Hormones & Functions
Clinical Manifestations
Diagnostic Test
Nursing Care
Patient Teaching
200

Which hormone is deficient in Addison’s disease?

  • A. Cortisol
  • B. Epinephrine
  • C. Insulin
  • D. Growth hormone
  • What is Cortisol? 
200

$200: A patient presents with weight loss, heat intolerance, and tremors. Which condition is suspected?

  • A. Hypothyroidism
  • B. Hyperthyroidism
  • C. Addison’s disease
  • D. Cushing’s syndrome

What is hyperthyroidism? 

200

$200: Which lab test confirms hypothyroidism?

  • A. Elevated T3
  • B. Low TSH
  • C. Elevated TSH
  • D. Elevated cortisol

What is elevated TSH? 

200

$200: The nurse should administer levothyroxine to a hypothyroid patient:

  • A. At bedtime with food
  • B. In the morning on an empty stomach
  • C. With calcium supplements
  • D. With orange juice

What is 

  • B. In the morning on an empty stomach
200

$200: A patient with Type 2 Diabetes should be taught to:

  • A. Skip meals when on insulin
  • B. Avoid all carbohydrates
  • C. Perform daily foot care
  • D. Limit water intake

What is perform daily foot care? 

400

$400: A patient with Type 1 Diabetes lacks which of the following hormones?

  • A. Glucagon
  • B. Cortisol
  • C. Insulin
  • D. Epinephrine

What is Insulin 

400

$400: Moon face, buffalo hump, and truncal obesity are hallmarks of which disorder?

  • A. Addison’s disease
  • B. Cushing’s syndrome
  • C. Type 1 Diabetes
  • D. Hypothyroidism

What is Cushing's Syndrome? 

400

$400: Which test helps confirm Cushing’s syndrome?

  • A. 24-hour urine cortisol
  • B. HbA1c
  • C. ACTH suppression test
  • D. T3/T4 ratio

What is 24-hour urine cortisol? 

400

$400: Which is a priority nursing intervention for a patient with Addison’s disease?

  • A. Monitor for hypertension
  • B. Prevent infection
  • C. Monitor for hypotension and dehydration
  • D. Restrict fluids

What is Monitor for hypotension and dehydration? 

400

$400: What teaching is essential for a patient taking corticosteroids long-term?

  • A. Stop medication if swelling occurs
  • B. Taper doses slowly
  • C. Take extra doses when stressed
  • D. Double dose if missed

what is 

  • B. Taper doses slowly
600

$600: Which hormone is overproduced in Cushing’s syndrome?

  • A. Thyroxine (T4)
  • B. Cortisol
  • C. Insulin
  • D. ADH

What is Cortisol 

600

$600: Polyuria, polydipsia, and polyphagia are classic signs of which endocrine disorder?

  • A. Hypothyroidism
  • B. Addison’s disease
  • C. Diabetes Mellitus
  • D. Cushing’s syndrome

What is DM? 

Daily Double: Which specific type of DM is this? 

600

$600: Which diagnostic value supports Addison’s disease?

  • A. High cortisol
  • B. Low sodium
  • C. High glucose
  • D. Elevated TSH

What is low sodium? 

600

$600: A nurse caring for a diabetic patient on insulin should:

  • A. Hold insulin if glucose is 130
  • B. Check blood glucose before meals
  • C. Administer insulin after meals
  • D. Encourage high-fat diet

What is Check blood glucose before meals

600

$600: A patient with hyperthyroidism should be advised to:

  • A. Increase caffeine intake
  • B. Eat high-iodine foods
  • C. Avoid stimulants and high temperatures
  • D. Reduce rest periods

What is Avoid stimulants and high temperatures

800

$800: Which hormone regulates the basal metabolic rate and is affected in hypothyroidism?

  • A. Cortisol
  • B. Insulin
  • C. Thyroxine (T4)
  • D. Aldosterone

What is Thyroxine (T4)? 

800

$800: Fatigue, weight gain, and cold intolerance are common in which condition?

  • A. Cushing’s syndrome
  • B. Addison’s disease
  • C. Hypothyroidism
  • D. Hyperthyroidism

What is hypothyroidism

800

$800: Which test confirms Diabetes Mellitus?

  • A. Serum ketones
  • B. HbA1c >6.5%
  • C. Serum cortisol
  • D. ACTH test

What is  HbA1c >6.5%

800

$800: Which finding requires immediate intervention post-thyroidectomy?

  • A. Sore throat
  • B. Hoarseness
  • C. Difficulty breathing
  • D. Mild swelling

What is difficulty breathing? 

800

$800: Which teaching should the nurse provide for a patient on insulin therapy?

  • A. Store insulin in the freezer
  • B. Skip insulin if not eating
  • C. Rotate injection sites
  • D. Shake insulin vigorously

What is Rotate injection sites?

Daily Double: List all 4 injection sites? 

1000

$1000: Which hormone is excessively secreted in Graves’ disease?

  • A. ACTH
  • B. TSH
  • C. T3/T4
  • D. ADH

What is T3/T4? 

1000

$1000: A patient with Addison’s crisis may exhibit which critical finding?

  • A. Hypertension
  • B. Hypoglycemia
  • C. Hypernatremia
  • D. Decreased potassium

What is hypoglycemia? 

1000

$1000: A radioactive iodine uptake test is used to diagnose which disorder?

  • A. Cushing’s syndrome
  • B. Hypothyroidism
  • C. Hyperthyroidism
  • D. Addison’s disease

What is Hyperthyroidism? 

1000

$1000: In Cushing’s syndrome, nursing care should include:

  • A. Encourage high sodium intake
  • B. Monitor for infection and fluid overload
  • C. Administer corticosteroids
  • D. Restrict protein intake

What is Monitor for infection and fluid overload

1000

$1000: The nurse teaches a patient with Addison’s disease to:

  • A. Avoid salt
  • B. Stop steroids during illness
  • C. Carry emergency hydrocortisone
  • D. Take steroids only when symptomatic

What is Carry emergency hydrocortisone? 

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