NUR 1290 Exam 4 Study questions and answers verified
100% correct!!
Which are correct statements about the relationship between the hypothalamus
and the pituitary gland? Select all that apply.
A) Many endocrine glands respond to stimulation from the pituitary gland, which
is connected by a stalk to the hypothalamus in the brain.
B). Under the influence of the hypothalamus, the lobes of the pituitary gland
secrete various hormones.
C) The pituitary gland is called the master gland because it regulates the function
of the hypothalamus and other endocrine glands.
D) The hypothalamus is called the master gland because it regulates the function
of the pituitary gland.
A) Many endocrine glands respond to stimulation from the pituitary gland, which is
connected by a stalk to the hypothalamus in the brain.
B). Under the influence of the hypothalamus, the lobes of the pituitary gland secrete
various hormones.
Thyroid storm is a severe form of hyperthyroidism that can be fatal if not treated.
Medical management includes pharmacotherapy. Which of the following drugs
have proved helpful? Select all that apply.
A) Hydrocortisone
B) Acetaminophen
C) Salicylates
D) Methimazole
E) Iodine
A) Hydrocortison
B) Acetaminophen
D) Methimazole
E) Iodine
What pharmacologic therapy does the nurse anticipate administering when the
patient is experiencing thyroid storm? (Select all that apply.)
A) Acetaminophen
B) Iodine
C) Propylthiouracil
D) Synthetic levothyroxine
E) Dexamethasone (Decadron)
A) Acetaminophen
B) Iodine
C) Propylthiouracil
A patient is having diagnostic testing for suspected hyperthyroidism. Which of
the following diagnostics correlate with this endocrine disorder? Select all that
apply.
A) Decrease in serum thyroid-stimulating hormone (TSH)
B) Increased T3
C) Increased T4
, D) Increase in radioactive iodine uptake
E) Increases in serum TSH
A) Decrease in serum thyroid-stimulating hormone (TSH)
B) Increased T3
C) Increased T4
D) Increase in radioactive iodine uptake
The nurse is performing a shift assessment of a client with aldosteronism. What
assessments should the nurse include? Select all that apply.
A) Urine output
B) Signs or symptoms of venous thromboembolism
C) Peripheral pulses
D) Blood pressure
E) Skin integrity
A) Urine output
D) Blood pressure
A nurse is aware that several laboratory results are present in a patient
diagnosed with diabetes insipidus. Select all that apply.
A) Urine specific gravity of 1.001
B) Serum ADH level of 2.3 pg/mL
C) Serum osmolality of 310 mOsm/kg
D) Urine osmolality of 800 mOsm/kg
E) Serum sodium level of 149 mEq/L
A) Urine specific gravity of 1.001
C) Serum osmolality of 310 mOsm/kg
E) Serum sodium level of 149 mEq/L
A patient whose laboratory studies indicates a prolactin level of 200 ng/mL is
assessed for a pituitary tumor. During the physical exam, the nurse practitioner
notices a number of signs and/or symptoms suggestive of this condition. Which
of the following is the most common indicator of a pituitary tumor?
A) Tremors and palpitations
B) Headaches and visual disturbances
C) Galactorrhea
D) Inappropriate responses to stimuli
Galactorrhea
A client diagnosed with pyelonephritis and possible septicemia has had five
urinary tract infections over the past 2 years. The client is fatigued from lack of
sleep; urinates frequently, even during the night; and has lost weight recently.
Tests reveal a sodium level of 152 mEq/L, high serum osmolality, a glucose level
of 125 mg/dl, and a potassium level of 3.8 mEq/L. Which nursing diagnosis is
most appropriate for this client?a.
A) Deficient fluid volume related to the inability to conserve water
B) Imbalanced nutrition: Less than body requirements related to hypermetabolic
state
C) Deficient fluid volume related to osmotic diuresis induced by hypernatremia
D) Imbalanced nutrition: Less than body requirements related to catabolic effects
of insulin deficiency
100% correct!!
