Pituitary
Thyroid
Adrenal Cortex
Endocrine Tests
Nursing Care
Medications
100

What hormone is secreted by Posterior Pituitary

TSH

ACTH

ADH

GH

ADH

100

Name the hormone secreted from the Pituitary gland that stimulates the thyroid gland. And name the two hormones produced by the thyroid gland.

Thyroxine (T4), TSH, Growth Hormone

Thyroid Stimulating Hormone, Thyroxine (T4) and Triiodothyronine (T3)

Thyroid Stimulating Hormone (TSH), Estrogen, ADH

Epinepherine, Norepinepherine, TSH, Triiodothyronine

Thyroid Stimulating Hormone, Thyroxine (T4) and Triiodothyronine (T3)

100

State the location of the adrenal cortex and the adrenal medulla.

The adrenal cortex is located within the pancreas.

The adrenal cortex is located superior to the kidneys

The adrenal cortex is located posterior to the kidneys

The adrenal cortex is located in the thoracic cavity

The adrenal cortex is located superior to the kidneys

100

A patient believed to have acromegaly asks the purpose of the diagnostic glucose tolerance test (GTT). What is the most accurate response?

“It tells whether your thyroid reacts to the high levels of sugar taken during this test.”

“It measures the growth hormone in the presence of oral glucose levels at a specified times."

“The doctor wants to know if you have either diabetes or acromegaly."

“The growth hormone will cause the glucose to be used up very quickly during the test.”




“It measures the growth hormone in the presence of oral glucose levels at specified times.”

100

A pediatric nurse is making a care plan for a 10-year-old boy with hyperpituitarism identifies a disturbed self-image. What should the nurse relate this nursing diagnosis to?

Small genitalia 

 Skin eruptions on the face

Lack of facial hair  

Excessive height  


   

Excessive height

100

The treatment of a person with Addison's disease includes which of the following medications?

Hydrocortisone

Insulin

Calcitonin

Growth hormone

Hydrocortisone

200

True or False:

Somatotropin is given to children for impaired growth.

True

False


True

200

Another name for TSH is:

Thyroxine (T4), TSH, Growth Hormone

Calcium


Thyrotropin

Thyroxine



Thyrotropin

200

Name the two hormones released from the adrenal medulla.

Cortisol and Corticotropin

Neo-Synepherine and Epinepherine

Epinepherine and Norepinepherine

Leutinizing hormone and Oxytocin

Epinepherine and Norepinepherine

200

Wha is the purpose of the laboratory test to measure the serum level of adrenocorticotropic hormone (ACTH). What will that the laboratory test will determine?

Androgen metabolites are low or borderline.

The thyroid gland is not stimulating the production of ACTH.

The pituitary gland is sending the correct message to the adrenal glands.

The adrenal glands are not responding to produce cortisol.

The pituitary gland is sending the correct message to the adrenal glands.


200

A patient with Addison’s disease is being discharged after an Addrenal Crisis. Which instruction is most important for the nurse to reinforce?

Advise the patient to drink less water.

The importance of taking their steroid replacement medications as prescribed.

The importance of 30 minutes of exercise daily.

The need for a well balanced diet.

The importance of taking their steroid replacement medications as prescribed.

200

A patient, newly diagnosed with hypothyroidism, is anxious to begin her drug regimen. What should the nurse’s instructions relative to hormone replacement include?

“Be sure and take these drugs just before bedtime.”

“You will be able to notice the benefits of thyroid replacement therapy right away.”

“Don’t worry about the brand medication, they’re all the same.”

“Know the signs and symptoms of hyperthyroidism.”



“Know the signs and symptoms of hyperthyroidism.”

300

What is the name of the gland that connects the pituitary gland to the brain/central nervous system?

Pleural

Pituitary

Frontal Lobe Gland

Hypothalamus

Hypothalamus

300

What usually causes hypothyroidism?

Increased secretion of T3 and T4 by the thyroid.

No secretion of Parathormone by the thyroid.

Increased secretion of TSH by the pituitary.

Low or no secretion of T3 and T4 by the thyroid.

Low or no secretion of T3 and T4 by the thyroid.

300

Excessive production of aldosterone leads to hypertension.

True

False

True

300

A physician ordered T3 and T4 tests for a young woman. Which laboratory test results will confirm the diagnosis of hypothyroidism?

Both tests show increases.

The T3 test elevates, and the T4 test decreases.

