NR 507 Week 5 Quiz Questions and Answers

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NR 507 Week 5 Quiz Possible Questions & Answers

  1. Aldosterone synthesis and secretion are primarily regulated by the
  2. A surgical individual just arrived on the unit from the postanesthesia care unit. This person’s respirations are 4 per minute and shallow. As the nurse calls for assistance, the person suddenly feels jittery and breathing quickens. Which of the following feedback loops is operating for the nurse in this situation?
  3. What effect does aldosterone have on fluid and electrolyte imbalances?
  4. What effect does hyperphosphatemia have on other electrolytes?
  5. Where is oxytocin synthesized?
  6. Which mineral is needed for the synthesis of thyroid hormones?
  7. The portion of the pituitary that secretes oxytocin is the _____ pituitary.
    When insulin binds its receptors on muscle cells, an increase in glucose uptake by the muscle cells is the result. This is an example of a _____ effect by a hormone.
  8. Which of the following hormones acts on its target cell via a second messenger?
  9. Target cells for parathyroid hormone (PTH) are located in the
  10. Which hormone is involved in the regulation of serum calcium levels?
  11. The first lab test that indicates type 1 diabetes is causing the development of diabetic nephropathy is
  12. A deficiency of which of the following may result in hypothyroidism?
  13. Diagnosing a thyroid carcinoma is best done with
  14. The effects of syndrome of inappropriate antidiuretic hormone (SIADH) include solute
  15. Which of the following clinical manifestations is not common to both diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic syndrome (HHNKS)?
  16. The signs of thyroid crisis resulting from Graves disease include
  17. What causes the microvascular complications of clients with diabetes mellitus?
  18. A man with a closed head injury has a urine output of 6 to 8 L/day. Electrolytes are within normal limits, but his antidiuretic hormone (ADH) level is low. Although he has had no intake for 4 hours, there is no change in his polyuria. These are indications of
  19. Amenorrhea, galactorrhea, hirsutism, and osteopenia are each caused by a
  20. The most common cause of hypoparathyroidism is
  21. The level of thyroid-stimulating hormone (TSH) in Graves disease is usually
  22. The most probable cause of low serum calcium following a thyroidectomy is
  23. Hyperpituitarism is generally caused by

NR 507 Week 5 Quiz Specific Study Guide

  1. What controls the direct stimulation of the insulin-secreting cells. Chap 21 p 704
  2. Types of protein hormones- chap 21 p 691
  3. Assessing patients for elevated thyroxine production Chap 22 p 725
  4. Direct effect of insulin binding to receptors chap 21 p 704-705
  5. Lipid-soluble hormone receptors crossing plasma membrane chap 21
  6. Effects of the removal of the posterior pituitary chap 22 p 718
  7. Insulin regulation chap 22
  8. Hormone-secreting tumor of the pancreas—what would increase? Chap 41 pg 1474
  9. The effect of insulin on electrolytes chap 22 pg 745
  10. Hormonal regulation involved in child birth and stopping uterine bleeding chap 21 pg 698-699

NR 507 Week 5 Quiz: Possible Questions & Answers

  1. What controls the direct stimulation of the insulin-secreting cells.
    Direct stimulation of the insulin-secreting cells of the pancreas by the autonomic nervous system is an example of __________ control?
  2. Types of protein hormones
    – A nurse is teaching staff about protein hormones. Which information should the nurse include? One of the protein hormones is:
    – A patient has high levels of hormones. To adapt to the high hormone concentrations, the patient’s target cells have the capacity for:
    – A patient has researched lipid-soluble hormones on the Internet. Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane by:
    – Hormones are effective communicators because they:
    – Which of the following is a protein hormone that is water soluble?
    – Which of the following is a lipid-soluble hormone?
    – Most protein hormones are transported in the bloodstream:
    – thyroid-stimulating hormone (TSH) is released to stimulate thyroid hormones and is inhibited when plasma levels of thyroid hormone are adequate. This is an example of:
    – Which hormone is involved in the regulation of serum calcium levels?
    – A 25-year-old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is
  3. Assessing patients for elevated thyroxine production
    – A 45-year-old female has elevated thyroxine production. Which of the following would accompany this condition?
    – A 35 year old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find?
    – While checking the lab results for a patient with Graves disease, the nurse would check the T3 level to … abnormally:
  4. Direct effect of insulin binding to receptors
    – A 30-year-old male was …. with hypothyroidism. Synthesis of which of the following would decrease in this patient?
    – When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a _____ effect by a hormone.
    Lipid-soluble hormone receptors crossing plasma membrane
    – Lipid-soluble hormone receptors cross the plasma membrane by?
  5. Effects of the removal of the posterior pituitary
    – When a staff member asks the nurse which gland secretes ADH and oxytocin, how should the nurse respond?
    – If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease?
    – Which principle should the nurse include while planning care for a patient with an ADH problem? ADH release from the posterior pituitary is stimulated by:
    – Which gland secretes ADH and oxytocin?
    – The portion of the pituitary that secretes oxytocin is the _____ pituitary.
  6. Insulin regulation
    – Insulin is primarily regulated by which of the following?
    – A 19-year-old female with type 1 DM was … to the hospital with altered consciousness and the following lab values: serum glucose 500 mg/dl (high) and serum K+ 2 (low). Her parents state that she has been sick with the “flu” for a week. The diagnosis is hyperosmolar hyperglycemia nonketotic syndrome (HHNKS). What relationship do these values have with her insulin deficiency?
    – A nurse is teaching a patient about insulin. Which information should the nurse include? Insulin is primarily .. by:
  7. Hormone-secreting tumor of the pancreas—what would increase?
    A 30-year-old male is … with a hormone-secreting tumor of the pancreas alpha cells. Which of the following would the nurse expect to … most likely increased in this patient?
    The effect of insulin on electrolytes
    – Insulin has an effect on which of the following groups of electrolytes?
    – A nurse recalls insulin has an effect on which of the following groups of electrolytes?
    – Which electrolyte does insulin transport in the cell?
    – The major electrolyte of concern in the treatment of diabetic ketoacidosis is:
    – Which of the following statements best describes the rationale for administrating potassium supplements with the patient’s insulin therapy?
    – When a patient in diabetic ketoacidosis (DKA) has insulin infusing intravenously, the nurse expects a drop in the serum levels of
    – As a patient with diabetic ketoacidosis receives insulin and fluids, the nurse knows careful assessment must … given to which of the following electrolytes?
    – A patient was … to the critical care unit with diabetic ketoacidosis (DKA). Glucose is 349 mg/dL, K+ is 3.7 mEq/L, and pH is 7.10. Which of the following interventions would you expect?
  8. Hormonal regulation involved in child birth and stopping uterine bleeding
    – A nurse is teaching the staff about disseminated intravascular coagulation (DIC). Which information should the nurse include? The sequence of events in DIC is …. by the release of:
    – What is oxytocin, an endogenous hormone, .. by?
    – ……. responsibilities of oxytocin?
    – What hormonal level changes occur is ….. the initiators of labors?