1. 1. an example of exocrine glands
a. adrenals
b. ovaries
c. parathyroids
d. sweat glands
2. the nurse knows that the anterior pituitary gland is responsilble for secreting all of the
following except
a. adrenocorticotropic hormone
b. ADH
c. foliicle-stimulating hormone
d. thyroid-stimulating hormone
3. the major structure balancing the rapid action of the nervous system with slower
hormonal action is the
a. hypothalamus
b. pineal gland
c. hypophysis
d. thyroid gland
4. diabetesinsipidus is disorder related to deficiency of
d. vasopressin
5. when thyroid hormone is administered for prolong hypothyroidism, the nurse knows
to monitor the patient for
a. angina
b. depression
c. mental confusion
d. hypoglycemia
6. the preferred medication for treating hypothyroidism is
a.lithium
b.propandol
c. propylthiouracil
d. synthroid
7. a clinical manifestations NOT usually associated with hyperthyroidism is
a. a pulse rate slower than 90bpm
b. an elevated systolic BP
c. muscular fatigability
d. weight loss
8. patients with hyperparathyroidism are characteristically
a. apathetic and anorexic
b. calm
c. emotionally stable

2. d. sensitive to heat
9. iodine or iodide compounds are used for hyperparathyroidism because they do all of
the following EXCEPT
a. decrease the basal metabolic rate
b. increase the vascularity of the glands
c. lessen the release of thyroid hormone
d. reduce the size of the gland
10. the objectives of pharmacotheraphy for hyperthyroidism include
a. destroying the overreactive thyroid cells
b. preventing thyroid hormonal synthesis
c. increasing the amount of thyroid tissue
d. all of the above
11. signs of thyroid storm include all of the following EXCEPT
a. bradycardia
b. delirium or somnolence
c. dyspnea and chest pain
d. hyperpyrexia
12. medical management for thyroid crisis icludes
a. IV dextrose fuid
b. hypothermia measures
c. oxygen theraphy
d. all of the above
13. pharmacotheraphy for thyroid storm would NOT include the administration of
a.acetaminophen
b. iodine
c. propythiouracil
d. synthetic levothyroxine
14. the most common type of goiter is etiologically related to deficiency of
a. thyrotropin
b. iodine
c. thyroxine
d. calcitonin
15. the most common and least aggressive type of cancer is
a. anaplastic
b. follicular adenocarecinoma
c. medullary
d. papillary adenocarcinoma

3. 16. a diagnosis for hyperparathyroidism can be established by all of the following signs
EXCEPT
a. a negative reading on a Sulkowitch test
b. a serum calcium level of 12 mg/dl
c. an elevated level of parathyroid hormone
d. bone deminilarization seen on x-ray film
17. a recommended breakfast for a hyperparathyroid patient would be
a. ceral with milk and bananas
b. fried eggs and bacon
c. orange juice and toast
d. pork sausage and cranberry juice
18. one of the most important and frequently occuring complications of
hyperparathyroidism is
a. kidney stones
b. pancreatitis
c. pathologic fractures
d. peptic ulcer
19. the pathophysiology of hypoparathyroidism is associated with all of the following
EXCEPT
a. a decrease in serum calcium
b. an eevation of blood phosphate
c. an increase in the renal excretion of phosphate
d. a lowered renal excretion of calcium
20. the goal of medica management for hypoparathyroidism is to
a. achieve a serum calcium level of 9-10mg/dl
b. eliminate clinical symptoms
c. reverse the symptoms
d. accomplish all of the above
21. nursing management for a hypoparathyroid patient would not include
a. maintaing a quiet, subdued environment
b. making certain that the calcium gluconate is kept at the beside
c. observing the patient for signs of tetany
d. supplementing the diet with milk and mlik products
22. apheochromocytoma is an adrenal medulla tumor that causes arterial hypertension
by increasing the level of circulating
a. catecholamines
b. enzymes
c. hormones
d. glucocorticoids

4. 23. a positive test for overactivity of the adrenal medulla is an epinephrine value of
a. 50 pg/ml
b. 100 pg/ml
c. 100-300 pg/ml
d. 450 pg/ml
24. laboratory findings suggestive of Addison's Disease include all of the following
EXCEPT
a. a relative lymphocytosis
b. hyperkalemia and hyponatremia
c. hypertension
d. hypoglycemia
25. a positive diagnosis of Cushing's symdrome is associated with
a. the disappearace of lymphoid tissue
b. a reduction in circulating eosinophis
c. an elevated cortisol level
d. all of the above
26. clinical manifestations of Cushing's syndrome may be modified with the diet that is
a. high in protein
b. low in carbohydrates
c. low in sodium
d.all of the above
27. a patient with aldosteronism would be expected to exhibit all of the following
symptoms EXCEPT
a. alkalosis
b. hypokalemia
c. hyponatremia
d. an increased pH
28. the nurse needs to be aware that large-dose corticosteroid theraphy is most
effective when administered
a. at 8 am
b. at 8 pm
c. between 4 am to 5 am
d. between 4 pm to 5 pm
29. nursing assessment for a patient who is receiving corticosteroid therapy includes
observation for the unacceptable side effect of
a. glaucoma
b. facial mooning
c. potassium loss
d. weight gain