Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is providing teaching to a 10-year-old patient with a diagnosis of
hyperthyroidism and her parents. Which statement by the patient indicates that additional
teaching is needed?
a. “The beta blockers will help with her heart rate.”
b. “The antithyroid medications can cause skin discoloration.”
c. “A sore throat is to be expected when taking antithyroid medications.”
d. “Regular follow-up visits will be needed to assess thyroid hormone levels.”
ANS: C
Chapter: Chapter 18 Endocrine Disorders
Chapter Learning Objective: 9. Develop a family teaching plan that will optimize
therapy outcomes for patients with endocrine disorders.
Page: 435
Heading: Hyperthyroidism > Safe and Effective Nursing Care: Understanding
Medication
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Analysis [Analyzing]
Concept: Teaching and Learning, Nutrition
Difficulty: Moderate
Feedback
A. This is incorrect. This statement reflects effective learning. Beta-blocking agents
do not decrease the amount of thyroid hormone but provide comfort for the
patient who is experiencing tachycardia, restlessness, and tremors.
B. This is incorrect. This statement reflects effective learning. Antithyroid
medications can cause skin discoloration. Other mild effects include skin rash,
milk leukopenia, loss of taste, and arthralgia.
C. This is correct. This statement indicates the need for additional teaching. Sore
throat may indicate agranulocytosis, which is a severe side effect of antithyroid
medications and should be reported to the health-care provider.
D. This is incorrect. This statement reflects effective learning. Routine follow-up is
necessary to monitor thyroid hormone levels.
PTS: 1 CON: Teaching and Learning, Nutrition
2. The nurse is assessing a 4-month-old infant who has a diagnosis of hypoparathyroidism.
, In which manner will the nurse assess the infant for pain related to the diagnosis?
a. Tap on a facial nerve and note the response.
b. Monitor closely for signs of seizure activity.
c. Assess for hyperreflexia of the muscles.
d. Carefully monitor cardiovascular status.
ANS: A
Chapter: Chapter 18 Endocrine Disorders
Chapter Learning Objective: 5. Describe nursing interventions for the emergency care
of patients with endocrine disorders.
Page: 438
Heading: Clinical Judgment: Chvostek’s Sign
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Analysis [Analyzing]
Concept: Metabolism
Difficulty: Difficult
Feedback
A. This is correct. Assessment of hyperreflexia of the muscles can be performed by
tapping on the facial nerve. If a spasm occurs in the facial muscles, then a
positive Chvostek sign has occurred. This confirms that the child has muscle
spasms, pain, cramping, and twitches.
B. This is incorrect. Seizure activity is possible with a diagnosis of
hypoparathyroidism, and recognition and management is essential. However, a
seizure does not indicate the presence of pain.
C. This is incorrect. Assessment for hyperreflexia of the muscles should be
performed frequently while calcium levels are unstable. However, this
assessment alone does not indicate the presence of pain.
D. This is incorrect. The diagnosis of hypoparathyroidism can cause prolonged QT
interval confirmed by 12-lead electrocardiogram (EKG) related to low calcium
levels. Cardiac telemetry may be indicated, and the nurse should carefully
monitor cardiovascular status. However, this action does not indicate the
presence of pain.
PTS: 1 CON: Metabolism
3. The school nurse is teaching a middle-school class about the hormones that regulate body
functions. Which information provided by the nurse is accurate?
a. Hormones are chemicals secreted by endocrine glands.
b. Hormones act specifically on the glands that produce them.
c. Hormones react with negative feedback as levels decline.
d. Hormones are made from proteins, fats, and carbohydrates.
, ANS: A
Chapter: Chapter 18 Endocrine Disorders
Chapter Learning Objective: 1. Identify the anatomy and physiology of the endocrine
system. Page: 425
Heading: Anatomy and Physiology
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A. This is correct. It is true that hormones are chemicals produced by the endocrine
glands and circulated in the bloodstream to another part of the body.
B. This is incorrect. Hormones do not act specifically on the glands that produce
them; they activate or inhibit cells in the target organs and act as messengers to
those organs.
C. This is incorrect. Positive feedback occurs when hormone levels start to decline,
causing the hypothalamus to secrete hormones that stimulate the pituitary gland
to release hormones that then affect the target organ.
D. This is incorrect. There are two types of hormones: protein hormones from amino
acids and steroid hormones from fat. Carbohydrates are not involved in the
formation of hormones.
PTS: 1 CON: Health Promotion
4. The nurse at a pediatric clinic is assessing a 11-year-old male. The patient expresses
concern about physical changes he is experiencing and indicates his development is ahead
of his friends’ development. He asks why the changes are occurring. Which response by
the nurse is most appropriate?
a. “Everyone has sex glands. In boys, those are the testes. In girls, ovaries.”
b. “These changes are normal and expected at your age. Don’t worry.”
c. “Your body is releasing more hormones that cause growth, increases in facial and
body hair, and muscle development.”
d. “Not everyone goes through puberty at the same time. It is okay to be ahead of
your friends.”
ANS: C
Chapter: Chapter 18 Endocrine Disorders
Chapter Learning Objective: 2. Identify areas of focus for performing an age-
appropriate endocrine assessment.
Page: 427
Heading: Anatomy and Physiology > Glands of the Endocrine System > Sex Glands
(Gonads)
Integrated Processes: Nursing Process
Identify the choice that best completes the statement or answers the question.
