Medical Surgical Nursing Assessment and Management of Clinical Problems, 10th Edition by Sharon L. Lewis
Medical Surgical Nursing Assessment and Management of Clinical Problems, 10th Edition by Sharon L. Lewis
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Chapter 47: Assessment of Endocrine System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | increased urinary cortisol. | c. | elevated serum aldosterone levels. |
| b. | decreased serum thyroxine. | d. | low urinary catecholamines excretion. |
ANS: A
Increased secretion of adrenocorticotropic hormone (ACTH) by the anterior pituitary gland will lead to an increase in serum and urinary cortisol levels. An increase, rather than a decrease, in thyroxine level would be expected with increased secretion of thyroid-stimulating hormone (TSH) by the anterior pituitary. Aldosterone and catecholamine levels are not controlled by the anterior pituitary.
DIF: Cognitive Level: Understand (comprehension) REF: 1107
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
| a. | “I notice my breasts are tender lately.” |
| b. | “I am so thirsty that I drink all day long.” |
| c. | “I get up several times at night to urinate.” |
| d. | “I feel a lump in my throat when I swallow.” |
ANS: D
Difficulty in swallowing can occur with a goiter. Nocturia is associated with diseases such as diabetes mellitus, diabetes insipidus, or chronic kidney disease. Breast tenderness would occur with excessive gonadal hormone levels. Thirst is a sign of disease such as diabetes.
DIF: Cognitive Level: Apply (application) REF: 1109
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
| a. | Urinary 17-ketosteroids |
| b. | Antidiuretic hormone level |
| c. | Growth hormone stimulation test |
| d. | Adrenocorticotropic hormone level |
ANS: B
Elevated levels of antidiuretic hormone will cause water retention and decrease serum sodium levels. The other tests would not be helpful in determining possible causes of the patient’s hyponatremia.
DIF: Cognitive Level: Apply (application) REF: 1115
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
| a. | “What methods do you use to help cope with stress?” |
| b. | “Have you experienced any blurring or double vision?” |
| c. | “Have you had a recent unplanned weight gain or loss?” |
| d. | “Do you have to get up at night to empty your bladder?” |
ANS: C
Because thyroid function affects metabolic rate, changes in weight may indicate hyperfunction or hypofunction of the thyroid gland. Nocturia, visual difficulty, and changes in stress level are associated with other endocrine disorders.
DIF: Cognitive Level: Apply (application) REF: 1109
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
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