ENDOCRINE SYSTEM FUNCTION AND ASSESSMENT EXAM Q & AWITH REFERENCES

ENDOCRINE SYSTEM FUNCTION AND ASSESSMENT
EXAM Q & AWITH REFERENCES
Endocrine System Function and Assessment




1) The nurse is reviewing information with a patient about the normal anatomy and physiology
of the endocrine system. Which factor is inaccurate?
1. All endocrine glands are anatomically separate in location.
2. All endocrine glands function independently of each other.
3. Most hormone levels are regulated by a negative feedback system.
4. Each hormone is secreted in response to a specific stimulus.

ANS: 2
Chapter: Chapter 38. Endocrine System Function and Assessment
Objective: Identify the glands of the endocrine system.
Pages: 773–778
Heading: Normal Endocrine System Anatomy and Physiology
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Patient-Centered Care
Difficulty: Moderate


Feedback
1 Unlike other organ systems, all endocrine glands are anatomically separate in
location.
2 Endocrine glands may function separately, but some hormones are secreted in
response to hormones secreted by other endocrine glands.
3 Most hormone levels are regulated by a negative feedback system, as when
hormone levels are low or body functions are not normal.
4 Each specific hormone is secreted in response to a specific stimulus and affects
target cells for that specific hormone.

,ENDOCRINE SYSTEM FUNCTION AND ASSESSMENT
EXAM Q & AWITH REFERENCES
PTS: 1 CON: Patient-Centered Care


2) The nurse is researching information for a patient newly diagnosed with diabetes mellitus.
The nurse wants to present the responses by hormones other than insulin. Which
information does the nurse avoid?
1. Growth hormones (GHs) secreted by the anterior pituitary play a part in glucose
regulation.
2. Growth hormone-releasing hormone (GHRH) is secreted during hypoglycemia or
when there is a high blood level of amino acids.
3. GH and growth hormone-inhibiting hormone (GHIH) are secreted to
maintain blood glucose levels and metabolism rates are normal.
4. GHIH is secreted during hyperglycemia when carbohydrates are available
for energy production.

ANS: 3
Chapter: Chapter 38. Endocrine System Function and Assessment

, ENDOCRINE SYSTEM FUNCTION AND ASSESSMENT
EXAM Q & AWITH REFERENCES
Objective: Explain the function of each of the hormones in the endocrine system.
Page: 782
Heading: Anterior Pituitary Gland
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Physiological Adaptation
Cognitive Level: Analysis (Analyzing)
Concept: Metabolism
Difficulty: Moderate


Feedback
1 The anterior pituitary hormones play a part in blood glucose regulation with the
secretion of GHRH and GHIH.
2 The option correctly explains the function of GHRH during hypoglycemia and
high blood level of amino acids.
3 GH and GHIH are growth hormones secreted by the anterior pituitary gland,
but GH has no influence on the regulation of blood glucose levels. GH
stimulates growth and GHIH inhibits growth. However, GHIH also plays a
part in glucose regulation.
4 This correctly explains the function of GHIH during hyperglycemia
when adequate carbohydrates are available for energy production and fat
mobilization is not necessary.


PTS: 1 CON: Metabolism


3) An older adult patient is experiencing a reduction in energy. Which comment by the nurse
is most appropriate?
1. “Mild diabetes often develops with age; I’ll see about checking your blood sugar.”
2. “Your tiredness is because your body increases the release of growth hormone
as you age.”
3. “Aging causes the basal metabolic rate to change, and it’s often normal to
have less energy.”
4. “A decrease in parathyroid hormone secretion occurs with age, and that can make