Both tests show decreases.

The level of thyroxin rises and then falls back to subnormal levels.


Both tests show decreases.

300

What are the signs and symptoms of adrenal crisis?

Hypertension and abdominal pain  

 Widening pulse pressure and shortness of breath 

Bradycardia and nausea    

Confusion and tachycardia    

Confusion and tachycardia

300

A patient is receiving the medication octreotide (Sandostatin) as a treatment for acromegaly. What should the nurse explain regarding this medication?

It suppresses the growth hormone.

It reverses the effects of acromegaly.

It increases insulin secretion causing hypoglycemia.

It should be given on a daily basis by injection.

It suppresses the growth hormone.

400

What is the major function of the pituitary gland?

The pituitary secretes enzymes that in turn control the secretion of hormones by other cellular glands.

The pituitary controls the cerebella activity of the brain and in turn skeletal function occurs.

The pituitary controls the function of the brain.

The pituitary secretes hormones that in turn control the secretion of hormones by other endocrine glands.

The pituitary secretes hormones that in turn control the secretion of hormones by other endocrine glands.

400

Parathormone regulates:

The level of calcium in the bloodstream.

The use of sugar by the cells.

The secretions of the adrenal cortex.

The reaction of the body to stress.

The level of calcium in the bloodstream.

400

Name the principal action of Aldosterone.

To ensure sodium is removed from the blood.

To conserve sodium in the kidneys.

Aldosterone causes magnesium to be retained.

To conserve sodium in the large intestines.


To conserve sodium in the kidneys.

400

A laboratory test for a patient, which showed a high level of thyroid-stimulating hormone (TSH) and a low level of T4. What is the nurses most accurate explanation to the patient?

“I am sorry. You will have to ask your physician about your laboratory results. We are not allowed to discuss them.”

“It means that you have an inconsistency in your thyroid tests, and you will need more testing.”

“That means that you will have to go on hormone therapy for the rest of your life.”

“The TSH is sending a message to your thyroid gland to increase production, but your thyroid isn’t producing enough hormone.”


“The TSH is sending a message to your thyroid gland to increase production, but your thyroid isn’t producing enough hormone.”

400

What symptoms should a nurse anticipate in the history of a patient with hyperparathyroidism?

Poor muscle tone, bone pain, urinary calculi, and fractures

Tachycardia, air hunger, and nervousness

Hunger, thirst, and urinary retention

Fatigue, hyperactive reflexes, muscle cramps, and twitching

Poor muscle tone, bone pain, urinary calculi, and fractures

400

Which instruction should a nurse provide when a patient starts taking a saturated solution of potassium iodide (SSKI)?

 Double the dose if a dose is missed.    

Sip medication through a straw to prevent tooth staining.   

 Take before meals.

Expect excessive salivation.  
   
 

Sip medication through a straw to prevent tooth staining.    

500

Diabetes insipidus is caused by a lack of what pituitary hormone:

Mineralocorticoids

Glucocorticoids

Antidiuretic Hormone (ADH)

Insulin

Antidiuretic Hormone (ADH)

500

Name the hormone secreted by the Thyroid gland that controls the level of calcium being deposited in the bone?

Calcium

Phosphotase

Calcitonin

Parathormone


Calcitonin

500

The adrenal medulla functions as part of the __________ _______ ______.

Autonomic nervous system

Sympathetic nervous system

Muscle-skeletal nervous system

Circulatory nervous system

Autonomic nervous system

500

What action would initiate the Chvostek sign?

Ask the patient to grimace and note if the facial response is symmetrical.

Tap the face over the facial nerve and watch for a spasm of the facial muscle.

Check the pupillary response to light and determine whether the pupil accommodates and reacts.

Inflate a blood pressure cuff to the systolic level and watch for a carpopedal spasm.


Tap the face over the facial nerve and watch for a spasm of the facial muscle.

500

What are the classic symptoms of diabetes insipidus (DI)?

Dizziness, hypertension, and excitability

Bradycardia, insomnia, and muscle cramps

Diuresis, tachycardia, and weakness

Stress incontinence, vomiting, and edema

Diuresis, tachycardia, and weakness

500

What symptoms should a patient report if they are taking Tapazole (Thiamonide drug)? Choose all that apply

  Jaundice 

 Urine retention

Rash  

Becoming pregnant

Blood in the stool


 

Becoming pregnant

rash

jaundice

blood in the stool


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