Endocrine NCLEX questions Endocrine NCLEX questions 2026-03-04
1. An agitated, confused female client arrives in the emergency department.
Her history includes type 1 diabetes mellitus, hypertension, and angina
pectoris. Assessment reveals pallor, diaphoresis, headache, and intense
hunger. A stat blood glucose sample measures 42 mg/dl, and the client is
treated for an acute hypoglycemic reaction. After recovery, nurse Lily
teaches the client to treat hypoglycemia by ingesting:
a. 2 to 5 g of a simple carbohydrate.
b. 10 to 15 g of a simple carbohydrate.
c. 18 to 20 g of a simple carbohydrate.
d. 25 to 30 g of a simple carbohydrate.
B.
To reverse hypoglycemia, the American Diabetes Association recommends
ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of
hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice.
If necessary, this treatment can be repeated in 15 minutes. Ingesting only 2
to 5 g of a simple carbohydrate may not raise the blood glucose level
sufficiently. Ingesting more than 15 g may raise it above normal, causing
hyperglycemia.
Page 1 Endocrine NCLEX questions.pdf
,Endocrine NCLEX questions Endocrine NCLEX questions 2026-03-04
2. A female adult client with a history of chronic hyperparathyroidism
admits to being noncompliant. Based on initial assessment findings, nurse
Julia formulates the nursing diagnosis of Risk for injury. To complete the
nursing diagnosis statement for this client, which "related-to" phrase should
the nurse add?
a. Related to bone demineralization resulting in pathologic fractures
b. Related to exhaustion secondary to an accelerated metabolic rate
c. Related to edema and dry skin secondary to fluid infiltration into the
interstitial spaces
d. Related to tetany secondary to a decreased serum calcium level
A.
Poorly controlled hyperparathyroidism may cause an elevated serum
calcium level. This, in turn, may diminish calcium stores in the bone,
causing bone demineralization and setting the stage for pathologic fractures
and a risk for injury. Hyperparathyroidism doesn't accelerate the metabolic
rate. A decreased thyroid hormone level, not an increased parathyroid
hormone level, may cause edema and dry skin secondary to fluid infiltration
into the interstitial spaces. Hyperparathyroidism causes hypercalcemia, not
hypocalcemia; therefore, it isn't associated with tetany.
Page 2 Endocrine NCLEX questions.pdf
,Endocrine NCLEX questions Endocrine NCLEX questions 2026-03-04
2. A nurse is admitting a client with a diagnosis of Addison's disease to the
hospital. On assessment, the nurse would expect to note which finding that
is a manifestation of this disorder?
a) peripheral edema
b) excessive facial hair
c) lower than normal blood glucose level
d) high blood pressure
2) C
- Blood glucose levels are low in Addison's disease as a result of decreased
secretion of glucocorticoids (cortisol). Edema is absent, and aldosterone
secretion is decreased so the client develops a deficient fluid volume. Facial
hair increases with adrenocortical hyperfunction. Clients with Addison's
disease develop hypotension as a result of deficient fluid volume. Options
A, B and D are unrelated to Addison's disease.
2. Grave's disease is:
a. The most common cause of hypothyroidism
b. The most common cause of hyperparathyroidism
c. The most common cause of hyperthyroidism
d. The most common cause of adrenal insufficiency
type 2 diabetes, hypertension and increased risk of cardiovascular disease,
arthritis and colon polyps.
2. C: Grave's disease is an autoimmune disorder characterized by an
enlarged thyroid gland and overproduction of thyroid hormones producing
symptoms of hyperthyroidism such as rapid heartbeat, heat intolerance,
agitation or irritability, weight loss, and trouble sleeping. It usually presents
in persons age 20 to 40 and it is much more common in women than in
men.
Page 3 Endocrine NCLEX questions.pdf
, Endocrine NCLEX questions Endocrine NCLEX questions 2026-03-04
3. A nurse is preparing to perform an assessment on a client being admitted
to the hospital with a diagnosis of Cushing's syndrome. When performing
the assessment, the nurse checks for which significant manifestation of the
disorder?
a) fluid retention
b) stretch marks
c) goiter
d) melanosis
3) A
- Excessive secretion of adrenocortical hormones results in water and
sodium reabsorption, causing fluid retention. Stretch marks (striae) are a
common feature and can result in a disturbed body image, but are not
significant and do not represent a life-threatening situation. Goiter is not a
manifestation of Cushing's syndrome. Melanosis is a common manifestation
associated with Addison's disease.
3. Nurse John is assigned to care for a postoperative male client who has
diabetes mellitus. During the assessment interview, the client reports that
he's impotent and says he's concerned about its effect on his marriage. In
planning this client's care, the most appropriate intervention would be to:
a. Encourage the client to ask questions about personal sexuality.
b. Provide time for privacy.
c. Provide support for the spouse or significant other.
d. Suggest referral to a sex counselor or other appropriate professional.
D.
The nurse should refer this client to a sex counselor or other professional.
Making appropriate referrals is a valid part of planning the client's care. The
nurse doesn't normally provide sex counseling.
