NURS 6051 WALDEN UNIVERSITY WEEK 9 QUIZ PATHO- 100% CORRECT(VERIFIED)

Question 1 1 out of 1 points A 30-year-old male presents to his primary care provider reporting visual disturbances. CT reveals a pituitary tumor and lab tests reveal elevated prolactin. He is diagnosed with prolactinoma. Which of the following treatments would the nurse help implement? Selected Answer: a. Dopaminergic agonists Correct Answer: a. Dopaminergic agonists  Question 2 1 out of 1 points Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is: Selected Answer: b. Orbital edema and protrusion of the eyeball Correct Answer: b. Orbital edema and protrusion of the eyeball  Question 3 1 out of 1 points A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis? Selected Answer: a. Fasting plasma glucose levels Correct Answer: a. NURS 6051 WEEK 9 QUIZ PATHO Fasting plasma glucose levels  Question 4 1 out of 1 points A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate? Selected Answer: b. Dehydration from polyuria Correct Answer: b. Dehydration from polyuria  Question 5 1 out of 1 points An endocrinologist isolated a new hormone and found it to be a water-soluble amine. Which of the following is most like this new hormone? Selected Answer: d. Epinephri ne Correct Answer: d. Epinephri ne  Question 6 1 out of 1 points Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations? Selected Answer: d. Thir st Correct Answer: d. Thir st  Question 7 1 out of 1 points A nurse is preparing to teach a patient about Addison disease. Which information should the nurse include? The most common cause of Addison disease is: Selected Answer: a. An autoimmune reaction Correct Answer: a. An autoimmune reaction  Question 8 1 out of 1 points If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease? Selected Answer: b. AD H Correct Answer: b. AD H  Question 9 1 out of 1 points A 40-year-old male undergoes surgery for a PTH-secreting tumor in which the parathyroid is removed. Which of the following would the nurse expect following surgery? Selected Answer: c. Decreased calcium reabsorption in the kidney Correct Answer: c. Decreased calcium reabsorption in the kidney  Question 10 1 out of 1 points A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state? Selected Answer: d. Insulin deficiency promotes lipid metabolism and ketone formation. Correct Answer: d. Insulin deficiency promotes lipid metabolism and ketone formation.  Question 11 0 out of 1 points 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: Selected Answer: c. Active transport Correct Answer: a. Diffusion  Question 12 1 out of 1 points A 30-year-old male is diagnosed with a hormone-secreting tumor of the pancreas alpha cells. Which of the following would the nurse expect to be most likely increased in this patient? Selected Answer: b. Glucag on Correct Answer: b. Glucag on  Question 13 0 out of 1 points If a patient had a problem with the hypothalamus, which of the following hormones would be affected? Selected Answer: a. ACTH Correct Answer: c. ACTH  Question 14 1 out of 1 points A 3-year-old male was diagnosed with congenital hypothyroidism. The parents ask the nurse if left untreated what will happen. What is the nurse’s best response? If left untreated, the child would have: Selected Answer: a. Mental retardation and stunted growth Correct Answer: a. Mental retardation and stunted growth  Question 15 1 out of 1 points If the patient has a problem with the pineal gland, which substance would the nurse monitor? Selected Answer: a. Melaton in Correct Answer: a. Melaton in  Question 16 1 out of 1 points A 15-year-old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. What does the nurse suspect as the most likely cause for these assessment findings? Selected Answer: a. A pituitary adenoma Correct Answer: a. A pituitary adenoma  Question 17 1 out of 1 points A 45-year-old female has elevated thyroxine production. Which of the following would accompany this condition? Selected Answer: d. Decreased thyroid-stimulating hormone (TSH) Correct Answer: d. Decreased thyroid-stimulating hormone (TSH)  Question 18 1 out of 1 points A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient? Selected Answer: a. Hyponatre mia Correct Answer: a. Hyponatre mia  Question 19 0 out of 1 points A 50-year-old male patient is deficient in ADH production. Which of the following assessment findings would the nurse expect to find? Selected Answer: b. Increased urine osmolality Correct Answer: c. ADH is decreased by changes in intravascular volume  Question 20 1 out of 1 points A 44-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for SIADH. Which of the following assessment findings would be expected in this patient? Selected Answer: d. Concentrated urine Correct Answer: d. Concentrated urine  Question 21 1 out of 1 points A 39-year-old female just had a baby. Which hormone will prevent excessive uterine bleeding? Selected Answer: d. Oxytoc in Correct Answer: d. Oxytoc in  Question 22 1 out of 1 points What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma? Selected Answer: b. Visual disturbances Correct Answer: b. Visual disturbances  Question 23 1 out of 1 points A patient wants to know why ADH is important in the body. What is the nurse’s best response? ADH is important in: Selected Answer: a. The body’s water balance and urine concentration Correct Answer: a. The body’s water balance and urine concentration  Question 24 1 out of 1 points A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect? Selected Answer: c. Hypokale mia Correct Answer: c. Hypokale mia  Question 25 1 out of 1 points While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is _____ diabetes insipidus. Selected Answer: b. Nephroge nic Correct Answer: b. Nephroge nic  Question 26 0 out of 1 points A 30-year-old male was diagnosed with hypothyroidism. Synthesis of which of the following would decrease in this patient? Selected Answer: c. Thyroid-binding globulin Correct Answer: a. TSH and TH  Question 27 1 out of 1 points An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond? Selected Answer: b. Canc er Correct Answer: b. Canc er  Question 28 1 out of 1 points A patient wants to know what can cause ACTH to be released. How should the nurse respond? Selected Answer: d. Acute stressors Correct Answer: d. Acute stressors  Question 29 1 out of 1 points A 22-year-old female has a low level of TSH. What condition does the nurse expect the patient is experiencing? Selected Answer: b. Secondary hypothyroidism Correct Answer: b. Secondary hypothyroidism  Question 30 1 out of 1 points When a nurse is assessing the physical features of individuals with Cushing syndrome, these findings will include: Selected Answer: b. Truncal obesity and moon face Correct Answer: b. Truncal obesity and moon face  Question 31 1 out of 1 points A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal: Selected Answer: d. Diffuse thyroid enlargement Correct Answer: d. Diffuse thyroid enlargement  Question 32 1 out of 1 points 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? Selected Answer: a. High levels of circulating thyroid-stimulating antibodies Correct Answer: a. High levels of circulating thyroid-stimulating antibodies  Question 33 1 out of 1 points 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: Selected Answer: b. High serum osmolarity sensed by osmoreceptors in the hypothalamus Correct Answer: b. High serum osmolarity sensed by osmoreceptors in the hypothalamus  Question 34 1 out of 1 points A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH). Which of the following would the nurse also expect to find? Selected Answer: c. Sexual dysfunction Correct Answer: c. Sexual dysfunction  Question 35 1 out of 1 points A nurse is caring for a patient with SIADH. What severe complication should the nurse assess for? Selected Answer: c. Neurologic damage Correct Answer: c. Neurologic damage