Question: Which hormone has both mineralocorticoid and glucocorticoid properties?

Cortisol

Prednisone

Aldosterone

Hydrocortisone

Answer:

Question: A nurse creating a plan of care for a patient with Addison’s disease expects that primary treatment will include:

Blood transfusions

Ablation of the thyroid

Oral calcium supplementation

Adrenocorticosteroid replacement therapy

Answer: Adrenocorticosteroid replacement therapy

Because Addison’s disease results from a deficiency of adrenocorticosteroid hormones, steroid therapy is the primary treatment. Blood transfusions, thyroid ablation, and oral calcium supplements are not primary treatments for Addison’s disease.

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Question: What is the clinical manifestation of Addison’s disease?

Delusions

Hypokalemia

Hyperglycemia

Truncal obesity

Answer:

Question: Which syndrome would be suspected in a patient who has Addison’s disease along with other endocrine conditions?

Hashimoto’s thyroiditis

Autoimmune polyglandular syndrome

Multiple endocrine neoplasia

Syndrome of Inappropriate antidiuretic hormone (SIADH)

Answer:

Question: Which is a clinical manifestation of Cushing syndrome?

Hypovolemia

Hypokalemia

Hyperkalemia

Hyponatremia

Answer: Hypokalemia

Hypokalemia is a sign of Cushing syndrome because of the hyperfunctioning of the adrenal cortex. Hypovolemia, hyperkalemia, and hyponatremia are clinical manifestations of Addison’s disease because of the hypofunctioning of the adrenal cortex.

Question: Which statement is true about pheochromocytoma?

The primary treatment is drug therapy.

An attack is provoked by antiepileptic medications.

Decreased levels of epinephrine and norepinephrine are observed.

Severe pounding headaches and profuse sweating are clinical features.

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Question: Which effect may be observed if large amounts of endogenous corticosteroids are released into systemic circulation during surgery on a patient with Cushing syndrome?

Fatigue

Infections

Delusions

Hypotension

Answer: Infections

A patient may become susceptible to infections if the endogenous corticosteroid levels are high during surgery. Fatigue and delusions may not occur due to elevated corticosteroids. Hypertension, not hypotension, is observed due to increased levels of corticosteroids.

Question: Which hormone deficiency may lead to a life-threatening condition?

Prolactin

Oxytocin

Follicle-stimulating hormone (FSH)

Adrenocorticotropic hormone (ACTH)

Answer:

Question: Which parameter is assessed for corticosteroid imbalance after surgery in a patient with Cushing syndrome?

Plantar

Infection

Fluid intake

Oxygen saturation

Answer: