Chapter 64: Assessment of the Endocrine System

Chapter 64: Assessment of the Endocrine System

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client is taking a drug that blocks a hormone’s receptor site. What is the effect on the client’s hormone response?

a.	Greater hormone metabolism
b.	Decreased hormone activity
c.	Increased hormone activity
d.	Unchanged hormone response

 

 

ANS:  B

Hormones cause activity in the target tissues by binding with their specific cellular receptor sites, thereby changing the activity of the cell. When receptor sites are occupied by other substances that block hormone binding, the cell’s response is the same as when the level of the hormone is decreased.

 

DIF:    Cognitive Level: Comprehension/Understanding               REF:   p. 1359

TOP:   Client Needs Category: Physiological Integrity (Pharmacological and Parenteral Therapies—Expected Actions/Outcomes)    MSC:  Integrated Process: Nursing Process (Evaluation)

 

2. How does a tropic hormone differ from other hormones?

a.	Tropic hormones are given to clients who have a hormone deficiency.
b.	Tropic hormones are exclusively involved in the production of sex hormones.
c.	Tropic hormones stimulate other endocrine glands to secrete hormones.
d.	Tropic hormones are not under negative feedback control.

 

 

ANS:  C

The target tissues for tropic hormones are other endocrine glands. The effect of these agents is to stimulate another endocrine gland to secrete its hormone. The other statements are inaccurate.

 

DIF:    Cognitive Level: Knowledge/Remembering                       REF:   p. 1361

TOP:   Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology)

MSC:  Integrated Process: Nursing Process (Evaluation)

 

3. A client has a deficiency of aldosterone. Which assessment finding does the nurse correlate with this condition?

a.	Increased urine output
b.	Vasoconstriction
c.	Blood glucose, 98 mg/dL
d.	Serum sodium, 144 mEq/L

 

 

ANS:  A

Aldosterone, the major mineralocorticoid, maintains extracellular fluid volume. It promotes sodium and water reabsorption and potassium excretion in the kidney tubules. A client with an aldosterone deficiency will have increased urine output. Sodium and potassium levels are normal; in aldosterone deficiency, the client would have hyponatremia and hyperkalemia. Vasoconstriction is not related.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology)

MSC:  Integrated Process: Nursing Process (Assessment)

 

4. A male client reports fluid secretion from his breasts. What does the nurse assess next in this client?

a.	Posterior pituitary hormones
b.	Adrenal medulla functioning
c.	Anterior pituitary hormones
d.	Parathyroid functioning

 

 

ANS:  C

Breast fluid and milk production are induced by the presence of prolactin, secreted from the anterior pituitary gland. The other hormones do not influence this process.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology)

MSC:  Integrated Process: Nursing Process (Assessment)

 

5. A client has a condition of excessive catecholamine release. Which assessment finding does the nurse correlate with this condition?

a.	Decreased blood pressure
b.	Increased pulse
c.	Decreased respiratory rate
d.	No change in vital signs

 

 

ANS:  B

Catecholamines are responsible for the “fight-or-flight” stress response. Activation of the sympathetic nervous system can be correlated with tachycardia. The other options are not correlated with excessive catecholamine release.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology)

MSC:  Integrated Process: Nursing Process (Evaluation)