1e Test Bank Ch.23 Endocrine System and Related Care

Chapter 23

Multiple Choice Questions

1. The thyroid gland produces a hormone which

A) regulates growth and general metabolism.

B) regulates the calcium and potassium levels in the blood.

C) regulates the body's immune system.

D) all of the above

LO#1-Describe the anatomy and physiology of the endocrine system.

2. Cushing's syndrome results when there is

A) hyperactivity of the thyroid gland.

B) hyperactivity of the parathyroid glands.

C) hyperactivity of the adrenal glands.

D) hyperactivity of the pituitary gland.

LO#3-Identify common diseases and disorders of the endocrine system.

3. Insulin-dependent diabetes mellitus is associated with all of the following EXCEPT:

A) juvenile onset

B) can cause diabetic coma

C) little or no insulin is produced

D) controlled by diet and exercise

LO#4-Distinguish between insulin-dependent diabetes mellitus (IDDM) and non–insulin dependent diabetes mellitus (NIDDM).

4. Insulin shock can occur when a diabetic

A) misses a meal.

B) has increased physical activity.

C) receives too much insulin.

D) all of the above

LO#6-Explain the differences between hypoglycemia, hyperglycemia, and diabetic coma.

5. Signs and symptoms of insulin shock include::

A) sweet or fruity breath odor

B) perspiration; excessive sweating

C) decreased appetite

D) increased energy

LO#6-Explain the differences between hypoglycemia, hyperglycemia, and diabetic coma.

6. Signs and symptoms of diabetic coma include:

A) increased appetite

B) slow breathing

C) dry, flushed skin

D) greater appetite

LO#6-Explain the differences between hypoglycemia, hyperglycemia, and diabetic coma.

7. The diabetic client should:

A) always wear shoes for protection

B) cross their legs at the knees when sitting

C) use hot water for bathing

D) all of the above

LO#7-Describe care for clients with diabetes.

8. The results from the blood glucose meter reveal

A) the level of the blood sugar

B) the amount of glucose spilling into the urine

C) the amount of insulin the client received

D) the amount of food to serve at the next meal

LO#7-Describe care for clients with diabetes.

9. When caring for the feet of a diabetic

A) wash the feet carefully each week

B) use lotions to prevent dryness

C) rub the feet briskly to create friction

D) have them go barefoot to air the feet

10. Two small glands that are important in helping the body adapt to stress conditions are

A) the ovaries

B) the salivary glands

C) the adrenals

D) the parathyroids

LO#1-Describe the anatomy and physiology of the endocrine system.

11. When testing the client's blood glucose:

A) wear a gown

B) wash the client's hands

C) wear goggles

D) all of the above

LO#7-Describe care for clients with diabetes.

12. The endocrine system is responsible for:

A) body processes that happen quickly
B) hormone secretion of the thyroid, parathyroid, and adrenal glands increases as we age
C) insulin become more effective as the body ages
D) body processes that happen slowly

LO#2-Explain age-related changes in the endocrine system.

13. Insulin is:

A) a hormone produced by the pancreas that regulates blood glucose levels
B) a hormone produced by the thyroid that regulates blood glucose levels
C) a hormone which becomes more effective as the body ages
D) a hormone which regulates calcium levels

LO#2-Explain age-related changes in the endocrine system.

14. Hypothyroidism is characterised by the following:

A) sudden weight loss
B) fatigue and weakness
C) increased appetite
D) tremors and sweating

LO#3-Identify common diseases and disorders of the endocrine system.

15. People with diabetes are diagnosed with one of three possible types:

A) type 1 or gestational diabetes.
B) type 2 or insulin-dependent diabetes
C) type 1 or non-insulin dependent diabetes
D) gestational diabetes

LO#4-Distinguish between insulin-dependent diabetes mellitus (IDDM) and non–insulin dependent diabetes mellitus (NIDDM).

16. Hypoglycemia refers to:

A) abnormally high blood glucose (over 7.0 mmol/L)
B) abnormally low blood glucose (below 7.0 mmmol/L)
C) abnormally low blood glucose (below 4.0 mmmol/L)
D) abnormally high blood glucose (over 4.0 mmol/L)

LO#5-Define common diabetes-related terms.

17. What is glycogen?

A) a form of glucose that is stored in the liver
B) a hormone that regulates blood glucose
C) sugar formed during carbohydrate metabolism
D) basic food element used by the body

LO#5-Define common diabetes-related terms.

True/False Questions

1. Disorders of the endocrine system may occur at old age.

LO#2-Explain age-related changes in the endocrine system.

2. Thymus function virtually stops during adolescence.

LO#2-Explain age-related changes in the endocrine system.

3. The pituitary gland is often called the “master gland”.

LO#1-Describe the anatomy and physiology of the endocrine system.

4. The hypothalamus gland produces antidiuretic hormone>

LO#1-Describe the anatomy and physiology of the endocrine system.

5. Gestational diabetes a form of diabetes that develops in a woman while she is pregnant.

LO#4-Distinguish between insulin-dependent diabetes mellitus (IDDM) and non–insulin dependent diabetes mellitus (NIDDM).

6. Diabetes has been reduced among the aboriginal people of Canada

LO#4-Distinguish between insulin-dependent diabetes mellitus (IDDM) and non–insulin dependent diabetes mellitus (NIDDM).

7. A diabetic coma unconsciousness caused by high blood glucose and ketones

LO#5-Define common diabetes-related terms.

8. NIDDM refers to: Non–insulin-dependent diabetes mellitus

LO#5-Define common diabetes-related terms.

9. Excessive sweating and perspiration are symptoms of insulin shock.

LO#3-Identify common diseases and disorders of the endocrine system.

10. All diabetic clients must be taught to avoid skin irritation.

LO#7-Describe care for clients with diabetes.

11. A person with diabetes is more susceptible to a condition called arteriosclerosis.

12. When a diabetic client has neuropathy, they are not aware when a pressure point is causing skin irritation.

LO#7-Describe care for clients with diabetes.

13. Common complications associated with diabetes include hypoglycemia, hyperglycemia, infection, impaired circulation, and impaired vision.

LO#6-Explain the differences between hypoglycemia, hyperglycemia, and diabetic coma.

14. Hypoglycemia is abnormally high blood sugar.

LO#6-Explain the differences between hypoglycemia, hyperglycemia, and diabetic coma.

15. Hyperglycemia is abnormally low blood sugar.

LO#6-Explain the differences between hypoglycemia, hyperglycemia, and diabetic coma.

16. Diabetics who do NOT take insulin do NOT need to monitor their blood glucose levels.

LO#7-Describe care for clients with diabetes.

17. Loss of appetite is a common symptom of diabetic coma.

LO#6-Explain the differences between hypoglycemia, hyperglycemia, and diabetic coma.

18. Testing for acetone is a common practice with diabetics.

LO#7-Describe care for clients with diabetes.

19. It is important to check the expiration dates of the blood glucose testing equipment.

LO#7-Describe care for clients with diabetes.

20. Accurate measuring of blood glucose depends on using precise technique to collect and

test the blood glucose.

LO#7-Describe care for clients with diabetes.

21. Diabetics have excellent healing capacity due to taking insulin.

LO#6-Explain the differences between hypoglycemia, hyperglycemia, and diabetic coma.

22. Your client's blood glucose reading is 65. You can wait until later to report this to your supervisor

LO#7-Describe care for clients with diabetes.