Nokea
Which of the following is least descriptive of the hypothalamus?
- A. Secretes releasing hormones.
- B. Controls the secretion of the anterior pituitary gland.
- C. Secretes ACTH, TSH, and gonadotropins.
- D. Synthesizes oxytocin and ADH.
Correct Answer: C
Rationale: The correct answer is C because the hypothalamus does not directly secrete ACTH, TSH, and gonadotropins. It secretes releasing hormones that regulate the secretion of these hormones from the anterior pituitary gland. Choice A and B are correct because the hypothalamus does secrete releasing hormones and controls the anterior pituitary gland. Choice D is incorrect because the hypothalamus synthesizes oxytocin and ADH, which are stored in the posterior pituitary gland.
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The nurse reviews the function of thyroid gland hormones. What is the primary function of calcitonin?
- A. Sodium and potassium balance
- B. Magnesium balance
- C. Norepinephrine balance
- D. Calcium and phosphorus balance
Correct Answer: D
Rationale: The primary function of calcitonin is to regulate calcium and phosphorus balance in the body. Calcitonin works to decrease blood calcium levels by inhibiting bone breakdown and increasing calcium excretion by the kidneys. This helps maintain the overall balance of calcium and phosphorus in the body. Choices A, B, and C are incorrect as they do not align with the known function of calcitonin. Sodium and potassium balance, magnesium balance, and norepinephrine balance are not directly influenced by calcitonin.
Steatorrhoea occurs with all of the following EXCEPT:
- A. gastrinoma
- B. congenital defect in gastric lipase
- C. ileal disease with failure to reabsorb bile salts
- D. exocrine pancreatic disease
Correct Answer: B
Rationale: The correct answer is B because a congenital defect in gastric lipase would not lead to steatorrhoea. Gastrinoma, ileal disease with failure to reabsorb bile salts, and exocrine pancreatic disease can all cause steatorrhoea due to impaired fat digestion or absorption. Gastrinoma can lead to excessive acid production, which can interfere with fat digestion. Ileal disease can affect the reabsorption of bile salts necessary for fat digestion. Exocrine pancreatic disease can result in insufficient pancreatic enzymes needed for fat digestion. Therefore, choice B is the exception as it does not directly impact fat digestion or absorption.
Adam has just been diagnosed with diabetes insipidus. The most common presenting sign is:
- A. Body wasting.
- B. Hyperglycemia.
- C. Hypoglycemia.
- D. Increase in urination.
Correct Answer: D
Rationale: The hallmark symptom of diabetes insipidus is polyuria (excessive urination), which occurs due to the kidney's inability to concentrate urine.
The binding of a steroid hormone to its receptor would lead to the __________.
- A. transcription of the DNA for the gene that is 'turned on' by this event
- B. direct activation of second-messenger agents in the cell
- C. direct activation of enzymes in the cell
- D. formation of cAMP
Correct Answer: A
Rationale: The correct answer is A because the binding of a steroid hormone to its receptor triggers a series of events that ultimately lead to the transcription of DNA for the gene that is 'turned on'. This process involves the hormone-receptor complex entering the nucleus, binding to specific DNA sequences, recruiting transcription factors, and initiating gene expression.
Choice B is incorrect because steroid hormones do not typically use second messengers for signaling. Choice C is incorrect because while some hormones can activate enzymes indirectly, steroid hormones primarily act through gene transcription. Choice D is incorrect because cAMP is typically associated with signaling pathways involving non-steroid hormones like adrenaline.
Mr. Weber, an insulin-dependent diabetic, states that in the afternoon he has occasional severe reactions during which he becomes unconscious. In planning his care, which of the following nursing actions is most appropriate?
- A. Placing a tube of commercially prepared glucose paste at his bedside
- B. Administering regular insulin
- C. Checking his level of consciousness every hour
- D. Keeping a supply of orange juice in the refrigerator
Correct Answer: A
Rationale: For a patient with severe hypoglycemic reactions, it's essential to have a quick source of glucose on hand, like glucose paste, to treat unconsciousness from low blood sugar.