Chapter 55 Assessment of Endocrine Function

Chapter 55  Assessment of Endocrine Function

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Blood work of a female client shows an increase in the production of estradiol. The nurse realizes that this hormone is controlled by:
1.
positive feedback.
2.
negative feedback.
3.
nervous feedback.
4.
reverse feedback.

ANS: 1
Even though most of the hormones in the endocrine system are under a negative feedback mechanism, estradiol is not one of those hormones. Estradiol is controlled by a positive feedback mechanism in that when it increases, there will be in an increase in the production of follicle-stimulating hormone by the anterior pituitary.

PTS: 1 DIF: Analyze REF: Positive Feedback Mechanisms

2. The nurse, instructing a client regarding hormones, would include which of the following in these instructions?
1.
Hormones are nonspecific.
2.
Hormone release triggers a rapid response.
3.
Hormones do not influence other hormones.
4.
The nervous system and hormones work together to maintain homeostasis.

ANS: 4
A close relationship between the endocrine and nervous systems is required to allow them to control homeostasis. The short-term rapid responses by the nervous system are balanced by the long-term responses from the endocrine system. Hormones are specific and can influence other hormones. This is what the nurse should instruct the client. The other choices are incorrect and should not be included in instructions to the client.

PTS: 1 DIF: Apply REF: Hormones

3. A client is experiencing a disorder to the anterior pituitary gland. The nurse realizes that all of the following hormones will be affected by this disorder EXCEPT:
1.
adrenocorticotropic hormone.
2.
antidiuretic hormone.
3.
melanocyte-stimulating hormone.
4.
luteinizing hormone.

ANS: 2
Antidiuretic hormone is stored by the posterior pituitary. The other choices are under the regulation of the anterior pituitary gland and would be affected by a disorder in this area.

PTS: 1 DIF: Analyze REF: Table 55-1 Endocrine Gland Hormones

4. A client has a central nervous system disorder. The nurse realizes that the client may be experiencing alterations in hormones regulated by which of the following organs?
1.
Hypothalamus
2.
Pineal gland
3.
Pituitary gland
4.
Thyroid

ANS: 1
The hypothalamus is considered the major regulating organ of the body because it is the connection between the nervous system and the endocrine system. The other organs take direction from the hypothalamus through the central nervous system.

PTS: 1 DIF: Analyze REF: Hypothalamus Gland