09 Jan • Question 30 Diabetes insipidus

Week 9 quiz

• Question 1 What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?

• Question 2 A 44-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for SIADH. Which of the following assessment findings would be expected in this patient?

• Question 3 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?

• Question 4 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?

• Question 5 A 22-year-old female has a low level of TSH. What condition does the nurse expect the patient is experiencing?

• Question 6 A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH). Which of the following would the nurse also expect to find?

• Question 7 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:

• Question 8 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?

• Question 9 A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal:

• Question 10 A patient has researched lipid-soluble hormones on the Internet. Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane by:

• Question 11 When a nurse is assessing the physical features of individuals with Cushing syndrome, these findings will include:

• Question 12 A nurse is preparing to teach a patient about Addison disease. Which information should the nurse include? The most common cause of Addison disease is:

• Question 13 A nurse recalls insulin has an effect on which of the following groups of electrolytes?

• Question 14 A patient has high levels of hormones. To adapt to the high hormone concentrations, the patient’s target cells have the capacity for:

• Question 15 When catecholamines are released in a patient, what should the nurse assess for?

• Question 16 A patient wants to know why ADH is important in the body. What is the nurse’s best response? ADH is important in:

• Question 17 When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly caused by:

• Question 18 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?

• Question 19 A nurse is teaching a patient about insulin. Which information should the nurse include? Insulin is primarily regulated by:

• Question 20 A patient wants to know what can cause ACTH to be released. How should the nurse respond?

• Question 21 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:

• Question 22 A 39-year-old female just had a baby. Which hormone will prevent excessive uterine bleeding?

• Question 23 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?

• Question 24 When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a _____ effect by a hormone.

• Question 25 A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis?

• Question 26 While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is _____ diabetes insipidus.

• Question 27 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?

• Question 28 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?

• Question 29 A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect?

• Question 30 Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations?

• Question 31 If the patient has a problem with the pineal gland, which substance would the nurse monitor?

• Question 32 A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond?

• Question 33 A 30-year-old male was diagnosed with hypothyroidism. Synthesis of which of the following would decrease in this patient?

• Question 34 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?

• Question 35 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: