NUR 215 EXAM 1 SUMMER-FALL 2024 ARIZONA
COLLEGE OF NURSING (Modules 1-3)
The physician suspects a client may be experiencing hypofunction of an endocrine
organ. Select the most appropriate test to determine organ function. - ANSWER:
Stimulation tests
Select the statement that best explains the function of hormone receptors. -
ANSWER: Hormone receptors recognize a specific hormone and translate the signal
into a cellular response.
The nurse is caring for a client who has been diagnosed with severe chronic
obstructive pulmonary disease and has been taking oral steroids for several years.
The nurse is aware that the client is at risk for: - ANSWER: Suppression of the client's
hypothalamic-pituitary-target cell system
As part of maintaining homeostasis, hormones secreted by endocrine cells are
inactivated continuously to: - ANSWER: Prevent accumulation
When caring for a client with anemia and a decrease in red blood cells (RBCs), the
nurse recognizes which of these hormones will stimulate the bone marrow to
produce additional RBCs? - ANSWER: Erythropoietin
The nurse is caring for a client with diabetes. Which of these findings is cause for
concern leading the nurse to initiate client education? - ANSWER: Hemoglobin A1 C
level is 8.7.
The nurse is planning to collect a 24-hour urine sample for hormone assay. In which
of these situations does the nurse collaborate with the health care provider to find
an alternate type of testing? - ANSWER: Client has anuria.
A client who is referred to the endocrinologist's office for an evaluation of his
hormone levels asks what regulates the hormone levels. The best response would be
that hormone levels in the body are primarily regulated by: - ANSWER: The
hypothalamic-pituitary-target cell system
Which gland is often referred to as the master gland because it secretes many
hormones? - ANSWER: Pituitary
The physician is assessing a client with a preliminary diagnosis of endocrine disorder.
Further assessment findings identify abnormalities with emotion, pain, body
temperature, and neural input. The physician determines the need to further assess
the: - ANSWER: Hypothalamus
,A nursing instructor is teaching a group of students about the action of hormones.
The instructor determined that teaching was effective when the students' recognize
the local action of hormones as: - ANSWER: Paracrine
Which of the following hormones cross cell membranes to connect to nuclear
receptors? Select all that apply. - ANSWER: • Vitamin D
• Thyroid hormones
• Glucocorticoids
Cyclic adenosine monophosphate (cAMP) performs which of the following roles in
the functioning of the endocrine system? - ANSWER: Acting as a second messenger
to mediate hormone action on target cells
The nurse explains to a client in labor who has demonstrated ineffective contractions
impeding progression of labor that the health care provider has added oxytocin
infusion to the orders. Which of these does the nurse teach the client is the purpose
of oxytocin? - ANSWER: To stimulate contraction of the uterus
The nurse is teaching a new diabetic about fingerstick blood glucose testing. When
the client obtains a pre-meal fingerstick reading of 206 mg/dL, which teaching by the
nurse is most appropriate? - ANSWER: This is an elevated reading - let's talk about
adherence to insulin and diet.
Hormones are chemical messengers that: - ANSWER: regulate body functions.
Release and synthesis of anterior pituitary hormones are mainly regulated by the
inhibiting or releasing actions of the: - ANSWER: hypothalamus
The hormone levels in the body need to be kept within an appropriate range. How is
this accomplished for many of the hormones in the body? - ANSWER: Negative
feedback loop
What is the most common mechanism of hormone control? - ANSWER: Negative
feedback
Which of the following organ systems is matched with the preferred type of
imaging? - ANSWER: Magnetic resonance imaging (MRI) of the pituitary gland
Which of the following manifestations would a nurse expect when assessing a child
with insufficient growth hormone (GH) secretion? - ANSWER: Rank below 10% on the
growth chart
When comparing the endocrine and nervous system functions, the nurse knows that
the endocrine system: Select all that apply. - ANSWER: • Glands are widely scattered
throughout the body
• Takes longer to respond to innervations but has prolonged actions when they
arrive
, • Releases hormones into the blood that is transported throughout the body
Which of the following structures controls the functions of the greatest number of
target glands and cells? - ANSWER: Pituitary gland
A patient experiences an increase in thyroid hormone as a result of a thyroid tumor.
Which of the following hormonal responses demonstrates the negative feedback
mechanism? - ANSWER: Decreased thyroid-stimulating hormone (TSH)
The nurse is teaching a client who has been newly diagnosed with hypothyroidism
about the function of the thyroid. Which of these does the nurse explain to the client
is the role of the thyroid gland? - ANSWER: The thyroid gland is responsible for
increasing the metabolic rate.
When hormones act locally rather than being secreted into the bloodstream, their
actions are termed what? - ANSWER: Autocrine and paracrine
Hormones are usually divided into categories according to their structure. The
release of epinephrine would be classified as: - ANSWER: Amines and amino acids
Which of the following hormones is produced by the anterior pituitary gland? -
ANSWER: Growth hormone (GH)
A client has developed a tumor of the posterior pituitary gland. The client is at risk
for problems with secretions of: - ANSWER: Antidiuretic hormone (ADH) and
oxytocin
A patient develops hypocalcemia after thyroid surgery. Which of the following
hormonal imbalances caused this complication? - ANSWER: Lack of parathyroid
hormone
Which of the following body functions is regulated by several hormones? - ANSWER:
Lipolysis
Select the process that allows hormones to exert influence upon some cells and not
others. - ANSWER: Receptor binding
Which of the following describes how water-soluble peptides such as parathyroid
hormone, or glucagon, exert their effect on cells? - ANSWER: They bind to receptors.
Select the category of hormones that include norepinephrine and epinephrine. -
ANSWER: Amines and amino acids
Select the most accurate statement regarding measurements of urinary hormone: -
ANSWER: Provide a better measure of hormone levels during a designated period.
