NR 507 WEEK 5 QUIZ (ADVANCED PATHO) / NR507 WEEK 5 QUIZ (ADVANCED PATHO): LATEST,CHAMBERLAIN COLLEGE OF NURSING

NR 507 WEEK 5 QUIZ (ADVANCED PATHO) / NR507 WEEK 5 QUIZ (ADVANCED PATHO): LATEST,CHAMBERLAIN COLLEGE OF NURSINGQuestion : Lipid-soluble hormone receptors are located Student Answer: inside the plasma membrane in the cytoplasm. on the outer surface of the plasma membrane. inside the mitochondria. on the inner surface of the plasma membrane. Question 2. Question : Where is oxytocin synthesized? Student Answer: Hypothalamus Paraventricular nuclei Anterior pituitary Posterior pituitary Question 3. Question : 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? Student Answer: The central nervous system stimulates hypothalamus-releasing factor, which acts on the anterior pituitary gland to secrete thyroid-stimulating hormone (TSH) and stimulates the release of thyroxine (T4) and triiodothyronine (T3). The central nervous system directly stimulates the release of insulin, which reduces blood glucose levels. The central nervous system directly stimulates the adrenal medulla to secrete epinephrine and stimulates hypothalamus-releasing factor, which acts on the anterior pituitary gland to secrete adrenocorticotropic-stimulating hormone (ACTH), stimulating the release of cortisol. The central nervous system stimulates the hypothalamus to synthesize oxytocin and antidiuretic hormone, which are secreted by the posterior pituitary, activating uterine contraction and renal absorption of water. Question 4. Question : What effect does hyperphosphatemia have on other electrolytes? Student Answer: It increases serum calcium. It decreases serum calcium. It decreases serum magnesium. It increases serum magnesium. Question 5. Question : What is the target tissue for prolactin-releasing factor (PRF)? Student Answer: Hypothalamus Anterior pituitary Mammary glands Posterior pituitary Question 6. Question : A person who has experienced physiologic stresses will have increased levels of which hormone? Student Answer: Adrenocorticotropic hormone (ACTH) Thyroid hormones Somatostatin Alpha endorphin Question 7. Question : Which hormone is involved in the regulation of serum calcium levels? Student Answer: Parathyroid hormone (PTH) Thyroxine (T4) Adrenocorticotropic hormone (ACTH) Triiodothyronine (T3) Question 8. Question : Target cells for parathyroid hormone (PTH) are located in the Student Answer: tubules of nephrons. thyroid gland. glomeruli of nephrons. smooth and skeletal muscles. Question 9. Question : The portion of the pituitary that secretes oxytocin is the _____ pituitary. Student Answer: posterior inferior anterior superior Question 10. Question : Which mineral is needed for the synthesis of thyroid hormones? Student Answer: Iron Zinc Iodide Copper Question 11. Question : 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. Student Answer: pharmacologic permissive synergistic direct Question 12. Question : Which of the following hormones acts on its target cell via a second messenger? Student Answer: Angiotensin II Thyroxine Estrogen Testosterone Question 13. Question : The first lab test that indicates type 1 diabetes is causing the development of diabetic nephropathy is Student Answer: dipstick test for urine ketones. increase in serum creatinine and blood urea nitrogen (BUN). protein on urinalysis. cloudy urine on the urinalysis. Question 14. Question : The cause of neurogenic diabetes insipidus (DI) is related to an organic lesion of the Student Answer: anterior pituitary. thalamus. posterior pituitary. renal tubules. Question 15. Question : Which disorder is caused by hypersecretion of the growth hormone (GH) in adults? Student Answer: Cushing syndrome Acromegaly Giantism Myxedema Question 16. Question : What causes the microvascular complications of clients with diabetes mellitus? Student Answer: The capillaries contain plaques of lipids that obstruct blood flow. There is increased pressure within capillaries as a result of the elevated glucose attracting water. The capillary basement membranes thicken and there is endothelial cell hyperplasia. Fibrous plaques form from the proliferation of subendothelial smooth muscle of arteries. Question 17. Question : Which of the following laboratory values would the nurse expect to find if a person is experiencing syndrome of inappropriate antidiuretic hormone (SIADH)? Student Answer: Hypernatremia and urine hypo-osmolality Serum K+ 5 and urine hyperosmolality Serum Na+ 120 and serum hypo-osmolality Hypokalemia and serum hyperosmolality Question 18. Question : Which of the following laboratory values is consistently low in a client with diabetes insipidus (DI)? Student Answer: Urine specific gravity Serum sodium Urine protein Serum total protein Question 19. Question : The effects of syndrome of inappropriate antidiuretic hormone (SIADH) include solute Student Answer: retention and water retention. retention and water loss. dilution and water retention. dilution and water loss. Question 20. Question : The level of thyroid-stimulating hormone (TSH) in Graves disease is usually Student Answer: high. low. normal. in constant flux. Question 21. Question : Polyuria occurs with diabetes mellitus because of Student Answer: the formation of ketones. chronic insulin resistance. an elevation in serum glucose. an increase in antidiuretic hormone. Question 22. Question : The most common cause of hypoparathyroidism is Student Answer: pituitary hyposecretion. parathyroid adenoma. parathyroid gland damage. autoimmune parathyroid disease. Question 23. Question : Which of the following clinical manifestations is not common to both diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic syndrome (HHNKS)? Student Answer: Fluid loss Glycosuria Increased serum glucose Kussmaul respirations Question 24. Question : A person has acne, easy bruising, thin extremities, and truncal obesity. These clinical manifestations are indicative of which endocrine disorder? Student Answer: Hyperthyroidism Hypoaldosteronism Diabetes insipidus (DI) Cushing disease Question 25. Question : Amenorrhea, galactorrhea, hirsutism, and osteopenia are each caused by a Student Answer: posterior pituitary adenoma. thymoma. prolactinoma. growth hormone adenoma.