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ATI LPN · Medical Surgical Nursing · Medical Surgical Endocrine Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Hormones are classified into three types:

A. amines, peptides, and steroids
B. amines, steroids, and phospholipids
C. amines, phospholipids, and steroids
D. amines, free fatty acids, and peptides

Expert Explanatory Rationale

Correct Answer: amines, peptides, and steroids

Question 2 of 5

The nurse is caring for a patient who has been experiencing infertility. Which statement indicates that the patient understands the impact of inadequate luteinizing hormone (LH) levels?

A. Since luteinizing hormone maintains my secondary sex characteristics, low levels explain my small breasts.'
B. Low levels of luteinizing hormone cause the swelling I experience during my menstrual cycle.'
C. Low levels of luteinizing hormone cause my menstrual cycle irregularities.'
D. Since luteinizing hormone stimulates ovulation and progesterone production, low levels could cause infertility.'

Expert Explanatory Rationale

Correct Answer: Since luteinizing hormone stimulates ovulation and progesterone production, low levels could cause infertility.'

Question 3 of 5

The nurse is admitting a client who has hyperglycemic-hyperosmolar state (HHS). Which of the following assessment findings is consistent with this diagnosis?

A. Positive ketones in the urine.
B. A blood sugar of 820 mg/dL.
C. A serum pH of 7.29
D. Kussmaul respirations.

Expert Explanatory Rationale

Correct Answer: A blood sugar of 820 mg/dL.

Question 4 of 5

A 26-year-old man developed sudden severe abdominal pain. On physical examination, he had marked abdominal tenderness and guarding. Laboratory studies showed serum glucose, 76 mg/dL; calcium, 12.2 mg/dL; phosphorus, 2.6 mg/dL; creatinine, 1.1 mg/dL; and parathyroid hormone, 62 pg/mL (normal range 9 to 60 pg/mL). During surgery, four enlarged parathyroid glands were found and excised, with reimplantation of one half of one gland. After the surgery, his serum calcium concentration returned to normal. Three years later, he had an episode of upper gastrointestinal hemorrhage. An endoscopy and biopsy specimen showed multiple benign gastric ulcerations. Abdominal MRI indicated multiple 1- to 2-cm mass lesions in the pancreas. He underwent surgery, and multiple tumors were found. Which of the following additional neoplasm lesions is he most likely to have?

A. Adrenal pheochromocytoma
B. Endometrial carcinoma
C. Pituitary adenoma
D. Pulmonary small cell anaplastic carcinoma

Expert Explanatory Rationale

Correct Answer: Pituitary adenoma

Question 5 of 5

Which class of hormones triggers the synthesis of new intracellular proteins within the target cell?

A. peptides
B. catecholamines
C. steroids
D. c and d

Expert Explanatory Rationale

Correct Answer: c and d

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