Deck 55: Assessment of Endocrine Function

Question 1

Which of the following would indicate to the nurse that a client is experiencing an endocrine disorder that is affecting the neurological system? (Select all that apply.)

A) Tremors
B) Memory loss
C) Jitteriness
D) Nervousness
E) Loss of sensation in the feet
F) Nerve pain

Answer 1

Tremors
Memory loss
Jitteriness
Nervousness
Loss of sensation in the feet

Question 2

Blood work of a female client shows an increase in the production of estradiol. The nurse realizes that this hormone is controlled by:

A) positive feedback.
B) negative feedback.
C) nervous feedback.
D) reverse feedback.

Answer 2

positive feedback.

Question 3

The nurse is assessing the endocrine system of an elderly client. Which of the following are considered age-related changes of this system? (Select all that apply.)

A) Increased estrogen in women
B) Increased production of antidiuretic hormone
C) Decreased testosterone in men
D) Increased pancreatic secretion of insulin
E) Smaller thyroid gland
F) Risk for osteoporosis

Answer 3

Increased production of antidiuretic hormone
Decreased testosterone in men
Smaller thyroid gland
Risk for osteoporosis

Question 4

The nurse, instructing a client regarding hormones, would include which of the following in these instructions?

A) Hormones are nonspecific.
B) Hormone release triggers a rapid response.
C) Hormones do not influence other hormones.
D) The nervous system and hormones work together to maintain homeostasis.

Question 5

A client is scheduled for diagnostic tests to evaluate the adrenal glands. Which of the following will most likely be included in these tests? (Select all that apply.)

A) Vasopressin level
B) Urine specific gravity
C) Cortisol level
D) Dexamethasone suppression test
E) Progesterone assay
F) Aldosterone assay

Question 6

A client is experiencing a disorder to the anterior pituitary gland. The nurse realizes that all of the following hormones will be affected by this disorder EXCEPT:

A) adrenocorticotropic hormone.
B) antidiuretic hormone.
C) melanocyte-stimulating hormone.
D) luteinizing hormone.

Question 7

The nurse should suspect that a client has an endocrine disorder when which of the following findings is assessed regarding the integumentary status?

A) Freckles
B) Presence of moles
C) Course hair
D) Even skin tone

Question 8

A client is scheduled for x-rays of the long bones. The nurse realizes this diagnostic test is useful to help diagnose a disorder of the:

A) pituitary gland.
B) pancreas.
C) thyroid gland.
D) adrenal gland.

Question 9

A client is diagnosed with a low level of triiodothyronine. The nurse realizes that this hormone affects which of the following body functions?

A) Blood glucose regulation
B) Bone growth
C) Calcium regulation
D) Metabolism

Question 10

A client is scheduled for a thyroid scan. Which of the following should the nurse instruct the client regarding this diagnostic test?

A) Eliminate all salt in the diet.
B) Take nothing by mouth after midnight if I-131 is being used during the test.
C) Continue taking thyroid medication as prescribed.
D) Take nothing by mouth for 45 minutes after receiving intravenous technetium for the test.

Question 11

A client is diagnosed with benign cysts on the cortex of the adrenal glands. Which of the following hormones will be affected with this health problem?

A) Aldosterone and cortisol
B) Calcitonin and parathyroid hormone
C) Epinephrine and norepinephrine
D) Prolactin and luteinizing hormone

Question 12

The nurse realizes that an adequate amount of which vitamin must be present for parathyroid hormone to be fully effective?

A) Vitamin A
B) Vitamin C
C) Vitamin D
D) Vitamin E

Question 13

The results of a client's thyroid scan showed black and gray areas. The nurse realizes this finding is consistent with:

A) malignancies.
B) elevated phosphorus levels.
C) hyperactivity.
D) renal disease.

Question 14

A client has a central nervous system disorder. The nurse realizes that the client may be experiencing alterations in hormones regulated by which of the following organs?

A) Hypothalamus
B) Pineal gland
C) Pituitary gland
D) Thyroid

Question 15

A client is diagnosed with a thyroid storm. Which of the following will the nurse most likely assess in this client? (Select all that apply.)

A) Fever
B) Tachycardia
C) Hypotension
D) Restlessness
E) Cardiac arrhythmias
F) Sweating

Question 16

A client is diagnosed with a low serum calcium level. The nurse realizes that which hormone is released when serum calcium levels are low?

A) Calcitonin
B) Cortisol
C) Parathyroid hormone
D) Thyroxine

Question 17

Which of the following should the nurse instruct a client who is recovering from a thyroid biopsy as an outpatient?

A) Notify the physician of any problems with breathing after the procedure.
B) Go to the emergency room with any signs of a sore throat after the procedure.
C) Expect to be admitted to the hospital if the surgeon decides to remove the thyroid after the biopsy.
D) Perform no special preparations for the test.

Question 18

A client is diagnosed with an increased level of glucagon. The nurse realizes that the production of glucagon occurs in which of the following cells within the pancreatic islets of Langerhans?

A) Alpha
B) Beta
C) Delta
D) F cells