NURS 8022 Endocrine Patho Exam
NURS 8022 ENDOCRINE PATHO EXAM NEWEST /NURS 8022
ENDOCRINE PATHO EXAM PREPARATION/NURS 8022 ENDOCRINE
PATHO PRACTICE EXAM WITH 100 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+|BRAND NEW VERSION!!
A patient presents with polyuria and extreme thirst and is given exogenous ADH.
For which of the following conditions would this treatment be effective? a.
Neurogenic diabetes insipidus
b. Psychogenic diabetes insipidus
c. Nephrogenic diabetes insipidus
d. SIADH
A. Neurogenic diabetes insipidus
Neurogenic diabetes insipidus is caused by the insufficient secretion of ADH; thus,
exogenous ADH would be useful in the treatment of this disorder. Psychogenic
diabetes insipidus is due to increased intake of water and would not respond to
exogenous ADH. ADH is high in nephrogenic diabetes insipidus; thus, exogenous
ADH would be contraindicated. SIADH is manifested by high levels of ADH; thus,
exogenous administration of ADH would be contraindicated.
A patient presents with breast discharge, dysmenorrhea, and excessive
excitability. Tests reveal that all pituitary hormones are elevated. What does the
nurse suspect as the most likely cause for these assessment findings?
a. A pituitary adenoma
b. Hypothalamic hyposecretion
c. Hypothalamic inflammation
d. Pheochromocytoma
a. A pituitary adenoma
Hormonal effects of pituitary adenomas include hypersecretion from the
adenoma itself and hyposecretion from surrounding pituitary cells; in this case,
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, NURS 8022 Endocrine Patho Exam
prolactin would be elevated with the manifestation of menstrual irregularities and
secretion from the breast. These symptoms are not indicative of hypothalamic
inflammation, which would lead to hyposecretion. Pheochromocytoma is a tumor
of the adrenal gland and would be manifested by elevated blood pressure.
What common neurologic disturbances should the nurse assess for in a patient
with a pituitary adenoma?
a. Coma
b. Visual disturbances
c. Confused states
d. Breathing abnormalities
B. Visual disturbance
The clinical manifestations of pituitary adenomas are visual changes including
visual field impairments (often beginning in one eye and progressing to the other)
and temporary blindness. Coma, confusion, and breathing abnormalities are not
associated with pituitary adenomas.
Which assessment result would the nurse expect to find associated with a patient
diagnosed with Graves disease?
a. High levels of circulating thyroid-stimulating autoantibodies
b. Ectopic secretion of thyroid-stimulating hormone (TSH)
c. Low circulating levels of thyroid hormones
d. Increased circulation of iodine
A. High levels of circulating thyroid-stimulating autoantibodies
Graves disease results from a form of type II hypersensitivity in which there is
stimulation of the thyroid by autoantibodies directed against the TSH receptor.
The thyroid-stimulating antibodies stimulate TSH receptors; it is not an ectopic
secretion. Graves disease is manifested by elevated levels of thyroid hormones.
Iodine deficiency leads to goiter but not Graves disease.
While checking the lab results for a patient diagnosed with Graves disease, the
nurse would expect the T3 level to be abnormally:
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, NURS 8022 Endocrine Patho Exam
a. low.
b. high.
c. variable.
d. absent.
b. high
T3 levels are elevated in Graves disease
A patient diagnosed with Graves disease is admitted to a medical-surgical unit.
Which of the following symptoms would the nurse expect to find before
treatment?
a. Weight gain, cold intolerance
b. Slow heart rate, rash
c. Skin hot and moist, rapid heart rate
d. Constipation, confusion
c. skin hot and moist, rapid heart rate
Symptoms of Graves disease include heat intolerance and increased tissue
sensitivity to stimulation by the sympathetic division of the autonomic nervous
system. Weight loss, rather than weight gain, and heat intolerance would result.
Tachycardia, not slow heart rate, would occur. Diarrhea would occur as opposed to
constipation.
Visual disturbances are a common occurrence in patients with untreated Graves
disease. The endocrinologist explains to the patient that the main cause of these
complications is:
a. decreased blood flow to the eye.
b. orbital edema and protrusion of the eyeball.
c. TSH neurotoxicity to retinal cells.
d. local lactic acidosis.
b. orbital edema and protrusion of the eyeball
Visual disturbances with Graves disease include orbital fat accumulation,
inflammation, and edema of the orbital contents resulting in exophthalmos
3|Page
NURS 8022 ENDOCRINE PATHO EXAM NEWEST /NURS 8022
ENDOCRINE PATHO EXAM PREPARATION/NURS 8022 ENDOCRINE
PATHO PRACTICE EXAM WITH 100 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+|BRAND NEW VERSION!!
