid-stimulating antibodies
Question 35
1 out of 1 points
A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the nurse’s best response?
Selected Answer: c.
Immune destruction of the pancreas
Correct Answer: c.
Immune destruction of the pancreas [Show Less]