ATI LPN
PN Learning System Medical Surgical Endocrine Practice Quiz Questions
Question 1 of 5
Parathyroid hormone (PTH) contributes to the process of bone remodelling and helps to maintain homeostasis of blood calcium | In the presence of parathyroid hormone (PTH), osteoclasts can break down bone and release calcium into the bloodstream
Correct Answer: A
Rationale: The Assertion (A) is TRUE because PTH aids bone remodelling and calcium homeostasis. The Reason (R) is TRUE as PTH stimulates osteoclasts to release calcium from bone. R explains A, as this mechanism is how PTH maintains blood calcium levels.
Question 2 of 5
Which should the nurse monitor the client for that is receiving glucocorticoid therapy?
Correct Answer: A
Rationale: Glucocorticoids can cause hypertension due to sodium and water retention.
Question 3 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 4 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 5 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.