1.      What controls the direct stimulation of the insulin-secreting cells.

-          Direct stimulation of the insulin-secreting cells of the pancreas by the autonomic nervous system is an example of __________ control?

2.      Types of protein hormones

-          A nurse is teaching staff about protein hormones. Which information should the nurse include? One of the protein hormones is:

-          A patient has high levels of hormones. To adapt to the high hormone concentrations, the patient's target cells have the capacity for:

-          A patient has researched lipid-soluble hormones on the Internet. Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane by:

-          Hormones are effective communicators because they:

-          Which of the following is a protein hormone that is water soluble?
Which of the following is a lipid-soluble hormone?

-          Most protein hormones are transported in the bloodstream:

-          thyroid-stimulating hormone (TSH) is released to stimulate thyroid hormones and is inhibited when plasma levels of thyroid hormone are adequate. This is an example of:

-          Which hormone is involved in the regulation of serum calcium levels?

-          A 25-year-old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is

3.      Assessing patients for elevated thyroxine production

-          A 45-year-old female has elevated thyroxine production. Which of the following would accompany this condition?

-          A 35 year old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find?

-          While checking the lab results for a patient with Graves disease, the nurse would check the T3 level to be abnormally:

4.      Direct effect of insulin binding to receptors

-          A 30-year-old male was diagnosed with hypothyroidism. Synthesis of which of the following would decrease in this patient?

-          When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a _____ effect by a hormone.

5.      Lipid-soluble hormone receptors crossing plasma membrane

-          Lipid-soluble hormone receptors cross the plasma membrane by?

6.      Effects of the removal of the posterior pituitary

-          When a staff member asks the nurse which gland secretes ADH and oxytocin, how should the nurse respond?

-          If a patient's posterior pituitary is removed, which hormone would the nurse expect to decrease?

-          Which principle should the nurse include while planning care for a patient with an ADH problem? ADH release from the posterior pituitary is stimulated by:

-          Which gland secretes ADH and oxytocin?

-          The portion of the pituitary that secretes oxytocin is the _____ pituitary.

7.      Insulin regulation

-          Insulin is primarily regulated by which of the following?

-          A 19-year-old female with type 1 DM was admitted to the hospital with altered consciousness and the following lab values: serum glucose 500 mg/dl (high) and serum K+ 2 (low). Her parents state that she has been sick with the "flu" for a week. The diagnosis is hyperosmolar hyperglycemia nonketotic syndrome (HHNKS). What relationship do these values have with her insulin deficiency?

-          A nurse is teaching a patient about insulin. Which information should the nurse include? Insulin is  primarily regulated by:

8.      Hormone-secreting tumor of the pancreas—what would increase?

-          A 30-year-old male is diagnosed with a hormone-secreting tumor of the pancreas alpha cells. Which of the following would the nurse expect to be most likely increased in this patient?

9.      The effect of insulin on electrolytes

-          Insulin has an effect on which of the following groups of electrolytes?

-          A nurse recalls insulin has an effect on which of the following groups of electrolytes?

-          Which electrolyte does insulin transport in the cell?

-          The major electrolyte of concern in the treatment of diabetic ketoacidosis is:

-          Which of the following statements best describes the rationale for administrating potassium supplements with the patient's insulin therapy?

-          When a patient in diabetic ketoacidosis (DKA) has insulin infusing intravenously, the nurse expects a drop in the serum levels of

-          As a patient with diabetic ketoacidosis receives insulin and fluids, the nurse knows careful assessment must be given to which of the following electrolytes?

-          A patient was admitted to the critical care unit with diabetic ketoacidosis (DKA). Glucose is 349 mg/dL, K+ is 3.7 mEq/L, and pH is 7.10. Which of the following interventions would you expect?

10.  Hormonal regulation involved in child birth and stopping uterine bleeding

-          A nurse is teaching the staff about disseminated intravascular coagulation (DIC). Which information should the nurse include? The sequence of events in DIC is initiated by the release of:

-          What is oxytocin, an endogenous hormone, produced by?

o   What are the responsibilities of oxytocin?

o   What hormonal level changes occur is believed to be the initiators of labors?