WGU PATHO D236 Endocrine Pathophysiology Exam 2024
Correct
1/1 Points
1. Which signs or symptoms does the nurse observe while assessing a client with diabetes insipidus?
Orthostatic hypotension
Poor skin turgor
Feedback:This is correct. Poor skin turgor is a sign that indicates dehydration in the client withdiabetes insipidus.
Amenorrhea
Wet mucous membranes
Galactorrhea
Correct
1/1 Points
2. The nurse suspects nocturnal hypoglycemia in a diabetic client. Which symptom does the nurseNOT
expect to observe in this client?
Vivid nightmares
Morning headache
Severe dehydration
Feedback:This is correct. Severe dehydration is seen in clients with hyperosmolar hyperglycemicsyndrome.
Severe dehydration is not seen in clients with nocturnal hypoglycemia.
Sleep disturbance
Correct
1/1 Points
3. Which disorder is described as the complete loss of all of the pituitary hormones?
Empty sella syndrome
Sheehan’s syndrome
Hypopituitarism
Panhypopituitarism
Feedback:This is correct. Panhypopituitarism is the complete loss of all the pituitary hormones,which is a rare
disorder.
Correct
1/1 Points
4. A client is being scheduled for thyroid testing. For which diagnostic test does the nurse prepare theclient for
detecting hyperactivity of the thyroid gland?
Computerized tomography (CT) scan of the anterior neckSestamibi scan
Ultrasound
Radioactive iodine scan
Feedback:This is correct. Hyperactivity of the thyroid gland is seen in hyperthyroidism. A radioactiveiodine scan
shows the hyperactive gland.
Correct
1/1 Points
5. The nurse finds the symptoms of thyroid dysfunction in a client are due to abnormal pituitary activity. The
client’s laboratory report shows a low TSH level, which supports the nurse’s finding. Which type of endocrine
disorder is likely present in the client?
Tertiary hyperthyroidism
, Primary hypothyroidism
Secondary hypothyroidism
Feedback:This is correct. Secondary hypothyroidism is caused by abnormal pituitary activity.Primary
hyperthyroidism
Correct
1/1 Points
6. Which is the most common complication expected in clients with type 1 diabetes?
Hyperosmolar hyperglycemic syndrome
Metabolic syndrome
Diabetic ketoacidosis
Feedback:This is correct. Clients with type 1 diabetes have a risk of ketone formation from lipolysisdue to the
absence of endogenous insulin. This results in diabetic ketoacidosis. Therefore, diabetic ketoacidosis is the most
expected complication in clients with type 1 diabetes.
Exogenous insulin dependency
Correct
1/1 Points
7. A client tells the nurse, “I’ve been feeling excessively thirsty for the last 2 days.” On examination,the nurse
finds the client has poor skin turgor, low blood pressure, and dry skin. A computerized tomography scan of the
client’s head shows a pituitary tumor. Which treatment does the nurse expect to be prescribed by the health-care
provider?
Adrenocorticotropic hormoneArginine
vasopressin
Feedback:This is correct. Arginine vasopressin is also known as antidiuretic hormone (ADH). Administration of
ADH helps to relieve signs of dehydration such as poor skin turgor, low bloodpressure (BP), and dry skin.
Bromocriptine
Growth hormone
Correct
1/1 Points
8. The nurse observes sweating, dizziness, and disorientation in the client with a known history ofdiabetes
mellitus. Finger-stick blood glucose level is 40 mg/dL. When consulting the health-care provider, which
treatment option does the nurse anticipate being most beneficial to the client?
Administering 50 mL of 50% dextrose intravenously
Feedback:This is correct. Administering 50 mL of 50% dextrose IV injection provides relief fromhypoglycemic
symptoms immediately due to its rapid action. It is the most preferred remedy to manage hypoglycemia in the
client. Therefore, the primary health-care provider will suggest thenurse administer 50 mL of 50% dextrose
intravenously.
Administering 1 mg of glucagon subcutaneously
Administering 25 g of glucose intravenously
Administering sweetened orange juice orally
Correct
1/1 Points
9. The nurse educator is reviewing treatment strategies that are beneficial to a client with hyperparathyroidism
with a group of staff nurses. Which statement by an attending nurse does thenurse educator correct?
“The client is prescribed bisphosphonates to increase osteoclast activity.”
Feedback:This is correct. Bisphosphonates are administered to the client with hyperparathyroidismto inhibit
osteoclast activity.
“The client is prescribed calcium and vitamins for bone building.”“The
client is prescribed calcitonin to inhibit bone breakdown.”
“The client is advised to increase water intake to prevent kidney stones.”
