NCLEX questions

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Anonymous
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230272
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NCLEX questions
Updated:
2013-08-17 15:13:08
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Patho
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Description:
Patho test 4
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  1. What neurotransmitter can also act as a hormone?
    epinephrine
  2. When hormones act locally rather than being secreted into the bloodstream, their actions are termed what?
    Autocrine and paracrine
  3. Where are adrenal and gonadal steroid hormones excreted?
    bile and urine
  4. When are GH injections best given to children?
    At night
  5. When the assessment of thyroid autoantobodies is performed, what is the suspected diagnosis?
    Hashimoto
  6. Physical examination of a husky voice, face puffed around the eyes, enlarged tongue
    Myxedema
  7. Manifestations of Thyroid storm
    Tachycardia, delirium, very high fever
  8. What drug is given orally to patients with Addison's disease?
    Hydrocortisone
  9. What are the manifestations of acute adrenal crisis?
    HTN, muscle weakness, dehydration, vascular collapse
  10. What are the manifestations of Cushing syndrome?
    • moon face
    • buffalo hump
    • protruding abdomen
    • thin extremities
    • muscle weakness
  11. Which cells secrete insulin?
    Beta cells
  12. When the glucocorticoid hormones remain elevated for extended periods of time, what can happen?
    Hyperglycemia
  13. In type 2 diabetes

    What are the metabolic abnormalities that occur in the presence of glucose?
    • Deranged secretion of insulin
    • Insulin resistance
    • Increased glucose production by the liver
  14. What disorders can cause diabetes
    Pheochromocytoma and Cushing's
  15. What is the disorder of glucose intolerance that occurs during pregnancy?
    Gestational diabetes mellitus
  16. What are the hallmark signs of diabetes?
    • Polyuria
    • Polydipsia
    • Polyphagia
  17. What is the most definitive diagnosis for DKA?
    • blood glucose level >250 mg/dL
    • bicarbonate <15 mEq/L
    • pH <7.3
  18. What are the S/Sx of hypoglycemia?
    Altered cerebral function and headache
  19. Research has identified a cycle of insulin-induced posthypoglycemic episodes. What is this phenomenon called?
    Somogyi effect
  20. What organs are most at risk for injury in diabetics?
    Kidneys and eyes
  21. What is the most common complication of diabetics requiring hospitalization?
    Foot problems

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