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NCLEX ENDOCRINE DISORDERS
PREP EXAM FOR 2026 |ALL
QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY A
GRADED |NEW AND REVISED
A patient with a history of hypothyroidism is admitted to the intensive
care unit unconscious and with a temperature of 95.2 F. A family
member informs the nurse that the patient has not taken thyroid
medication in over 2 months. What does the nurse suspect that these
findings indicate?
a. thyroid storm
b. myxedema coma
c. diabetes insipidus
d. syndrome of inappropriate antidiuretic hormone (SIADH) -
ANSWER- b. myxedema coma
The nurse on the telemetry floor is caring for a patient with long-
standing hypothyroidism who has been taking synthetic thyroid hormone
replacement sporadically. What is a priority that the nurse monitors for
in this patient?
a. symptoms of acute coronary syndrome
b. dietary intakes of foods with saturated fats
c. symptoms of pneumonia
d. heat intolerance - ANSWER- a. symptoms of acute coronary
syndrome
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A patient taking corticosteroids for exacerbation of Crohn's disease
comes to the clinic and informs the nurse that he wants to stop taking
them because of the increase in acne and moons face. What can the
nurse educate the patient regarding these symptoms?
a. the symptoms are permanent side effects of the corticosteroid therapy
b. the moon face and acne will resolve when the medication is tapered
off.
c. those symptoms are not related to the corticosteroid therapy
d. the dose of the medication must be too high and should be lowered -
ANSWER- b.
A patient has been taking tricyclic antidepressants for many years for the
treatment of depression. The patient has developed SIADH and has been
admitted to the acute care facility. What should the nurse carefully
monitor when caring for this patient? (select all that apply)
a. strict intake and output
b.neurologic function
c. urine and blood chemistry
d. liver function tests
e. signs of dehydration - ANSWER- a, b, c
The nurse is admitting a client diagnosed with primary adrenal cortex
insufficiency (Addison's disease). Which clinical manifestations should
the nurse expect to assess?
a. moon face, buffalo hump, and hyperglycemia
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b. hirsutism, fever, and irritability
c. bronze pigmentation, hypotension, and anorexia
d. tachycardia, bulging eyes, and goiter. - ANSWER- c.bronze
pigmentation, hypotension, and anorexia
The nurse is developing a plan of care for the client diagnosed with
acquired immunodeficiency syndrome (AIDS) who has developed an
infection in the adrenal gland. Which client problem is highest priority?
a. altered body image
b. activity intolerance
c. impaired coping
d. fluid volume deficit - ANSWER- d. fluid volume deficit
The nurse is planning the care of a client diagnosed with Addison's
disease. Which intervention should be included?
1. Administer steroid medications.
2. Place the client on fluid restriction.
3. Provide frequent stimulation.
4. Consult physical therapy for gait training. - ANSWER- 1. Administer
steroid medications.
The client is admitted to rule out Cushing's syndrome. Which laboratory
tests should the nurse anticipate being ordered?
1. Plasma drug levels of quinidine, digoxin, and hydralazine.
2. Plasma levels of ACTH and cortisol.
NCLEX ENDOCRINE DISORDERS
PREP EXAM FOR 2026 |ALL
QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY A
GRADED |NEW AND REVISED
A patient with a history of hypothyroidism is admitted to the intensive
care unit unconscious and with a temperature of 95.2 F. A family
member informs the nurse that the patient has not taken thyroid
medication in over 2 months. What does the nurse suspect that these
findings indicate?
a. thyroid storm
b. myxedema coma
c. diabetes insipidus
d. syndrome of inappropriate antidiuretic hormone (SIADH) -
ANSWER- b. myxedema coma
The nurse on the telemetry floor is caring for a patient with long-
standing hypothyroidism who has been taking synthetic thyroid hormone
replacement sporadically. What is a priority that the nurse monitors for
in this patient?
a. symptoms of acute coronary syndrome
b. dietary intakes of foods with saturated fats
c. symptoms of pneumonia
d. heat intolerance - ANSWER- a. symptoms of acute coronary
syndrome
,2|Page
A patient taking corticosteroids for exacerbation of Crohn's disease
comes to the clinic and informs the nurse that he wants to stop taking
them because of the increase in acne and moons face. What can the
nurse educate the patient regarding these symptoms?
a. the symptoms are permanent side effects of the corticosteroid therapy
b. the moon face and acne will resolve when the medication is tapered
off.
c. those symptoms are not related to the corticosteroid therapy
d. the dose of the medication must be too high and should be lowered -
ANSWER- b.
A patient has been taking tricyclic antidepressants for many years for the
treatment of depression. The patient has developed SIADH and has been
admitted to the acute care facility. What should the nurse carefully
monitor when caring for this patient? (select all that apply)
a. strict intake and output
b.neurologic function
c. urine and blood chemistry
d. liver function tests
e. signs of dehydration - ANSWER- a, b, c
The nurse is admitting a client diagnosed with primary adrenal cortex
insufficiency (Addison's disease). Which clinical manifestations should
the nurse expect to assess?
a. moon face, buffalo hump, and hyperglycemia
, 3|Page
b. hirsutism, fever, and irritability
c. bronze pigmentation, hypotension, and anorexia
d. tachycardia, bulging eyes, and goiter. - ANSWER- c.bronze
pigmentation, hypotension, and anorexia
The nurse is developing a plan of care for the client diagnosed with
acquired immunodeficiency syndrome (AIDS) who has developed an
infection in the adrenal gland. Which client problem is highest priority?
a. altered body image
b. activity intolerance
c. impaired coping
d. fluid volume deficit - ANSWER- d. fluid volume deficit
The nurse is planning the care of a client diagnosed with Addison's
disease. Which intervention should be included?
1. Administer steroid medications.
2. Place the client on fluid restriction.
3. Provide frequent stimulation.
4. Consult physical therapy for gait training. - ANSWER- 1. Administer
steroid medications.
The client is admitted to rule out Cushing's syndrome. Which laboratory
tests should the nurse anticipate being ordered?
1. Plasma drug levels of quinidine, digoxin, and hydralazine.
2. Plasma levels of ACTH and cortisol.