Correct
Correct
1/1 Points
1. Which signs or symptoms does the nurse observe while assessing a client with diabetes insipidus?
Orthostatic hypotension
Poor skin turgor
Feedback:This is correct. Poor skin turgor is a sign that indicates dehydration in the client withdiabetes insipidus.
Amenorrhea
Wet mucous membranes
Galactorrhea
Correct
1/1 Points
2. The nurse suspects nocturnal hypoglycemia in a diabetic client. Which symptom does the nurseNOT
expect to observe in this client?
Vivid nightmares
Morning headache
Severe dehydration
Feedback:This is correct. Severe dehydration is seen in clients with hyperosmolar hyperglycemicsyndrome.
Severe dehydration is not seen in clients with nocturnal hypoglycemia.
Sleep disturbance
Correct
1/1 Points
3. Which disorder is described as the complete loss of all of the pituitary hormones?
Empty sella syndrome
Sheehan’s syndrome
Hypopituitarism
Panhypopituitarism
Feedback:This is correct. Panhypopituitarism is the complete loss of all the pituitary hormones,which is a rare
disorder.
Correct
1/1 Points
4. A client is being scheduled for thyroid testing. For which diagnostic test does the nurse prepare theclient for
detecting hyperactivity of the thyroid gland?
Computerized tomography (CT) scan of the anterior neckSestamibi scan
Ultrasound
Radioactive iodine scan
Feedback:This is correct. Hyperactivity of the thyroid gland is seen in hyperthyroidism. A radioactiveiodine scan
shows the hyperactive gland.
Correct
1/1 Points
5. The nurse finds the symptoms of thyroid dysfunction in a client are due to abnormal pituitary activity. The
client’s laboratory report shows a low TSH level, which supports the nurse’s finding. Which type of endocrine
disorder is likely present in the client?
Tertiary hyperthyroidism
, Primary hypothyroidism
Secondary hypothyroidism
Feedback:This is correct. Secondary hypothyroidism is caused by abnormal pituitary activity.Primary
hyperthyroidism
Correct
1/1 Points
6. Which is the most common complication expected in clients with type 1 diabetes?
Hyperosmolar hyperglycemic syndrome
Metabolic syndrome
Diabetic ketoacidosis
Feedback:This is correct. Clients with type 1 diabetes have a risk of ketone formation from lipolysisdue to the
absence of endogenous insulin. This results in diabetic ketoacidosis. Therefore, diabetic ketoacidosis is the most
expected complication in clients with type 1 diabetes.
Exogenous insulin dependency
Correct
1/1 Points
7. A client tells the nurse, “I’ve been feeling excessively thirsty for the last 2 days.” On examination,the nurse
finds the client has poor skin turgor, low blood pressure, and dry skin. A computerized tomography scan of the
client’s head shows a pituitary tumor. Which treatment does the nurse expect to be prescribed by the health-care
provider?
Adrenocorticotropic hormoneArginine
vasopressin
Feedback:This is correct. Arginine vasopressin is also known as antidiuretic hormone (ADH). Administration of
ADH helps to relieve signs of dehydration such as poor skin turgor, low bloodpressure (BP), and dry skin.
Bromocriptine
Growth hormone
Correct
1/1 Points
8. The nurse observes sweating, dizziness, and disorientation in the client with a known history ofdiabetes
mellitus. Finger-stick blood glucose level is 40 mg/dL. When consulting the health-care provider, which
treatment option does the nurse anticipate being most beneficial to the client?
Administering 50 mL of 50% dextrose intravenously
Feedback:This is correct. Administering 50 mL of 50% dextrose IV injection provides relief fromhypoglycemic
symptoms immediately due to its rapid action. It is the most preferred remedy to manage hypoglycemia in the
client. Therefore, the primary health-care provider will suggest thenurse administer 50 mL of 50% dextrose
intravenously.
Administering 1 mg of glucagon subcutaneously
Administering 25 g of glucose intravenously
Administering sweetened orange juice orally
Correct
1/1 Points
9. The nurse educator is reviewing treatment strategies that are beneficial to a client with hyperparathyroidism
with a group of staff nurses. Which statement by an attending nurse does thenurse educator correct?
“The client is prescribed bisphosphonates to increase osteoclast activity.”
Feedback:This is correct. Bisphosphonates are administered to the client with hyperparathyroidismto inhibit
osteoclast activity.
“The client is prescribed calcium and vitamins for bone building.”“The
client is prescribed calcitonin to inhibit bone breakdown.”
“The client is advised to increase water intake to prevent kidney stones.”
Correct