1. The nurse is providing teaching to a 10-year-old patient with a diagnosis of
hyperthyroidism and her parents. Which statement by the patient indicates that additional
teaching is needed?
a. “The beta blockers will help with her heart rate.”
b. “The antithyroid medications can cause skin discoloration.”
c. “A sore throat is to be expected when taking antithyroid medications.”
d. “Regular follow-up visits will be needed to assess thyroid hormone levels.”
ANS: C
Chapter: Chapter 18 Endocrine Disorders
Chapter Learning Objective: 9. Develop a family teaching plan that will optimize
therapy outcomes for patients with endocrine disorders.
Page: 435
Heading: Hyperthyroidism > Safe and Effective Nursing Care: Understanding
Medication
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Analysis [Analyzing]
Concept: Teaching and Learning, Nutrition
Difficulty: Moderate
Feedback
A. This is incorrect. This statement reflects effective learning. Beta-blocking agents
do not decrease the amount of thyroid hormone but provide comfort for the
patient who is experiencing tachycardia, restlessness, and tremors.
B. This is incorrect. This statement reflects effective learning. Antithyroid
medications can cause skin discoloration. Other mild effects include skin rash,
milk leukopenia, loss of taste, and arthralgia.
C. This is correct. This statement indicates the need for additional teaching. Sore
throat may indicate agranulocytosis, which is a severe side effect of antithyroid
medications and should be reported to the health-care provider.
D. This is incorrect. This statement reflects effective learning. Routine follow-up is
necessary to monitor thyroid hormone levels.
PTS: 1 CON: Teaching and Learning, Nutrition
2. The nurse is assessing a 4-month-old infant who has a diagnosis of hypoparathyroidism.
, In which manner will the nurse assess the infant for pain related to the diagnosis?
a. Tap on a facial nerve and note the response.
b. Monitor closely for signs of seizure activity.
c. Assess for hyperreflexia of the muscles.
d. Carefully monitor cardiovascular status.
ANS: A
Chapter: Chapter 18 Endocrine Disorders
Chapter Learning Objective: 5. Describe nursing interventions for the emergency care
of patients with endocrine disorders.
Page: 438
Heading: Clinical Judgment: Chvostek’s Sign
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Analysis [Analyzing]
Concept: Metabolism
Difficulty: Difficult
Feedback
A. This is correct. Assessment of hyperreflexia of the muscles can be performed by
tapping on the facial nerve. If a spasm occurs in the facial muscles, then a
positive Chvostek sign has occurred. This confirms that the child has muscle
spasms, pain, cramping, and twitches.
B. This is incorrect. Seizure activity is possible with a diagnosis of
hypoparathyroidism, and recognition and management is essential. However, a
seizure does not indicate the presence of pain.
C. This is incorrect. Assessment for hyperreflexia of the muscles should be
performed frequently while calcium levels are unstable. However, this
assessment alone does not indicate the presence of pain.
D. This is incorrect. The diagnosis of hypoparathyroidism can cause prolonged QT
interval confirmed by 12-lead electrocardiogram (EKG) related to low calcium
levels. Cardiac telemetry may be indicated, and the nurse should carefully
monitor cardiovascular status. However, this action does not indicate the
presence of pain.
PTS: 1 CON: Metabolism
3. The school nurse is teaching a middle-school class about the hormones that regulate body
functions. Which information provided by the nurse is accurate?
a. Hormones are chemicals secreted by endocrine glands.
b. Hormones act specifically on the glands that produce them.
c. Hormones react with negative feedback as levels decline.
d. Hormones are made from proteins, fats, and carbohydrates.
, ANS: A
Chapter: Chapter 18 Endocrine Disorders
Chapter Learning Objective: 1. Identify the anatomy and physiology of the endocrine
system. Page: 425
Heading: Anatomy and Physiology
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A. This is correct. It is true that hormones are chemicals produced by the endocrine
glands and circulated in the bloodstream to another part of the body.
B. This is incorrect. Hormones do not act specifically on the glands that produce
them; they activate or inhibit cells in the target organs and act as messengers to
those organs.
C. This is incorrect. Positive feedback occurs when hormone levels start to decline,
causing the hypothalamus to secrete hormones that stimulate the pituitary gland
to release hormones that then affect the target organ.
D. This is incorrect. There are two types of hormones: protein hormones from amino
acids and steroid hormones from fat. Carbohydrates are not involved in the
formation of hormones.
PTS: 1 CON: Health Promotion
4. The nurse at a pediatric clinic is assessing a 11-year-old male. The patient expresses
concern about physical changes he is experiencing and indicates his development is ahead
of his friends’ development. He asks why the changes are occurring. Which response by
the nurse is most appropriate?
a. “Everyone has sex glands. In boys, those are the testes. In girls, ovaries.”
b. “These changes are normal and expected at your age. Don’t worry.”
c. “Your body is releasing more hormones that cause growth, increases in facial and
body hair, and muscle development.”
d. “Not everyone goes through puberty at the same time. It is okay to be ahead of
your friends.”
ANS: C
Chapter: Chapter 18 Endocrine Disorders
Chapter Learning Objective: 2. Identify areas of focus for performing an age-
appropriate endocrine assessment.
Page: 427
Heading: Anatomy and Physiology > Glands of the Endocrine System > Sex Glands
(Gonads)
Integrated Processes: Nursing Process
