Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)
1. What hormone stimulates the release of the follicle-stimulating hormone (FSH)
from both male and female glands?
a. Growth hormone-releasing hormone (GHRH)
b. Thyrotropin-releasing hormone (TRH)
c. Gonadotropin-releasing hormone (GnRH)
d. Prolactin-releasing hormone (PRH)
Ans: C
Feedback:
The male and female glands respond to luteinizing hormone (LH) and FSH, which are
released from the anterior pituitary in response to stimulation from GnRH that is
released from the hypothalamus. GHRH stimulates the release of the growth
hormone, which targets cell growth. TRH stimulates the thyroid-stimulating hormone,
which targets the thyroid gland. PRH stimulates the release of prolactin, which is
necessary for milk production.
2. A nurse is providing patient education to a patient as part of her work in a fertility
clinic. The nurse explains possible reasons for infertility. When explaining how the
ovaries are involved in conception, what will the nurse stress?
a. Ova quickly degenerate and most are absorbed in the body before the age
of 12.
b. The ovaries at birth contain all of the ova that a woman will have.
c. Ova aggregate, causing millions to be contained in a storage site called a
follicle.
d. Follicles produce only estrogen; the uterus produces progesterone.
Ans: B
Feedback:
It would be important to explain that the woman’s ova do not increase or decrease
from birth to childbearing years. The nurse will stress that all the ova that a woman
will have will be present at birth. The patient should understand that if she does not
ovulate 1 month or for several months, it is not because she has done something to her
body to cause this. Ova slowly degenerate over a lifetime or they are released once a
month until menopause is complete. Each ovum is contained in a storage site called a
follicle, which produces the female sex hormones, estrogen and progesterone.
, 3. The nursing instructor is discussing the physiology of pregnancy with her clinical
group. What hormone, produced during pregnancy, would the instructor tell the
students helps to maintain the pregnancy until birth of the fetus? Options A, B, and
C are not correct.
a. High levels of estrogen only
b. High levels of estrogen, low levels of progesterone
c. Low levels of estrogen, high levels of progesterone
d. High levels of estrogen and progesterone
Ans: D
Feedback:
In a pregnant woman, both estrogen and progesterone hormones have specific
functions. High levels of both hormones are needed for the maintenance of pregnancy.
4. The nursing instructor is talking with her class of students about the female
reproductive system. A student is trying to understand the role of progesterone in
the body. What nonreproductive affect does progesterone have on the body?
a. Decreased body temperature
b. Decreased appetite
c. Anti-insulin
d. Increased uterine motility
Ans: C
Feedback:
Progesterone has an anti-insulin effect to generate a higher blood glucose
concentration to allow for rapid diffusion of glucose to the developing embryo. Body
temperature and appetite are increased by progesterone. Uterine motility is decreased
to provide increased chance that implantation can occur.
5. What hormone causes ovulation to occur?
a. Adrenocorticotropic hormone (ACTH)
b. Luteinizing hormone (LH)
c. Prolactin
d. Follicle-stimulating hormone (FSH)
Ans: B
Feedback:
When the circulating estrogen level rises high enough, it stimulates a massive release
of LH from the anterior pituitary causing one of the developing follicles to burst and
release the ovum with its stored hormones into the system. ACTH targets the adrenal
corticosteroid hormone, which helps prepare the body for the fight or flight response.
Prolactin is responsible for milk production and FSH in combination with LH
stimulate follicles on the outer surface of the uterus to grow and develop and also
stimulates the release of estrogen and progesterone.
1. What hormone stimulates the release of the follicle-stimulating hormone (FSH)
from both male and female glands?
a. Growth hormone-releasing hormone (GHRH)
b. Thyrotropin-releasing hormone (TRH)
c. Gonadotropin-releasing hormone (GnRH)
d. Prolactin-releasing hormone (PRH)
Ans: C
Feedback:
The male and female glands respond to luteinizing hormone (LH) and FSH, which are
released from the anterior pituitary in response to stimulation from GnRH that is
released from the hypothalamus. GHRH stimulates the release of the growth
hormone, which targets cell growth. TRH stimulates the thyroid-stimulating hormone,
which targets the thyroid gland. PRH stimulates the release of prolactin, which is
necessary for milk production.
2. A nurse is providing patient education to a patient as part of her work in a fertility
clinic. The nurse explains possible reasons for infertility. When explaining how the
ovaries are involved in conception, what will the nurse stress?
a. Ova quickly degenerate and most are absorbed in the body before the age
of 12.
b. The ovaries at birth contain all of the ova that a woman will have.
c. Ova aggregate, causing millions to be contained in a storage site called a
follicle.
d. Follicles produce only estrogen; the uterus produces progesterone.
Ans: B
Feedback:
It would be important to explain that the woman’s ova do not increase or decrease
from birth to childbearing years. The nurse will stress that all the ova that a woman
will have will be present at birth. The patient should understand that if she does not
ovulate 1 month or for several months, it is not because she has done something to her
body to cause this. Ova slowly degenerate over a lifetime or they are released once a
month until menopause is complete. Each ovum is contained in a storage site called a
follicle, which produces the female sex hormones, estrogen and progesterone.
, 3. The nursing instructor is discussing the physiology of pregnancy with her clinical
group. What hormone, produced during pregnancy, would the instructor tell the
students helps to maintain the pregnancy until birth of the fetus? Options A, B, and
C are not correct.
a. High levels of estrogen only
b. High levels of estrogen, low levels of progesterone
c. Low levels of estrogen, high levels of progesterone
d. High levels of estrogen and progesterone
Ans: D
Feedback:
In a pregnant woman, both estrogen and progesterone hormones have specific
functions. High levels of both hormones are needed for the maintenance of pregnancy.
4. The nursing instructor is talking with her class of students about the female
reproductive system. A student is trying to understand the role of progesterone in
the body. What nonreproductive affect does progesterone have on the body?
a. Decreased body temperature
b. Decreased appetite
c. Anti-insulin
d. Increased uterine motility
Ans: C
Feedback:
Progesterone has an anti-insulin effect to generate a higher blood glucose
concentration to allow for rapid diffusion of glucose to the developing embryo. Body
temperature and appetite are increased by progesterone. Uterine motility is decreased
to provide increased chance that implantation can occur.
5. What hormone causes ovulation to occur?
a. Adrenocorticotropic hormone (ACTH)
b. Luteinizing hormone (LH)
c. Prolactin
d. Follicle-stimulating hormone (FSH)
Ans: B
Feedback:
When the circulating estrogen level rises high enough, it stimulates a massive release
of LH from the anterior pituitary causing one of the developing follicles to burst and
release the ovum with its stored hormones into the system. ACTH targets the adrenal
corticosteroid hormone, which helps prepare the body for the fight or flight response.
Prolactin is responsible for milk production and FSH in combination with LH
stimulate follicles on the outer surface of the uterus to grow and develop and also
stimulates the release of estrogen and progesterone.
