All NCLEX Resources
Example Questions
Example Question #1 : Endocrine And Immune Systems
What nutrients are specifically needed for proper thyroid hormone production?
Tyrosine, iodine, and selenium
Iodine and manganese
Iron, manganese, and biotin
Methionine and magnesium
Tyrosine, iodine, and selenium
The nutrients specifically required for thyroid hormone production are tyrosine, iodine, and selenium, in addition to zinc and several B vitamins. While magnesium, manganese, and methionine are all essential for metabolism and overall hormone production, they are not direct substrates or cofactors in the production of thyroid hormone.
Example Question #2 : Endocrine And Immune Systems
What is selenium’s role in thyroid hormone production?
Synthesis of T3
Conversion of T4 to T3
Conversion of phenylalanine into tyrosine
Synthesis of T4
Conversion of T4 to T3
Selenium is essential for conversion of T4 to T3. Deiodinase enzymes, which remove iodine from T4 during conversion into T3, are selenium dependent. Tyrosine and iodine are both required for synthesis of T4, and iron is the cofactor for conversion of phenylalanine into tyrosine.
Example Question #3 : Endocrine And Immune Systems
What role do tyrosine and iodine play in thyroid hormone (thyroxine (T4), and triiodothyronine (T3)) production?
Conversion of phenylalanine into tyrosine
Conversion of T4 to T3
None of these
Synthesis of T4
Synthesis of T4
Tyrosine and iodine are both precursors for synthesis of T4. Selenium is essential for conversion of T4 to T3, and iron is the cofactor for conversion of phenylalanine into tyrosine.
Example Question #4 : Endocrine And Immune Systems
What hormone is produced as a response to rising plasma calcium levels?
Calcitonin
Parathyroid hormone
Thyroid hormone
Cortisol
Calcitonin
Calcitonin is produced by the parafollicular (c cells) of the thyroid as a response to elevated blood calcium levels. Calcitonin reduces plasma calcium by inhibiting osteoclast activity and stimulating osteoblasts to deposit more bone. Parathyroid hormone has the opposite effect - it acts to increase calcium levels when serum calcium decreases. While they may ultimately affect serum calcium levels, thyroid hormone and cortisol are not directly involved in calcium homeostasis.
Example Question #5 : Endocrine And Immune Systems
Which of the following hormones is produced in the anterior pituitary?
Thyroid stimulating hormone (TSH)
Dopamine
Somatostatin
Gonadotropin releasing hormone (GnRH)
Thyroid stimulating hormone (TSH)
Thyroid-stimulating hormone (TSH) is produced in the anterior pituitary. Somatostatin, dopamine, and gonadotropin releasing hormone are all hypothalamic hormones. Somatostatin is also secreted by the pancreas, and slows down digestive processes. To remember the hormones of the anterior pituitary, use the following mnemonic: FLAT PEG, Follicle-stimulating hormone, Luteinizing hormone, Adrenocorticotropic hormone, Thyroid-stimulating hormone, Prolactin, Endorphins, Growth hormone.
Example Question #6 : Endocrine And Immune Systems
Which of the following hormones is produced by the adrenal medulla?
Calcitonin
Thyroid-stimulating hormone
Follicle-stimulating hormone
Epinephrine
Antidiuretic hormone
Epinephrine
Epinephrine is the only hormone of those listed that is produced by the adrenal medulla. The adrenal medulla is the center of the adrenal gland. Antidiuretic hormone is produced by the posterior pituitary. Calcitonin is produced by the thyroid. Thyroid-stimulating hormone is secreted from the anterior pituitary, as is follicle-stimulating hormone.
Example Question #7 : Endocrine And Immune Systems
Which of the following hormones promotes uterine contractility during and after childbirth?
Amylin
Estrogen
Oxytocin
Progesterone
Prolactin
Oxytocin
Oxytocin is produced by the hypothalamus, and is released by the posterior pituitary. Women experience an increased level of oxytocin during labor, after birth, and while breastfeeding. It helps to increase uterine contractility, aiding in the delivery process and preventing hemorrhage after birth. Progesterone and estrogen are hormones released from the ovary. Estrogen is has many effects on the body, one of which is the development of sex characteristics in females. Progesterone is important in regulation of the uterine lining. Prolactin is made by the anterior pituitary gland and functions in the production on breast milk.
Example Question #8 : Endocrine And Immune Systems
When blood calcium is low, the parathyroid glands release parathyroid hormone. In response __________.
calcium is released from the bone
the kidneys excrete less calcium into the urine
the kidneys absorb additional calcium that is filtered from the blood
All of these
the intestines absorb more calcium from food
All of these
All of these are correct effects of parathyroid hormone. The kidneys resorb calcium and as a result, less is released into the urine. The intestines absorb additional calcium from food and calcium is released from the bone through the work of osteoclasts.
Example Question #9 : Endocrine And Immune Systems
The thyroid is regulated by thyroid-stimulating hormone. Thyroid-stimulating hormone is produced by which of the following?
The adrenal cortex
The adrenal medulla
The anterior pituitary
The posterior pituitary
The hypothalamus
The anterior pituitary
Thyroid-stimulating hormone (TSH) is produced by the anterior pituitary. TSH causes the thyroid to release thyroid hormones (T3 and T4). A TSH blood test is often ordered to diagnose hypoactive thyroid.
Example Question #10 : Endocrine And Immune Systems
The nurse is counseling a patient who will return to the office to for a serum aldosterone blood test. The nurse tells the patient that aldosterone levels are highest at what time?
11 PM
7 AM
5 PM
11 AM
2 PM
7 AM
Aldosterone is a hormone secreted by the adrenal glands. Serum aldosterone levels vary throughout the day. Aldosterone presence is highest in the morning. Of the answer choices, 7 AM is the best choice. A physician may have the patient come to the office at a specific time of day for this reason.