Endocrine Content

Question 1

If a gland is removed due to illness what are the treatment options?

A. The body will compensate naturally
B. Synthetic hormones must be given for a short time and then weaned off
C. Synthetic hormones must be given for the remainder of their life
D. The gland will grow back

Answer 1

Answer: C

Question 2

If a hormone has “stimulating” in it’s name what is the main function?

A. To stimulate growth
B. To stimulate the release of a different hormone
C. To inhibit the release of other hormones
D. To inhibit growth of tissues

Answer 2

Answer: B

Question 3

Which hormones are released by the Posterior lobe of the Pituitary Gland? SATA

A. Antidiuretic Hormone
B. Thyroid Stimulating Hormone
C. Growth Hormone
D. Oxytocin

Answer 3

Answer: A, D

Question 4

What is the action of ADH?

Answer 4

Answer: Retain Water

Anti
Diuretic - to put off water
Hormone

Question 5

Which disorder will you see if you have an uncontrolled increase of ADH?

A. Diabetes Insipidus
B. Diabetes Mellitus
C. Addison’s Disease
D. SIADH

Answer 5

Answer: D

“Soaked Inside”

How will sodium be affected with this disorder?
Urine Osmolality?

Question 6

Which disorder will you see if you have too little ADH?

Answer 6

Answer: Diabetes Insipidus

“Dry Inside”

Question 7

What are the CM of Diabetes Insipidus? SATA

A. Oliguria
B. Polyuria
C. Polydipsia
D. Dehydration
E. Urinary Retention

Answer 7

Answer: B, C, D

How will Sodium be affected with this disorder?
Urine Osmolality?

Question 8

Which of the following disorders would you expect to see a decreased metabolism, cold intolerance, and low heart rate?

A. Grave’s Disease
B. Thyroid Storm
C. Hypoparathyroidism
D. Hashimoto’s Disease

Answer 8

Answer: D

Is this hypo or hyper thyroidism?
What will T3/T4 levels look like?
TSH Levels?

Question 9

If left untreated, what complication would you expect to see with hypothyroidism?

A. Thyroid Storm
B. Grave’s Disease
C. Hashimoto’s Disease
D. Myxedema

Answer 9

Answer: D

Question 10

What is needed to synthesize Thyroid Hormones?

A. Sodium
B. Water
C. Iodine
D. Potassium

Answer 10

Answer: C

Question 11

In which Thyroid disorder will you see CM that include exopthalmos, weight loss, and heat intolerance?

A. Hashimoto’s Disease
B. Myxedema
C. Grave’s Disease
D. Hyperparathyroidism

Answer 11

Answer: C

Is this Hyper or Hypo thyroidism?
What T3/T4 labs will you see?
TSH?

Question 12

What is the life threatening complication associated with Hyperthyroidism?

A. Grave’s Disease
B. Thyroid Storm (thyroidtoxicosis)
C. Hashimoto’s Disease
D. Myxedema

Answer 12

Answer: B

Question 13

What is the function of Aldosterone? SATA

A. Sodium Reabsorption
B. Sodium Excretion
C. Potassium Reabsorption
D. Potassium Excretion

Answer 13

Answer: A, D

Question 14

What are the effects of Cortisol on the body? SATA

A. Impacts Glucose, Fat, and Protein Metabolism
B. Increases Sodium Reabsorption
C. Increases amount of circulating Glucose
D. Decreases amount of circulating Glucose

Answer 14

Answer: A, C

Question 15

What is the disease associated with Adrenal Insufficiency?

A. Addison’s Disease
B. Cushing’s Disease
C. Grave’s Disease
D. Hashimoto’s Disease

Answer 15

Answer: A

We need to ADD more in ADDison’s
What is a hallmark integumentary manifestation seen with this disorder?

Question 16

What labs will you see with Addison’s Disease? SATA

A. Hyperglycemia
B. Hyponatremia
C. Hypokalemia
D. Low AM Cortisol

Answer 16

Answer: B, D

• LOW cortisol
• Hypoglycemia
• Hyponatremia
• Hyperkalemia

Question 17

What CM will you see with Cushing’s Disease? SATA

A. Central Obesity
B. Hypoglycemia
C. Moon Face/Buffalo Hump
D. HTN
E. Hyperpigmentation

Answer 17

Answer: A, C, D

Question 18

What labs will be seen in Cushing’s Syndrome? SATA

A. Hypoglycemia
B. Hypernatremia
C. Hyperkalemia
D. Elevated AM Cortisol
E. Hyponatremia

Answer 18

Answer: B, D

HIGH cortisol
• Hyperglycemia
• Hypernatremia
• Hypokalemia

Question 19

What is the function of insulin

A. To release glucose from the cells
B. Facilitates uptake of glucose into the cells
C. Inhibits glycolysis
D. Breaks down adipose tissue

Answer 19

Answer: B

Question 20

What is the cause of Type 1 Diabetes Mellitus?

Answer 20

Destruction of insulin secreting beta cells in the pancreas

What does this mean for treatment?

Question 21

What does the HgA1C lab tell us?

Answer 21

How well managed blood glucose is over 3 months

Question 22

Describe the three most common CM seen in T1DM.

Answer 22

Polyuria
Polydipsia
Polyphagia

Question 23

If you find your diabetic patient unconscious, cold, and tachycardic which complication would you suspect?

A. Hypoglycemia
B. Diabetic Ketoacidosis
C. Hyperosmolar hyperglycemic state
D. Hyperglycemia

Answer 23

Answer: A

“Cool and Clammy, Need Some Candy”

Question 24

Which acute hyperglycemic complication is typically seen in type 1 diabetics?

A. Retinopathy
B. Hyperosmolar hyperglycemic state
C. Diabetic Ketoacidosis
D. Nephropathy

Answer 24

Answer: C

Question 25

Which of the following are caused by long term damage to the small vessels (MICROVASCULAR) of the body RT viscous blood? SATA A. Retinopathy B. CVA C. Neuropathy D. Nephropathy E. Hypoglycemic coma

Answer 25

Answer: A, C, D

Question 26

Because the blood glucose is so high and blood is so viscous what fatal complication are we concerned about with HHS? A. Damage to Kidney B. Increased ketones in the blood C. Metabolic acidosis D. Thrombus formation

Answer 26

Answer: D

Question 27

T/F: A hospitalized patient may experience a spike in BG even if they are not diabetic?

Answer 27

True Stress hormones (Cortisol Release) elevates blood glucose levels. A well controlled T2 diabetic may require insulin while hospitalized even if they don't use it regularly *This should also be considered during times of illness or infection. Increased stress on the body will increase blood glucose levels

Question 28

The nurse admitting a patient newly diagnosed with type 2 DM should expect the following symptoms upon assessment, EXCEPT: A. Fatigue B. Paresthesia C. Hypoglycemia D. Possible fungal infections

Answer 28

Answer: C

Question 29

A client with a diagnosis of DKA is being treated in the ER. What would a nurse expect to find with this diagnosis? SATA A. Decreased blood pH B. BG <50 C. Positive Ketones in urine D. Rapid deep breathing E. Fruity odor to the breath

Answer 29

Answer: A, C, D, E