• NUR 504 EXAM 09/07/2026
NUR 504 EXAM 1 PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH
RATIONALE
A nurse cares for a client with a hypofunctioning anterior pituitary gland. Which hormones
would the nurse expect to be decreased as a result? (Select all that apply.)
a. Thyroid-stimulating hormone
b. Vasopressin
c. Follicle-stimulating hormone
d. Calcitonin
e. Growth hormone - Correct Answer :ANS: A, C, E
P 1
, • NUR 504 EXAM 09/07/2026
Thyroid-stimulating hormone, follicle-stimulating hormone, and growth hormone all are
secreted by the anterior pituitary gland. Vasopressin is secreted from the posterior pituitary
gland. Calcitonin is secreted from the thyroid gland.
A nurse assesses clients who have endocrine disorders. Which assessment findings are paired
correctly with the endocrine disorder? (Select all that apply.)
a. Excessive thyroid-stimulating hormone—increased bone formation
b. Excessive melanocyte-stimulating hormone—darkening of the skin
c. Excessive parathyroid hormone—synthesis and release of corticosteroids
d. Excessive antidiuretic hormone—increased urinary output
e. Excessive adrenocorticotropic hormone—increased bone resorption –
Correct Answer :ANS: A, B
Thyroid-stimulating hormone targets thyroid tissue and stimulates the formation of bone.
Melanocyte-stimulating hormone stimulates melanocytes and promotes pigmentation or the
darkening of the skin. Parathyroid hormone stimulates bone resorption. Antidiuretic hormone
targets the kidney and promotes water reabsorption, causing a decrease in urinary output.
Adrenocorticotropic hormone targets the adrenal cortex and stimulates the synthesis and
release of corticosteroids.
When caring for an older client who has hypothyroidism, what assessment findings will the
nurse expect? (Select all that apply.)
a. Lethargy
b. Diarrhea
c. Low body temperature
d. Tachycardia
e. Slowed speech
f. Weight gain –
P 2
, • NUR 504 EXAM 09/07/2026
Correct Answer :ANS: A, C, E, F
A client who has an underactive thyroid gland has a decreased metabolic rate, resulting in
lethargy and lack of energy, weight gain, slowed speech, and decreased vital signs like a
lowered body temperature. The client also typically has constipation (instead of diarrhea) due
to slower peristalsis and bradycardia (instead of tachycardia).
A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic hormone (SIADH). The client's
serum sodium level is 114 mEq/L (114 mmol/L). What nursing action
would be appropriate?
a. Consult with the dietitian about increased dietary sodium.
b. Restrict the client's fluid intake to 600 mL/day.
c. Handle the client gently by using turn sheets for repositioning.
d. Instruct assistive personnel to measure intake and output. –
Correct Answer :ANS: B
With SIADH, clients often have dilutional hyponatremia. The client needs a fluid restriction,
sometimes to as little as 500 to 600 mL/24 hr. Adding sodium to the client's diet will not help
if he or she is retaining fluid and diluting the sodium. The client is not at increased risk for
fracture, so gentle handling is not an issue. The client would be on intake and output;
however, this will monitor only the client's intake, so it is not the best answer. Reducing fluid
intake will help increase the client's sodium.
The nurse is caring for a client who is diagnosed with diabetes insipidus (DI). For what
common complication will the nurse monitor?
a. Hypertension
b. Bradycardia
c. Dehydration
d. Pulmonary embolus - Correct Answer :ANS: C
The client who has DI has fluid loss through excessive urination. Decreased fluid volume, or
P 3
, • NUR 504 EXAM 09/07/2026
dehydration, is manifested by tachycardia, hypotension, and possibly elevated temperature.
Pulmonary embolism (PE) could possible as a clot in the lower extremity (caused by
dehydration) could fragment and travel to the lungs.
A client is being treated for diabetes insipidus (DI) with synthetic vasopressin (desmopressin).
What is the priority health teaching that the nurse provides regarding drug therapy?
a. The need to check the client's urinary specific gravity.
b. The need to take blood pressure at least twice a day.
c. The need to monitor blood glucose every day.
d. The need to weigh every day and report weight gain. –
Correct Answer :ANS: D
The client with DI who takes lifelong hormone replacement will need to report significant
weight gain to monitor for water toxicity. Water toxicity causes headache, vomiting, and acute
confusion.
The nurse is assessing an older client for any potential hematologic health problem. Which assessment finding is
the most significant and would be reported to the primary health care provider?
a. Poor skin turgor on both forearms
b. Multiple petechiae and large bruises
c. Dry, flaky skin on arms and legs
d. Decreased body hair distribution - Correct Answer :ANS: B
The presence of multiple petechiae and large bruises indicate a possible problem with blood
clotting. Older adults typically have poor skin turgor and dry, flaky skin due to decreased
body fluid as a result of aging. They also lose body hair or have thinning hair as a normal
change of aging.
