NURN 160: METABOLISM: ADRENAL & THYROID DISORDERS:
TEST QUESTIONS WITH ANSWERS
1) Graves' disease, the most common cause of hyperthyroidism, is categorized as
what type of disorder?
a) Genetic
b) Autoimmune
c) Infectious
d) Allergic -- Answer ✔✔ b. Autoimmune
2) Which electrolyte values indicate therapy for adrenal insufficiency is effective?
a) Serum sodium 148 mEq/ L; serum potassium 7.1 mEq/L
b) Serum sodium 128 mEq/ L; serum potassium 3.1 mEq/L
c) Serum sodium 118 mEq/ L; serum potassium 6.1 mEq/L
d) Serum sodium 138 mEq/ L; serum potassium 4.1 mEq/L -- Answer
✔✔ d. Serum sodium 138 mEq/ L; serum potassium 4.1 mEq/L
3) Before discharge of a patient with Addison's disease, the doctor prescribes
hydrocortisone. The nurse expects the hydrocortisone to:
a) Control excessive loss of potassium
b) Decrease dyspnea and treat SOB
c) Prevent hypoglycemia and decrease inflammation
d) Increase angiotensin II response to increase the patient's blood
pressure -- Answer ✔✔ c. Prevent hypoglycemia and decrease
inflammation
, 4) A female patient has taken cortisone for her rheumatoid arthritis for several
years. What endocrine disorder is she most at risk for developing?
A. Hyperthyroidism
B. Hypothyroidism
C. Acromegaly
D. Cushing's syndrome -- Answer ✔✔ D. Cushing's syndrome
5) An important nursing intervention when caring for a patient with Cushing's
Syndrome is to
A. Restrict protein intake
B. Observe for signs of hypotension
C. Administer medication in equal doses
D. Protect the patient from exposure to infection -- Answer
✔✔ D. Protect the patient from exposure to infection
6) thyroid -- Answer ✔✔ a butterfly shaped organ located in the lower neck,
anterior to the trachea.
Secretes:
- Thyroxine (T4) - contains 4 atoms of iodine
- Triiodothyronine (T3) - contains 3 atoms of iodine
- Calcitonin
7) True/False: Iodine is essential for synthesis of the thyroid hormones -- Answer
✔✔ True
8) functions of thyroid hormones -- Answer ✔✔ Control the metabolic rate of all
cells
Regulate protein, fat and CHO metabolism
Influences body heat production
Affects oxygen consumption
Increases absorption of glucose from GI tract
Acts as insulin antagonist
TEST QUESTIONS WITH ANSWERS
1) Graves' disease, the most common cause of hyperthyroidism, is categorized as
what type of disorder?
a) Genetic
b) Autoimmune
c) Infectious
d) Allergic -- Answer ✔✔ b. Autoimmune
2) Which electrolyte values indicate therapy for adrenal insufficiency is effective?
a) Serum sodium 148 mEq/ L; serum potassium 7.1 mEq/L
b) Serum sodium 128 mEq/ L; serum potassium 3.1 mEq/L
c) Serum sodium 118 mEq/ L; serum potassium 6.1 mEq/L
d) Serum sodium 138 mEq/ L; serum potassium 4.1 mEq/L -- Answer
✔✔ d. Serum sodium 138 mEq/ L; serum potassium 4.1 mEq/L
3) Before discharge of a patient with Addison's disease, the doctor prescribes
hydrocortisone. The nurse expects the hydrocortisone to:
a) Control excessive loss of potassium
b) Decrease dyspnea and treat SOB
c) Prevent hypoglycemia and decrease inflammation
d) Increase angiotensin II response to increase the patient's blood
pressure -- Answer ✔✔ c. Prevent hypoglycemia and decrease
inflammation
, 4) A female patient has taken cortisone for her rheumatoid arthritis for several
years. What endocrine disorder is she most at risk for developing?
A. Hyperthyroidism
B. Hypothyroidism
C. Acromegaly
D. Cushing's syndrome -- Answer ✔✔ D. Cushing's syndrome
5) An important nursing intervention when caring for a patient with Cushing's
Syndrome is to
A. Restrict protein intake
B. Observe for signs of hypotension
C. Administer medication in equal doses
D. Protect the patient from exposure to infection -- Answer
✔✔ D. Protect the patient from exposure to infection
6) thyroid -- Answer ✔✔ a butterfly shaped organ located in the lower neck,
anterior to the trachea.
Secretes:
- Thyroxine (T4) - contains 4 atoms of iodine
- Triiodothyronine (T3) - contains 3 atoms of iodine
- Calcitonin
7) True/False: Iodine is essential for synthesis of the thyroid hormones -- Answer
✔✔ True
8) functions of thyroid hormones -- Answer ✔✔ Control the metabolic rate of all
cells
Regulate protein, fat and CHO metabolism
Influences body heat production
Affects oxygen consumption
Increases absorption of glucose from GI tract
Acts as insulin antagonist