Which are correct statements about the relationship between the hypothalamus
and the pituitary gland? Select all that apply.
A) Many endocrine glands respond to stimulation from the pituitary gland, which
is connected by a stalk to the hypothalamus in the brain.
B). Under the influence of the hypothalamus, the lobes of the pituitary gland
secrete various hormones.
C) The pituitary gland is called the master gland because it regulates the function
of the hypothalamus and other endocrine glands.
D) The hypothalamus is called the master gland because it regulates the function
of the pituitary gland.
A) Many endocrine glands respond to stimulation from the pituitary gland, which is
connected by a stalk to the hypothalamus in the brain.
B). Under the influence of the hypothalamus, the lobes of the pituitary gland secrete
various hormones.
Thyroid storm is a severe form of hyperthyroidism that can be fatal if not treated.
Medical management includes pharmacotherapy. Which of the following drugs
have proved helpful? Select all that apply.
A) Hydrocortisone
B) Acetaminophen
C) Salicylates
D) Methimazole
E) Iodine
A) Hydrocortison
B) Acetaminophen
D) Methimazole
E) Iodine
What pharmacologic therapy does the nurse anticipate administering when the
patient is experiencing thyroid storm? (Select all that apply.)
A) Acetaminophen
B) Iodine
C) Propylthiouracil
D) Synthetic levothyroxine
E) Dexamethasone (Decadron)
A) Acetaminophen
B) Iodine
C) Propylthiouracil
A patient is having diagnostic testing for suspected hyperthyroidism. Which of
the following diagnostics correlate with this endocrine disorder? Select all that
apply.
A) Decrease in serum thyroid-stimulating hormone (TSH)
B) Increased T3
C) Increased T4
, D) Increase in radioactive iodine uptake
E) Increases in serum TSH
A) Decrease in serum thyroid-stimulating hormone (TSH)
B) Increased T3
C) Increased T4
D) Increase in radioactive iodine uptake
The nurse is performing a shift assessment of a client with aldosteronism. What
assessments should the nurse include? Select all that apply.
A) Urine output
B) Signs or symptoms of venous thromboembolism
C) Peripheral pulses
D) Blood pressure
E) Skin integrity
A) Urine output
D) Blood pressure
A nurse is aware that several laboratory results are present in a patient
diagnosed with diabetes insipidus. Select all that apply.
A) Urine specific gravity of 1.001
B) Serum ADH level of 2.3 pg/mL
C) Serum osmolality of 310 mOsm/kg
D) Urine osmolality of 800 mOsm/kg
E) Serum sodium level of 149 mEq/L
A) Urine specific gravity of 1.001
C) Serum osmolality of 310 mOsm/kg
E) Serum sodium level of 149 mEq/L
A patient whose laboratory studies indicates a prolactin level of 200 ng/mL is
assessed for a pituitary tumor. During the physical exam, the nurse practitioner
notices a number of signs and/or symptoms suggestive of this condition. Which
of the following is the most common indicator of a pituitary tumor?
A) Tremors and palpitations
B) Headaches and visual disturbances
C) Galactorrhea
D) Inappropriate responses to stimuli
Galactorrhea
A client diagnosed with pyelonephritis and possible septicemia has had five
urinary tract infections over the past 2 years. The client is fatigued from lack of
sleep; urinates frequently, even during the night; and has lost weight recently.
Tests reveal a sodium level of 152 mEq/L, high serum osmolality, a glucose level
of 125 mg/dl, and a potassium level of 3.8 mEq/L. Which nursing diagnosis is
most appropriate for this client?a.
A) Deficient fluid volume related to the inability to conserve water
B) Imbalanced nutrition: Less than body requirements related to hypermetabolic
state
C) Deficient fluid volume related to osmotic diuresis induced by hypernatremia
D) Imbalanced nutrition: Less than body requirements related to catabolic effects
of insulin deficiency