A patient presents with polyuria and extreme thirst and is given exogenous ADH.
For which of the following conditions would this treatment be effective? a.
Neurogenic diabetes insipidus
b. Psychogenic diabetes insipidus
c. Nephrogenic diabetes insipidus
d. SIADH
A. Neurogenic diabetes insipidus
Neurogenic diabetes insipidus is caused by the insufficient secretion of ADH; thus,
exogenous ADH would be useful in the treatment of this disorder. Psychogenic
diabetes insipidus is due to increased intake of water and would not respond to
exogenous ADH. ADH is high in nephrogenic diabetes insipidus; thus, exogenous
ADH would be contraindicated. SIADH is manifested by high levels of ADH; thus,
exogenous administration of ADH would be contraindicated.
A patient presents with breast discharge, dysmenorrhea, and excessive
excitability. Tests reveal that all pituitary hormones are elevated. What does the
nurse suspect as the most likely cause for these assessment findings?
a. A pituitary adenoma
b. Hypothalamic hyposecretion
c. Hypothalamic inflammation
d. Pheochromocytoma
a. A pituitary adenoma
Hormonal effects of pituitary adenomas include hypersecretion from the
adenoma itself and hyposecretion from surrounding pituitary cells; in this case,
1|Page
, NURS 8022 Endocrine Patho Exam
prolactin would be elevated with the manifestation of menstrual irregularities and
secretion from the breast. These symptoms are not indicative of hypothalamic
inflammation, which would lead to hyposecretion. Pheochromocytoma is a tumor
of the adrenal gland and would be manifested by elevated blood pressure.
What common neurologic disturbances should the nurse assess for in a patient
with a pituitary adenoma?
a. Coma
b. Visual disturbances
c. Confused states
d. Breathing abnormalities
B. Visual disturbance
The clinical manifestations of pituitary adenomas are visual changes including
visual field impairments (often beginning in one eye and progressing to the other)
and temporary blindness. Coma, confusion, and breathing abnormalities are not
associated with pituitary adenomas.
Which assessment result would the nurse expect to find associated with a patient
diagnosed with Graves disease?
a. High levels of circulating thyroid-stimulating autoantibodies
b. Ectopic secretion of thyroid-stimulating hormone (TSH)
c. Low circulating levels of thyroid hormones
d. Increased circulation of iodine
A. High levels of circulating thyroid-stimulating autoantibodies
Graves disease results from a form of type II hypersensitivity in which there is
stimulation of the thyroid by autoantibodies directed against the TSH receptor.
The thyroid-stimulating antibodies stimulate TSH receptors; it is not an ectopic
secretion. Graves disease is manifested by elevated levels of thyroid hormones.
Iodine deficiency leads to goiter but not Graves disease.
While checking the lab results for a patient diagnosed with Graves disease, the
nurse would expect the T3 level to be abnormally:
2|Page
, NURS 8022 Endocrine Patho Exam
a. low.
b. high.
c. variable.
d. absent.
b. high
T3 levels are elevated in Graves disease
A patient diagnosed with Graves disease is admitted to a medical-surgical unit.
Which of the following symptoms would the nurse expect to find before
treatment?
a. Weight gain, cold intolerance
b. Slow heart rate, rash
c. Skin hot and moist, rapid heart rate
d. Constipation, confusion
c. skin hot and moist, rapid heart rate
Symptoms of Graves disease include heat intolerance and increased tissue
sensitivity to stimulation by the sympathetic division of the autonomic nervous
system. Weight loss, rather than weight gain, and heat intolerance would result.
Tachycardia, not slow heart rate, would occur. Diarrhea would occur as opposed to
constipation.
Visual disturbances are a common occurrence in patients with untreated Graves
disease. The endocrinologist explains to the patient that the main cause of these
complications is:
a. decreased blood flow to the eye.
b. orbital edema and protrusion of the eyeball.
c. TSH neurotoxicity to retinal cells.
d. local lactic acidosis.
b. orbital edema and protrusion of the eyeball
Visual disturbances with Graves disease include orbital fat accumulation,
inflammation, and edema of the orbital contents resulting in exophthalmos
3|Page
