Deck 17: A Person-Centred Approach to Assessing the Endocrine System

Question 1

A woman is experiencing fatigue and a lingering head cold that began after starting a new job. What should the nurse suspect this person is experiencing?

A)Increase in adrenaline secretion.
B)Increase in glucocorticoid secretion.
C)Decrease in epinephrine secretion.
D)Reduction in noradrenaline secretion.

Answer 1

Increase in glucocorticoid secretion.

Question 2

A person being tested for hyperglycaemia is pleased to learn that an oral glucose tolerance test is not needed. ''What might cancellation of the test indicate?

A)Consistently high fasting blood glucose levels.
B)Variable blood glucose levels.
C)Normal liver functioning.
D)Normal pituitary functioning.

Answer 2

Consistently high fasting blood glucose levels.

Question 3

A person prescribed phenytoin (Dilantin)for a seizure disorder is having a serum T3 and T4 level drawn. What is the possible impact of this medication on the test results?

A)Falsely elevated.
B)Normal.
C)Pending parathyroid hormone disease.
D)Falsely reduced.

Answer 3

Falsely reduced.

Question 4

The healthcare provider prescribes diagnostic tests for a person's pituitary gland. ''What does this gland regulate?

A)Blood glucose.
B)Blood pressure.
C)Eight hormone-related functions.
D)Bone density.

Question 5

A person is admitted to hospital with dehydration and excessive urination. Which hormone should the nurse suspect as causing this person's health issue?

A)Luteinising hormone (LH).
B)Antidiuretic hormone (ADH).
C)Thyroid-stimulating hormone (TSH).
D)Parathyroid hormone (PTH).

Question 6

Which glycosylated haemoglobin value should indicate to the nurse that a person with diabetes mellitus has good glycaemic control?

A)2)0%
B)4)1%
C)8)2%
D)12.4%

Question 7

The nurse is preparing to assess a person's endocrine system. What technique should the nurse expect to perform on this person?

A)Percussion of the parathyroid glands.
B)Auscultation of the pancreas.
C)Percussion of the anterior pituitary gland.
D)Palpation of the thyroid gland.

Question 8

The nurse is preparing to assess a person's thyroid gland. Which body area should the nurse use as a landmark for this organ?

A)Clavicle
B)Trachea
C)Mandible
D)Angle of Louis

Question 9

A person has elevated serum cortisol levels. Which health problem is associated with this finding?

A)Cushing's syndrome.
B)Diabetes insipidus.
C)Grave's disease.
D)Addison's disease.

Question 10

An older person has a palpable thyroid gland. What should the nurse realise this finding indicates?

A)Onset of diabetes insipidus.
B)The reason for oliguria.
C)Onset of hypertension.
D)Nothing, since this can be normal in an older person.

Question 11

The nurse realises an alteration in growth hormone can lead to changes in an individual's physical stature. Which condition can occur with abnormally high levels of growth hormone in adults?

A)Acromegaly.
B)Cushing's syndrome.
C)Grave's disease.
D)Tetany.

Question 12

A person scheduled for a test for glycosylated haemoglobin (HbA1c)level asks about the purpose of the test. How should the nurse respond to this person?

A)'It's to check for pituitary functioning.'
B)'It's a blood test to check for thyroid dysfunction.'
C)'It's a blood test to check for adrenal functioning.'
D)'It's to check for pancreas functioning.'

Question 13

A person is having a radioactive iodine uptake test. Which endocrine gland is being examined by this test?

A)Thymus.
B)Thyroid.
C)Parathyroid.
D)Hypothalamus.

Question 14

A person's water deprivation test showed no changes in urine osmolality. This finding is consistent with which condition?

A)Cushing's syndrome.
B)Diabetes insipidus.
C)Addison's disease.
D)None. No pathology is present.

Question 15

A person has an abnormal serum calcium level. Which endocrine gland could be causing this low blood level?

A)Parathyroid.
B)Gonads.
C)Thymus.
D)Thyroid.

Question 16

A person is scheduled for a thyroidectomy. What should the nurse include when teaching this person about recovery after the procedure?

A)A low calcium diet will be prescribed.
B)Exercise will be restricted for up to six months after the surgery.
C)Hormone replacement medications might be needed because of the removal of the parathyroid glands.
D)Physical therapy sessions will need to be continued.

Question 17

A person is concerned about his spouse's inability to conceive. Which hormone should be evaluated because of this issue?

A)Thyroid-stimulating hormone.
B)Adrenaline.
C)Parathormone.
D)Follicle-stimulating hormone.

Question 18

A middle-aged person has a low cortisol level. What could this finding indicate?

A)Cushing's syndrome.
B)Acromegaly.
C)Grave's disease.
D)Hypothyroidism.

Question 19

During an assessment the nurse notes that the person's eyes are extremely wide open and bulging. With which endocrine disorder should the nurse associate this finding?

A)Hypofunction of the anterior pituitary gland.
B)Addison's disease.
C)Hyperthyroidism.
D)Diabetes insipidus.

Question 20

A person is demonstrating symptoms of hypocalcaemic tetany. Which assessment did the nurse conduct to determine the person's condition?

A)Tap a finger in front of the person's ear at the angle of the jaw.
B)Measure the person's pulse deficit.
C)Place a tuning fork over one of the person's fingers.
D)Measure blood glucose levels.

Question 21

A person is waiting to learn the results of a fasting blood sugar test. Which value should suggest to the nurse that the person is prediabetic?

A)3)3 mmol/L.
B)4)4 mmol/L.
C)6)6 mmol/L.
D)8)8 mmol/L.