ATI RN
Endocrine Pharmacology NCLEX Questions Questions
Question 1 of 5
Which of the following disorders most likely caused the patient's signs and symptoms?
Correct Answer: B
Rationale: The correct answer is B: Prednisone. Prednisone is a corticosteroid commonly used to treat inflammatory conditions like autoimmune disorders. It suppresses the immune system, reducing inflammation and alleviating symptoms. The other choices (A, C, D) are unlikely to be the cause of the patient's signs and symptoms as they are not typically used to treat autoimmune disorders or related symptoms. Mifepristone is an abortion pill, fludrocortisone is a mineralocorticoid used for adrenal insufficiency, and methotrexate is a chemotherapy drug or used to treat autoimmune disorders like rheumatoid arthritis, but not typically for the symptoms described.
Question 2 of 5
Which of the following drugs would be most appropriate for this patient with metastatic cancer?
Correct Answer: A
Rationale: Rationale: Anastrozole is an aromatase inhibitor used for hormone receptor-positive metastatic breast cancer. It inhibits estrogen synthesis, slowing cancer growth. Flutamide is for prostate cancer. Mifepristone is for abortion and Cushing's syndrome, not cancer. Ethinyl estradiol is a synthetic estrogen and not used for cancer.
Question 3 of 5
A 43-year-old woman recently diagnosed with endometriosis started a treatment with medroxyprogesterone, one tablet daily. Which of the following effects most likely occurred after a few days of therapy?
Correct Answer: A
Rationale: The correct answer is A: Decreased body temperature. Medroxyprogesterone is a progestin that can suppress ovulation and reduce estrogen levels. Estrogen influences thermoregulation, so a decrease in estrogen levels can lead to a lower body temperature. The other choices are incorrect because B: increased estrogen secretion would be unlikely with progestin treatment, C: increased ventilatory response to carbon dioxide is not a typical effect of medroxyprogesterone, and D: decreased kidney excretion of sodium and water is not directly related to this medication.
Question 4 of 5
A young couple presented to the physician complaining that they have been trying for 2 years to conceive a second child but have not been successful. Their first child was a healthy 4-year-old girl. Lab tests revealed that the husband was severely oligospermic. On questioning, he admitted he had been taking some drugs to aid his athletic performance. Which of the following drugs most likely contributed to the oligospermia of this man?
Correct Answer: B
Rationale: The correct answer is B: Danazol. Danazol is an androgen derivative that can suppress testosterone production, leading to oligospermia. This drug is known to have negative effects on sperm production and fertility. In this case, the husband's use of drugs to aid athletic performance likely included danazol, which contributed to his oligospermia. Choice A: Vitamin B12 is not known to cause oligospermia. It is essential for sperm production and overall reproductive health. Choice C: Ferrous sulphate is a form of iron supplement and is not associated with oligospermia. It is used to treat iron deficiency anemia. Choice D: Medroxyprogesterone is a progestin hormone and is not a known cause of oligospermia. It is used for various medical conditions but does not directly impact sperm production.
Question 5 of 5
Which of the following drugs would be most appropriate for this boy?
Correct Answer: C
Rationale: The correct answer is C: Calcitriol. Calcitriol is the active form of Vitamin D and is used to treat Vitamin D deficiency. The boy likely has a deficiency as he is young and may not be getting enough sunlight or dietary sources. Calcitriol helps the body absorb calcium and phosphorus, essential for bone health. Cholecalciferol (A) is Vitamin D3, not the active form. Calcitonin (B) is a hormone that regulates calcium levels but not typically used for Vitamin D deficiency. Teriparatide (D) is a medication for osteoporosis, not Vitamin D deficiency. Therefore, Calcitriol is the most appropriate choice for this boy.