1/21/2018 Chapter 50: Care of the Patient with an Endocrine Disorder | Nursing Test Banks
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Chapter 50: Care of the Patient with an Endocrine
Disorder
Chapter 50: Care of the Patient with an Endocrine Disorder
Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition
MULTIPLE CHOICE
1.The nurse explains that the negative feedback system controls hormone release by communication between:
a. the pituitary and the target organ.
b. the thymus and the blood stream.
c. lymphatic system and the target organ.
d. central nervous system and the blood stream.
ANS: A
The amount of hormone released is controlled by a negative feedback system. When the level of the particular
hormone is appropriate, the target organ signals the pituitary to stop the stimulation of the target organ.
PTS: 1 DIF: Cognitive Level: Implementation REF: Page 1725
OBJ: 2 TOP: Anatomy KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
2.Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12
weeks?
https://boostgrade.info/chapter-50-care-of-the-patient-with-an-endocrine-disorder/ 1/26
,1/21/2018 Chapter 50: Care of the Patient with an Endocrine Disorder | Nursing Test Banks
a. Fasting blood sugar (FBS)
b. Oral glucose tolerance test (OGT)
c. Glycosylated hemoglobin (HbA1c)
d. Postprandial glucose test (PPBG)
ANS: C
Glycosylated hemoglobin (HbA1c)—This blood test measures the amount of glucose that has become
incorporated into the hemoglobin within an erythrocyte. Because glycosylation occurs constantly during the
120-day life span of the erythrocyte, this test reveals the e ectiveness of diabetes therapy for the preceding 8
to 12 weeks.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1764, Box 50-2
OBJ:8TOP:Glucose monitoring
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
3.Which test will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control?
a. Fasting blood sugar (FBS)
b. Glycosylated hemoglobin (HgbA1c)
c. Oral glucose tolerance test (OGTT)
d. Clinitest
ANS: A
Diabetics should do a ngerstick blood glucose level test before each meal and at bedtime each day until their
disease is under control. The HgbA1c serum test reveals the e ectiveness of diabetes therapy for the preceding
8 to 12 weeks.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1764, Box 50-2
OBJ:9TOP:Diabetes mellitus
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
4.To which diet should a patient with Cushing syndrome adhere?
https://boostgrade.info/chapter-50-care-of-the-patient-with-an-endocrine-disorder/ 2/26
, 1/21/2018 Chapter 50: Care of the Patient with an Endocrine Disorder | Nursing Test Banks
a. Less sodium
b. More calories
c. Less potassium
d. More carbohydrates
ANS: A
The diet should be lower in sodium to help decrease edema.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1749, Table 50-3
OBJ:5TOP:Cushing syndrome
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
5.The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part
of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made
based on this information?
a. Time the morning insulin injection so that the peak action will occur during swimming class.
b. Delete normal walks on swimming class days.
c. Delay the meal before the swimming class until the session is over.
d. Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin.
ANS: D
Exercise can reduce insulin resistance and increase glucose uptake for as long as 72 hours, as well as reducing
blood pressure and lipid levels. However, exercise can carry some risks for patients with diabetes, including
hypoglycemia.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1755
OBJ:11TOP:Diabetes mellitus
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
6.What is a long-term complication of diabetes mellitus?
https://boostgrade.info/chapter-50-care-of-the-patient-with-an-endocrine-disorder/ 3/26
Nursing Test Banks
One Account Get all Test Banks
Chapter 50: Care of the Patient with an Endocrine
Disorder
Chapter 50: Care of the Patient with an Endocrine Disorder
Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition
MULTIPLE CHOICE
1.The nurse explains that the negative feedback system controls hormone release by communication between:
a. the pituitary and the target organ.
b. the thymus and the blood stream.
c. lymphatic system and the target organ.
d. central nervous system and the blood stream.
ANS: A
The amount of hormone released is controlled by a negative feedback system. When the level of the particular
hormone is appropriate, the target organ signals the pituitary to stop the stimulation of the target organ.
PTS: 1 DIF: Cognitive Level: Implementation REF: Page 1725
OBJ: 2 TOP: Anatomy KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
2.Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12
weeks?
https://boostgrade.info/chapter-50-care-of-the-patient-with-an-endocrine-disorder/ 1/26
,1/21/2018 Chapter 50: Care of the Patient with an Endocrine Disorder | Nursing Test Banks
a. Fasting blood sugar (FBS)
b. Oral glucose tolerance test (OGT)
c. Glycosylated hemoglobin (HbA1c)
d. Postprandial glucose test (PPBG)
ANS: C
Glycosylated hemoglobin (HbA1c)—This blood test measures the amount of glucose that has become
incorporated into the hemoglobin within an erythrocyte. Because glycosylation occurs constantly during the
120-day life span of the erythrocyte, this test reveals the e ectiveness of diabetes therapy for the preceding 8
to 12 weeks.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1764, Box 50-2
OBJ:8TOP:Glucose monitoring
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
3.Which test will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control?
a. Fasting blood sugar (FBS)
b. Glycosylated hemoglobin (HgbA1c)
c. Oral glucose tolerance test (OGTT)
d. Clinitest
ANS: A
Diabetics should do a ngerstick blood glucose level test before each meal and at bedtime each day until their
disease is under control. The HgbA1c serum test reveals the e ectiveness of diabetes therapy for the preceding
8 to 12 weeks.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1764, Box 50-2
OBJ:9TOP:Diabetes mellitus
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
4.To which diet should a patient with Cushing syndrome adhere?
https://boostgrade.info/chapter-50-care-of-the-patient-with-an-endocrine-disorder/ 2/26
, 1/21/2018 Chapter 50: Care of the Patient with an Endocrine Disorder | Nursing Test Banks
a. Less sodium
b. More calories
c. Less potassium
d. More carbohydrates
ANS: A
The diet should be lower in sodium to help decrease edema.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1749, Table 50-3
OBJ:5TOP:Cushing syndrome
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
5.The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part
of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made
based on this information?
a. Time the morning insulin injection so that the peak action will occur during swimming class.
b. Delete normal walks on swimming class days.
c. Delay the meal before the swimming class until the session is over.
d. Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin.
ANS: D
Exercise can reduce insulin resistance and increase glucose uptake for as long as 72 hours, as well as reducing
blood pressure and lipid levels. However, exercise can carry some risks for patients with diabetes, including
hypoglycemia.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1755
OBJ:11TOP:Diabetes mellitus
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
6.What is a long-term complication of diabetes mellitus?
https://boostgrade.info/chapter-50-care-of-the-patient-with-an-endocrine-disorder/ 3/26