Page 4 Endocrine NCLEX questions.pdf
1. An agitated, confused female client arrives in the emergency department.
Her history includes type 1 diabetes mellitus, hypertension, and angina
pectoris. Assessment reveals pallor, diaphoresis, headache, and intense
hunger. A stat blood glucose sample measures 42 mg/dl, and the client is
treated for an acute hypoglycemic reaction. After recovery, nurse Lily
teaches the client to treat hypoglycemia by ingesting:
a. 2 to 5 g of a simple carbohydrate.
b. 10 to 15 g of a simple carbohydrate.
c. 18 to 20 g of a simple carbohydrate.
d. 25 to 30 g of a simple carbohydrate.
B.
To reverse hypoglycemia, the American Diabetes Association recommends
ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of
hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice.
If necessary, this treatment can be repeated in 15 minutes. Ingesting only 2
to 5 g of a simple carbohydrate may not raise the blood glucose level
sufficiently. Ingesting more than 15 g may raise it above normal, causing
hyperglycemia.
Page 1 Endocrine NCLEX questions.pdf
,Endocrine NCLEX questions Endocrine NCLEX questions 2026-03-04
2. A female adult client with a history of chronic hyperparathyroidism
admits to being noncompliant. Based on initial assessment findings, nurse
Julia formulates the nursing diagnosis of Risk for injury. To complete the
nursing diagnosis statement for this client, which "related-to" phrase should
the nurse add?
a. Related to bone demineralization resulting in pathologic fractures
b. Related to exhaustion secondary to an accelerated metabolic rate
c. Related to edema and dry skin secondary to fluid infiltration into the
interstitial spaces
d. Related to tetany secondary to a decreased serum calcium level
A.
Poorly controlled hyperparathyroidism may cause an elevated serum
calcium level. This, in turn, may diminish calcium stores in the bone,
causing bone demineralization and setting the stage for pathologic fractures
and a risk for injury. Hyperparathyroidism doesn't accelerate the metabolic
rate. A decreased thyroid hormone level, not an increased parathyroid
hormone level, may cause edema and dry skin secondary to fluid infiltration
into the interstitial spaces. Hyperparathyroidism causes hypercalcemia, not
hypocalcemia; therefore, it isn't associated with tetany.
Page 2 Endocrine NCLEX questions.pdf
,Endocrine NCLEX questions Endocrine NCLEX questions 2026-03-04
2. A nurse is admitting a client with a diagnosis of Addison's disease to the
hospital. On assessment, the nurse would expect to note which finding that
is a manifestation of this disorder?
a) peripheral edema
b) excessive facial hair
c) lower than normal blood glucose level
d) high blood pressure
2) C
- Blood glucose levels are low in Addison's disease as a result of decreased
secretion of glucocorticoids (cortisol). Edema is absent, and aldosterone
secretion is decreased so the client develops a deficient fluid volume. Facial
hair increases with adrenocortical hyperfunction. Clients with Addison's
disease develop hypotension as a result of deficient fluid volume. Options
A, B and D are unrelated to Addison's disease.
2. Grave's disease is:
a. The most common cause of hypothyroidism
b. The most common cause of hyperparathyroidism
c. The most common cause of hyperthyroidism
d. The most common cause of adrenal insufficiency
type 2 diabetes, hypertension and increased risk of cardiovascular disease,
arthritis and colon polyps.
2. C: Grave's disease is an autoimmune disorder characterized by an
enlarged thyroid gland and overproduction of thyroid hormones producing
symptoms of hyperthyroidism such as rapid heartbeat, heat intolerance,
agitation or irritability, weight loss, and trouble sleeping. It usually presents
in persons age 20 to 40 and it is much more common in women than in
men.
Page 3 Endocrine NCLEX questions.pdf
, Endocrine NCLEX questions Endocrine NCLEX questions 2026-03-04
3. A nurse is preparing to perform an assessment on a client being admitted
to the hospital with a diagnosis of Cushing's syndrome. When performing
the assessment, the nurse checks for which significant manifestation of the
disorder?
a) fluid retention
b) stretch marks
c) goiter
d) melanosis
3) A
- Excessive secretion of adrenocortical hormones results in water and
sodium reabsorption, causing fluid retention. Stretch marks (striae) are a
common feature and can result in a disturbed body image, but are not
significant and do not represent a life-threatening situation. Goiter is not a
manifestation of Cushing's syndrome. Melanosis is a common manifestation
associated with Addison's disease.
3. Nurse John is assigned to care for a postoperative male client who has
diabetes mellitus. During the assessment interview, the client reports that
he's impotent and says he's concerned about its effect on his marriage. In
planning this client's care, the most appropriate intervention would be to:
a. Encourage the client to ask questions about personal sexuality.
b. Provide time for privacy.
c. Provide support for the spouse or significant other.
d. Suggest referral to a sex counselor or other appropriate professional.
D.
The nurse should refer this client to a sex counselor or other professional.
Making appropriate referrals is a valid part of planning the client's care. The
nurse doesn't normally provide sex counseling.
Page 4 Endocrine NCLEX questions.pdf
