System, MEDSURG Exam, Nursing Program,
Academic Year Unknown – Complete practice exam
questions with answers
Introduction:
This document contains a comprehensive set of Medical-
Surgical Nursing Exam 1 questions focused on endocrine
disorders, including thyroid, parathyroid, pituitary, adrenal,
and antidiuretic hormone regulation. It includes detailed
multiple-choice and select-all-that-apply questions with
correct answers covering hypothyroidism, hyperthyroidism,
SIADH, diabetes insipidus, Cushing’s syndrome, Addison’s
disease, acromegaly, and perioperative nursing care.
The material is well-suited for exam preparation, review
sessions, and reinforcement of key nursing concepts related to
endocrine pathophysiology, assessment, and interventions.
Exam Questions and Answers:
1. After providing discharge education related to thyroid
hormone therapy as treatment for hypothyroidism, the nurse
identifies that which patient state- ment confirms that the
teaching was effective?
,1. "I should take my levothyroxine every morning before
eating my breakfast."
2. "I will need to have my thyroid hormone levels checked
annually."
3. "I should keep my house temperature set fairly low to
prevent sweating."
4. "I should limit the amount of fiber I am eating to
minimize constipation."-Answer:- 1. "I should take my
levothyroxine every morning before eating my breakfast."
2. Which of the following are signs of hypothyroidism?
1. Chest pain
2. Weight gain
3. Nervousness
4. Tachycardia
5. Cold intolerance
6. Mental sluggishness-Answer:- 2. Weight gain
5. Cold intolerance
6. Mental sluggishness
,3. The nurse provides immediate postoperative care for a
patient following a thyroidectomy and identifies that which
intervention is the priority?
1. Placing a tracheostomy tray at the bedside.
2. Closely monitoring the patient's emotional state.
3. Assessing the patient's lung sounds.
4. Giving fluids as soon as tolerated.-Answer:- 1. Placing a
tracheostomy tray at the bedside.
4. The nurse would assess for which other clinical
manifestation when a patient presents with exophthalmos and
is suspected to have an endocrine disorder? Select all that
apply.
1. Puffy face
2. Muscle aches
3. Pallor
4. Systolic murmur
5. Increased heart rate-Answer:- 4. Systolic murmur
5. Increased heart rate
, 5. Which nursing invention would be included in the
postoperative plan of care for a patient following a
parathyroidectomy? Select all that apply.
1. Monitor intake and output.
2. Assess for Babinski sign.
3. Ensure that intravenous calcium gluconate is available.
4. Instruct the patient to maintain bed rest for 48 hours.
5. Assess for numbness and tingling of the hands and
mouth.-Answer:- 1. Monitor intake and output.
3. Ensure that intravenous calcium gluconate is available.
5. Assess for numbness and tingling of the hands and mouth.
6. Which complication is associated with
hyperparathyroidism? Select all that apply.
1. Fractures
2. Pancreatitis
3. Osteoporosis
4. Cardiac changes
5. Kidney stones-Answer:- 1. Fractures
2. Pancreatitis
3. Osteoporosis