PNR 309 TEST PAPER FINAL PAPER FULL
SOLUTION 2026 GRADED A+
⫸ A client is receiving radiation therapy for cancer of the kidney.
The nurse monitors the client for signs and symptoms of damage to
which of the following organ(s)? Answer: Adrenal Glands
⫸ A client has a serum sodium level of 152 mmol/L. What is the
normal hormonal response to this situation? Answer: Release of ADH
⫸ All cells in the body are believed to have intracellular receptors
for which of the following? Answer: Thyroid hormone
⫸ When obtaining subjective data from a client during assessment of
the endocrine system, the nurse asks specifically about which of the
following? Answer: Energy level
⫸ What is appropriate technique to use during physical assessment
of the thyroid gland? Answer: Have the client swallow water during
inspection and palpitation of the gland.
⫸ Why do endocrine disorders often go unrecognized in older
adults? Answer: Symptoms are often attributed to aging.
,⫸ A client has a total serum calcium level of 0.75 mmol/L. If this
finding reflects hypoparathyroidism, what would the nurse expect
further diagnostic testing to reveal? Answer: Decrease serum PTH
⫸ after hypophysectomy for acromegaly, which of the following
should be the focus of post-operative Nursing Care? Answer: frequent
monitoring of serum and urine osmolarity
⫸ a client with head injury develops siadh. Which of the following
manifestations of siadh would the nurse expect to find? Answer: low
urine output and hyponatremia
⫸ which of the following symptoms would lead the nurse to suspect
Ganondorf removal of the parathyroid glands after thyroid surgery?
Answer: hypothermia and tachycardia
⫸ important nursing intervention when caring for a client with
Cushing's syndrome? Answer: monitoring blood glucose levels and
protecting the client from exposure to infection
⫸ which of the following is an important preoperative nursing
intervention before an adrenalectomy for hyper aldosteronism
Answer: administer potassium sparing diuretics
⫸ how does the nurse instruct the client who is taking corticosteroids
to control the adverse effects of drug therapy? Answer: increase
calcium intake to 1500 mg per day
, ⫸ what does the nurse teach the client regarding the best time to take
corticosteroids for replacement purposes? Answer: honour rising and
in the late afternoon
⫸ The nurse is providing instructions to a client regarding a urine
study for free cortisol. Which of the following instructions is most
important to include? Answer: Try to avoid stressful situations during
the collection period.
⫸ Which of the following assessment parameters is of highest
priority when caring for a client undergoing a water deprivation test?
Answer: Weight
⫸ A client has sought care because of a loss of 12 kg over the past 6
months, during which the client claims to have made no significant
dietary changes. Which of the following disorders is a potential cause
of the weight loss? Answer: Thyroid disorder
⫸ The surgeon was unable to save a client's parathyroid gland during
a radical thyroidectomy. The nurse should consequently pay particular
attention to which of the following components of the client's
laboratory values? Answer: Calcium levels
⫸ A client's recent medical history is indicative of diabetes insipidus.
The nurse would perform client education related to which of the
following diagnostic tests? Answer: Water deprivation test
SOLUTION 2026 GRADED A+
⫸ A client is receiving radiation therapy for cancer of the kidney.
The nurse monitors the client for signs and symptoms of damage to
which of the following organ(s)? Answer: Adrenal Glands
⫸ A client has a serum sodium level of 152 mmol/L. What is the
normal hormonal response to this situation? Answer: Release of ADH
⫸ All cells in the body are believed to have intracellular receptors
for which of the following? Answer: Thyroid hormone
⫸ When obtaining subjective data from a client during assessment of
the endocrine system, the nurse asks specifically about which of the
following? Answer: Energy level
⫸ What is appropriate technique to use during physical assessment
of the thyroid gland? Answer: Have the client swallow water during
inspection and palpitation of the gland.
⫸ Why do endocrine disorders often go unrecognized in older
adults? Answer: Symptoms are often attributed to aging.
,⫸ A client has a total serum calcium level of 0.75 mmol/L. If this
finding reflects hypoparathyroidism, what would the nurse expect
further diagnostic testing to reveal? Answer: Decrease serum PTH
⫸ after hypophysectomy for acromegaly, which of the following
should be the focus of post-operative Nursing Care? Answer: frequent
monitoring of serum and urine osmolarity
⫸ a client with head injury develops siadh. Which of the following
manifestations of siadh would the nurse expect to find? Answer: low
urine output and hyponatremia
⫸ which of the following symptoms would lead the nurse to suspect
Ganondorf removal of the parathyroid glands after thyroid surgery?
Answer: hypothermia and tachycardia
⫸ important nursing intervention when caring for a client with
Cushing's syndrome? Answer: monitoring blood glucose levels and
protecting the client from exposure to infection
⫸ which of the following is an important preoperative nursing
intervention before an adrenalectomy for hyper aldosteronism
Answer: administer potassium sparing diuretics
⫸ how does the nurse instruct the client who is taking corticosteroids
to control the adverse effects of drug therapy? Answer: increase
calcium intake to 1500 mg per day
, ⫸ what does the nurse teach the client regarding the best time to take
corticosteroids for replacement purposes? Answer: honour rising and
in the late afternoon
⫸ The nurse is providing instructions to a client regarding a urine
study for free cortisol. Which of the following instructions is most
important to include? Answer: Try to avoid stressful situations during
the collection period.
⫸ Which of the following assessment parameters is of highest
priority when caring for a client undergoing a water deprivation test?
Answer: Weight
⫸ A client has sought care because of a loss of 12 kg over the past 6
months, during which the client claims to have made no significant
dietary changes. Which of the following disorders is a potential cause
of the weight loss? Answer: Thyroid disorder
⫸ The surgeon was unable to save a client's parathyroid gland during
a radical thyroidectomy. The nurse should consequently pay particular
attention to which of the following components of the client's
laboratory values? Answer: Calcium levels
⫸ A client's recent medical history is indicative of diabetes insipidus.
The nurse would perform client education related to which of the
following diagnostic tests? Answer: Water deprivation test
