Endocrine NUR 3125 Exam Questions With Complete
Solutions
A 12-year-old female is newly diagnosed with type 1 DM.
When the parents ask what causes this, what is the nurse's best
response?
A. A familial, autosomal dominant gene defect
B. Obesity and lack of exercise
C. Immune destruction of the pancreas
D. Hyperglycemia from eating too many sweets Correct
Answers C. Immune destruction of the pancreas
A 19-year-old female with type 1 DM was admitted to the
hospital with altered consciousness and the following lab values:
serum glucose 500 mg/dl (high) and serum K+ 2 (low). Her
parents state that she has been sick with the "flu" for a week.
The diagnosis is hyperosmolar hyperglycemia nonketotic
syndrome (HHNKS). What relationship do these values have
with her insulin deficiency?
A. Increased glucose utilization causes the shift of fluid from the
intravascular to the intracellular space.
B. Decreased insulin causes hyperglycemia and osmotic
diuresis.
C. Increased glucose and fatty acid metabolism stimulates renal
diuresis and electrolyte loss.
D. Increased insulin use results in protein catabolism, tissue
wasting, and electrolyte loss. Correct Answers B. Decreased
insulin causes hyperglycemia and osmotic diuresis.
A 19-year-old female with type 1 DM was admitted to the
hospital with the following lab values: serum glucose 500 mg/dl
, (high), urine glucose and ketones 4+ (high), and arterial pH 7.20
(low). Her parents state that she has been sick with the "flu" for
a week. Which of the following statements best explains her
acidotic state?
A. Increased insulin levels promote protein breakdown and
ketone formation.
B. Her uncontrolled diabetes has led to renal failure.
C. Low serum insulin promotes lipid storage and a
corresponding release of ketones.
D. Insulin deficiency promotes lipid metabolism and ketone
formation. Correct Answers D. Insulin deficiency promotes
lipid metabolism and ketone formation.
A 25-year-old male presents to his primary care provider
reporting changes in facial features. CT scan reveals a mass on
the anterior pituitary, and lab tests reveal severely elevated
growth hormone (GH). Which of the following would the nurse
also expect to find?
A. Decreased IGF-1
B. Hypotension
C. Sexual dysfunction
D. Height increases Correct Answers C. Sexual dysfunction
A 3-year-old male was diagnosed with congenital
hypothyroidism. The parents ask the nurse if left untreated what
will happen. What is the nurse's best response? If left untreated,
the child would have:
A. Cognitive disability and stunted growth
B. Increased risk of childhood thyroid cancer
C. Hyperactivity and attention deficit disorder
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