ATI LPN
PN Learning System Medical Surgical Endocrine Practice Quiz Questions
Question 1 of 5
Adipocytes (fat cells) produce the hormone ___ which is sometimes known as the 'satiety hormone'.
Correct Answer: D
Rationale: Leptin, produced by fat cells, signals satiety to the brain, helping regulate energy balance.
Question 2 of 5
Which assessment finding should the nurse recognize is an adverse CNS effect of mitotane (Lysodren)?
Correct Answer: D
Rationale: Confusion, depression, and dizziness are CNS side effects of mitotane.
Question 3 of 5
The nurse correlates a husky voice in the patient with hypothyroidism to which assessment finding?
Correct Answer: C
Rationale: Edema of the tongue and around the larynx causes changes in speech resulting in a husky tone, a common finding in hypothyroidism due to myxedema.
Question 4 of 5
A patient with thyroid cancer is receiving high-dose radiation to the thyroid gland. In assessing the patient, which clinical manifestations would be consistent with hypoparathyroidism?
Correct Answer: B
Rationale: Clinical manifestations of hypoparathyroidism are related to hypocalcemia and include tetany, muscle cramps, positive Chvostek's sign, positive Trousseau's sign, paresthesias of the hands and feet, and circumoral tingling.
Question 5 of 5
What actions does the nurse implement for the patient experiencing thyroid storm? SelectONE that does not apply.
Correct Answer: C
Rationale: 1: Cooling blankets may be used to treat hyperthermia. 2: Fluid resuscitation is a priority in a thyroid storm. 4: Glucocorticoids, of which dexamethasone is one, may be administered to block the conversion of T4 to T3 and decrease the release of thyroid-stimulating hormone (TSH) from the anterior pituitary gland. 5: For management of tachycardia, beta-adrenergic blockers may be administered.