P 4
NUR 504 EXAM 1 PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH
RATIONALE
A nurse cares for a client with a hypofunctioning anterior pituitary gland. Which hormones
would the nurse expect to be decreased as a result? (Select all that apply.)
a. Thyroid-stimulating hormone
b. Vasopressin
c. Follicle-stimulating hormone
d. Calcitonin
e. Growth hormone - Correct Answer :ANS: A, C, E
P 1
, • NUR 504 EXAM 09/07/2026
Thyroid-stimulating hormone, follicle-stimulating hormone, and growth hormone all are
secreted by the anterior pituitary gland. Vasopressin is secreted from the posterior pituitary
gland. Calcitonin is secreted from the thyroid gland.
A nurse assesses clients who have endocrine disorders. Which assessment findings are paired
correctly with the endocrine disorder? (Select all that apply.)
a. Excessive thyroid-stimulating hormone—increased bone formation
b. Excessive melanocyte-stimulating hormone—darkening of the skin
c. Excessive parathyroid hormone—synthesis and release of corticosteroids
d. Excessive antidiuretic hormone—increased urinary output
e. Excessive adrenocorticotropic hormone—increased bone resorption –
Correct Answer :ANS: A, B
Thyroid-stimulating hormone targets thyroid tissue and stimulates the formation of bone.
Melanocyte-stimulating hormone stimulates melanocytes and promotes pigmentation or the
darkening of the skin. Parathyroid hormone stimulates bone resorption. Antidiuretic hormone
targets the kidney and promotes water reabsorption, causing a decrease in urinary output.
Adrenocorticotropic hormone targets the adrenal cortex and stimulates the synthesis and
release of corticosteroids.
When caring for an older client who has hypothyroidism, what assessment findings will the
nurse expect? (Select all that apply.)
a. Lethargy
b. Diarrhea
c. Low body temperature
d. Tachycardia
e. Slowed speech
f. Weight gain –
P 2
, • NUR 504 EXAM 09/07/2026
Correct Answer :ANS: A, C, E, F
A client who has an underactive thyroid gland has a decreased metabolic rate, resulting in
lethargy and lack of energy, weight gain, slowed speech, and decreased vital signs like a
lowered body temperature. The client also typically has constipation (instead of diarrhea) due
to slower peristalsis and bradycardia (instead of tachycardia).
A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic hormone (SIADH). The client's
serum sodium level is 114 mEq/L (114 mmol/L). What nursing action
would be appropriate?
a. Consult with the dietitian about increased dietary sodium.
b. Restrict the client's fluid intake to 600 mL/day.
c. Handle the client gently by using turn sheets for repositioning.
d. Instruct assistive personnel to measure intake and output. –
Correct Answer :ANS: B
With SIADH, clients often have dilutional hyponatremia. The client needs a fluid restriction,
sometimes to as little as 500 to 600 mL/24 hr. Adding sodium to the client's diet will not help
if he or she is retaining fluid and diluting the sodium. The client is not at increased risk for
fracture, so gentle handling is not an issue. The client would be on intake and output;
however, this will monitor only the client's intake, so it is not the best answer. Reducing fluid
intake will help increase the client's sodium.
The nurse is caring for a client who is diagnosed with diabetes insipidus (DI). For what
common complication will the nurse monitor?
a. Hypertension
b. Bradycardia
c. Dehydration
d. Pulmonary embolus - Correct Answer :ANS: C
The client who has DI has fluid loss through excessive urination. Decreased fluid volume, or
P 3
, • NUR 504 EXAM 09/07/2026
dehydration, is manifested by tachycardia, hypotension, and possibly elevated temperature.
Pulmonary embolism (PE) could possible as a clot in the lower extremity (caused by
dehydration) could fragment and travel to the lungs.
A client is being treated for diabetes insipidus (DI) with synthetic vasopressin (desmopressin).
What is the priority health teaching that the nurse provides regarding drug therapy?
a. The need to check the client's urinary specific gravity.
b. The need to take blood pressure at least twice a day.
c. The need to monitor blood glucose every day.
d. The need to weigh every day and report weight gain. –
Correct Answer :ANS: D
The client with DI who takes lifelong hormone replacement will need to report significant
weight gain to monitor for water toxicity. Water toxicity causes headache, vomiting, and acute
confusion.
The nurse is assessing an older client for any potential hematologic health problem. Which assessment finding is
the most significant and would be reported to the primary health care provider?
a. