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NURS 215 Exam 3 Study Guide Questions and Answers with Complete Solutions 2024

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The physician suspects a client may be experiencing hypofunction of an endocrine organ. Select the most appropriate test to determine organ function. -Correct Answer Stimulation tests Select the statement that best explains the function of hormone receptors. -Correct Answer Hormone receptors recognize a specific hormone and translate the signal into a cellular response. The nurse is caring for a client who has been diagnosed with severe chronic obstructive pulmonary disease and has been taking oral steroids for several years. The nurse is aware that the client is at risk for: -Correct Answer Suppression of the client's hypothalamic-pituitary-target cell system As part of maintaining homeostasis, hormones secreted by endocrine cells are inactivated continuously to: -Correct Answer Prevent accumulation When caring for a client with anemia and a decrease in red blood cells (RBCs), the nurse recognizes which of these hormones will stimulate the bone marrow to produce additional RBCs? -Correct Answer Erythropoietin The nurse is caring for a client with diabetes. Which of these findings is cause for concern leading the nurse to initiate client education? -Correct Answer Hemoglobin A1 C level is 8.7. The nurse is planning to collect a 24-hour urine sample for hormone assay. In which of these situations does the nurse collaborate with the health care provider to find an alternate type of testing? -Correct Answer Client has anuria. A client who is referred to the endocrinologist's office for an evaluation of his hormone levels asks what regulates the hormone levels. The best response would be that hormone levels in the body are primarily regulated by: -Correct Answer The hypothalamic-pituitary-target cell system Which gland is often referred to as the master gland because it secretes many hormones? -Correct Answer Pituitary The physician is assessing a client with a preliminary diagnosis of endocrine disorder. Further assessment findings identify abnormalities with emotion, pain, body temperature, and neural input. The physician determines the need to further assess the: -Correct Answer Hypothalamus A nursing instructor is teaching a group of students about the action of hormones. The instructor determined that teaching was effective when the students' recognize the local action of hormones as: -Correct Answer Paracrine Which of the following hormones cross cell membranes to connect to nuclear receptors? Select all that apply. -Correct Answer • Vitamin D • Thyroid hormones • Glucocorticoids Cyclic adenosine monophosphate (cAMP) performs which of the following roles in the functioning of the endocrine system? -Correct Answer Acting as a second messenger to mediate hormone action on target cells The nurse explains to a client in labor who has demonstrated ineffective contractions impeding progression of labor that the health care provider has added oxytocin infusion to the orders. Which of these does the nurse teach the client is the purpose of oxytocin? -Correct Answer To stimulate contraction of the uterus The nurse is teaching a new diabetic about fingerstick blood glucose testing. When the client obtains a pre-meal fingerstick reading of 206 mg/dL, which teaching by the nurse is most appropriate? -Correct Answer This is an elevated reading - let's talk about adherence to insulin and diet. Hormones are chemical messengers that: -Correct Answer regulate body functions. Release and synthesis of anterior pituitary hormones are mainly regulated by the inhibiting or releasing actions of the: -Correct Answer hypothalamus The hormone levels in the body need to be kept within an appropriate range. How is this accomplished for many of the hormones in the body? -Correct Answer Negative feedback loop What is the most common mechanism of hormone control? -Correct Answer Negative feedback Which of the following organ systems is matched with the preferred type of imaging? -Correct Answer Magnetic resonance imaging (MRI) of the pituitary gland Which of the following manifestations would a nurse expect when assessing a child with insufficient growth hormone (GH) secretion? -Correct Answer Rank below 10% on the growth chart When comparing the endocrine and nervous system functions, the nurse knows that the endocrine system: Select all that apply. -Correct Answer • Glands are widely scattered throughout the body

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NUR 215 exam 3



NURS 215 Exam 3 Study Guide Questions and
Answers with Complete Solutions 2024
The physician suspects a client may be experiencing hypofunction of an endocrine
organ. Select the most appropriate test to determine organ function. -Correct Answer
✔Stimulation tests

Select the statement that best explains the function of hormone receptors. -Correct
Answer ✔Hormone receptors recognize a specific hormone and translate the signal into
a cellular response.

The nurse is caring for a client who has been diagnosed with severe chronic obstructive
pulmonary disease and has been taking oral steroids for several years. The nurse is
aware that the client is at risk for: -Correct Answer ✔Suppression of the client's
hypothalamic-pituitary-target cell system

As part of maintaining homeostasis, hormones secreted by endocrine cells are
inactivated continuously to: -Correct Answer ✔Prevent accumulation

When caring for a client with anemia and a decrease in red blood cells (RBCs), the
nurse recognizes which of these hormones will stimulate the bone marrow to produce
additional RBCs? -Correct Answer ✔Erythropoietin

The nurse is caring for a client with diabetes. Which of these findings is cause for
concern leading the nurse to initiate client education? -Correct Answer ✔Hemoglobin A1
C level is 8.7.

The nurse is planning to collect a 24-hour urine sample for hormone assay. In which of
these situations does the nurse collaborate with the health care provider to find an
alternate type of testing? -Correct Answer ✔Client has anuria.

A client who is referred to the endocrinologist's office for an evaluation of his hormone
levels asks what regulates the hormone levels. The best response would be that
hormone levels in the body are primarily regulated by: -Correct Answer ✔The
hypothalamic-pituitary-target cell system

Which gland is often referred to as the master gland because it secretes many
hormones? -Correct Answer ✔Pituitary

The physician is assessing a client with a preliminary diagnosis of endocrine disorder.
Further assessment findings identify abnormalities with emotion, pain, body
temperature, and neural input. The physician determines the need to further assess the:
-Correct Answer ✔Hypothalamus



NUR 215 exam 3

,NUR 215 exam 3


A nursing instructor is teaching a group of students about the action of hormones. The
instructor determined that teaching was effective when the students' recognize the local
action of hormones as: -Correct Answer ✔Paracrine

Which of the following hormones cross cell membranes to connect to nuclear
receptors? Select all that apply. -Correct Answer ✔• Vitamin D
• Thyroid hormones
• Glucocorticoids

Cyclic adenosine monophosphate (cAMP) performs which of the following roles in the
functioning of the endocrine system? -Correct Answer ✔Acting as a second messenger
to mediate hormone action on target cells

The nurse explains to a client in labor who has demonstrated ineffective contractions
impeding progression of labor that the health care provider has added oxytocin infusion
to the orders. Which of these does the nurse teach the client is the purpose of oxytocin?
-Correct Answer ✔To stimulate contraction of the uterus

The nurse is teaching a new diabetic about fingerstick blood glucose testing. When the
client obtains a pre-meal fingerstick reading of 206 mg/dL, which teaching by the nurse
is most appropriate? -Correct Answer ✔This is an elevated reading - let's talk about
adherence to insulin and diet.

Hormones are chemical messengers that: -Correct Answer ✔regulate body functions.

Release and synthesis of anterior pituitary hormones are mainly regulated by the
inhibiting or releasing actions of the: -Correct Answer ✔hypothalamus

The hormone levels in the body need to be kept within an appropriate range. How is this
accomplished for many of the hormones in the body? -Correct Answer ✔Negative
feedback loop

What is the most common mechanism of hormone control? -Correct Answer ✔Negative
feedback

Which of the following organ systems is matched with the preferred type of imaging? -
Correct Answer ✔Magnetic resonance imaging (MRI) of the pituitary gland

Which of the following manifestations would a nurse expect when assessing a child with
insufficient growth hormone (GH) secretion? -Correct Answer ✔Rank below 10% on the
growth chart

When comparing the endocrine and nervous system functions, the nurse knows that the
endocrine system: Select all that apply. -Correct Answer ✔• Glands are widely scattered
throughout the body


NUR 215 exam 3

, NUR 215 exam 3


• Takes longer to respond to innervations but has prolonged actions when they arrive
• Releases hormones into the blood that is transported throughout the body

Which of the following structures controls the functions of the greatest number of target
glands and cells? -Correct Answer ✔Pituitary gland

A patient experiences an increase in thyroid hormone as a result of a thyroid tumor.
Which of the following hormonal responses demonstrates the negative feedback
mechanism? -Correct Answer ✔Decreased thyroid-stimulating hormone (TSH)

The nurse is teaching a client who has been newly diagnosed with hypothyroidism
about the function of the thyroid. Which of these does the nurse explain to the client is
the role of the thyroid gland? -Correct Answer ✔The thyroid gland is responsible for
increasing the metabolic rate.

When hormones act locally rather than being secreted into the bloodstream, their
actions are termed what? -Correct Answer ✔Autocrine and paracrine

Hormones are usually divided into categories according to their structure. The release
of epinephrine would be classified as: -Correct Answer ✔Amines and amino acids

Which of the following hormones is produced by the anterior pituitary gland? -Correct
Answer ✔Growth hormone (GH)

A client has developed a tumor of the posterior pituitary gland. The client is at risk for
problems with secretions of: -Correct Answer ✔Antidiuretic hormone (ADH) and
oxytocin

A patient develops hypocalcemia after thyroid surgery. Which of the following hormonal
imbalances caused this complication? -Correct Answer ✔Lack of parathyroid hormone

Which of the following body functions is regulated by several hormones? -Correct
Answer ✔Lipolysis

Select the process that allows hormones to exert influence upon some cells and not
others. -Correct Answer ✔Receptor binding

Which of the following describes how water-soluble peptides such as parathyroid
hormone, or glucagon, exert their effect on cells? -Correct Answer ✔They bind to
receptors.

Select the category of hormones that include norepinephrine and epinephrine. -Correct
Answer ✔Amines and amino acids




NUR 215 exam 3

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