COLLEGE OF NURSING (Modules 1-3)
The physician suspects a client may be experiencing hypofunction of an endocrine
organ. Select the most appropriate test to determine organ function. - ANSWER:
Stimulation tests
Select the statement that best explains the function of hormone receptors. -
ANSWER: Hormone receptors recognize a specific hormone and translate the signal
into a cellular response.
The nurse is caring for a client who has been diagnosed with severe chronic
obstructive pulmonary disease and has been taking oral steroids for several years.
The nurse is aware that the client is at risk for: - ANSWER: Suppression of the client's
hypothalamic-pituitary-target cell system
As part of maintaining homeostasis, hormones secreted by endocrine cells are
inactivated continuously to: - ANSWER: Prevent accumulation
When caring for a client with anemia and a decrease in red blood cells (RBCs), the
nurse recognizes which of these hormones will stimulate the bone marrow to
produce additional RBCs? - ANSWER: Erythropoietin
The nurse is caring for a client with diabetes. Which of these findings is cause for
concern leading the nurse to initiate client education? - ANSWER: Hemoglobin A1 C
level is 8.7.
The nurse is planning to collect a 24-hour urine sample for hormone assay. In which
of these situations does the nurse collaborate with the health care provider to find
an alternate type of testing? - ANSWER: Client has anuria.
A client who is referred to the endocrinologist's office for an evaluation of his
hormone levels asks what regulates the hormone levels. The best response would be
that hormone levels in the body are primarily regulated by: - ANSWER: The
hypothalamic-pituitary-target cell system
Which gland is often referred to as the master gland because it secretes many
hormones? - ANSWER: Pituitary
The physician is assessing a client with a preliminary diagnosis of endocrine disorder.
Further assessment findings identify abnormalities with emotion, pain, body
temperature, and neural input. The physician determines the need to further assess
the: - ANSWER: Hypothalamus
,A nursing instructor is teaching a group of students about the action of hormones.
The instructor determined that teaching was effective when the students' recognize
the local action of hormones as: - ANSWER: Paracrine
Which of the following hormones cross cell membranes to connect to nuclear
receptors? Select all that apply. - ANSWER: • Vitamin D
• Thyroid hormones
• Glucocorticoids
Cyclic adenosine monophosphate (cAMP) performs which of the following roles in
the functioning of the endocrine system? - ANSWER: Acting as a second messenger
to mediate hormone action on target cells
The nurse explains to a client in labor who has demonstrated ineffective contractions
impeding progression of labor that the health care provider has added oxytocin
infusion to the orders. Which of these does the nurse teach the client is the purpose
of oxytocin? - ANSWER: To stimulate contraction of the uterus
The nurse is teaching a new diabetic about fingerstick blood glucose testing. When
the client obtains a pre-meal fingerstick reading of 206 mg/dL, which teaching by the
nurse is most appropriate? - ANSWER: This is an elevated reading - let's talk about
adherence to insulin and diet.
Hormones are chemical messengers that: - ANSWER: regulate body functions.
Release and synthesis of anterior pituitary hormones are mainly regulated by the
inhibiting or releasing actions of the: - ANSWER: hypothalamus
The hormone levels in the body need to be kept within an appropriate range. How is
this accomplished for many of the hormones in the body? - ANSWER: Negative
feedback loop
What is the most common mechanism of hormone control? - ANSWER: Negative
feedback
Which of the following organ systems is matched with the preferred type of
imaging? - ANSWER: Magnetic resonance imaging (MRI) of the pituitary gland
Which of the following manifestations would a nurse expect when assessing a child
with insufficient growth hormone (GH) secretion? - ANSWER: Rank below 10% on the
growth chart
When comparing the endocrine and nervous system functions, the nurse knows that
the endocrine system: Select all that apply. - ANSWER: • Glands are widely scattered
throughout the body
• Takes longer to respond to innervations but has prolonged actions when they
arrive
, • Releases hormones into the blood that is transported throughout the body
Which of the following structures controls the functions of the greatest number of
target glands and cells? - ANSWER: Pituitary gland
A patient experiences an increase in thyroid hormone as a result of a thyroid tumor.
Which of the following hormonal responses demonstrates the negative feedback
mechanism? - ANSWER: Decreased thyroid-stimulating hormone (TSH)
The nurse is teaching a client who has been newly diagnosed with hypothyroidism
about the function of the thyroid. Which of these does the nurse explain to the client
is the role of the thyroid gland? - ANSWER: The thyroid gland is responsible for
increasing the metabolic rate.
When hormones act locally rather than being secreted into the bloodstream, their
actions are termed what? - ANSWER: Autocrine and paracrine
Hormones are usually divided into categories according to their structure. The
release of epinephrine would be classified as: - ANSWER: Amines and amino acids
Which of the following hormones is produced by the anterior pituitary gland? -
ANSWER: Growth hormone (GH)
A client has developed a tumor of the posterior pituitary gland. The client is at risk
for problems with secretions of: - ANSWER: Antidiuretic hormone (ADH) and
oxytocin
A patient develops hypocalcemia after thyroid surgery. Which of the following
hormonal imbalances caused this complication? - ANSWER: Lack of parathyroid
hormone
Which of the following body functions is regulated by several hormones? - ANSWER:
Lipolysis
Select the process that allows hormones to exert influence upon some cells and not
others. - ANSWER: Receptor binding
Which of the following describes how water-soluble peptides such as parathyroid
hormone, or glucagon, exert their effect on cells? - ANSWER: They bind to receptors.
Select the category of hormones that include norepinephrine and epinephrine. -
ANSWER: Amines and amino acids
Select the most accurate statement regarding measurements of urinary hormone: -
ANSWER: Provide a better measure of hormone levels during a designated period.
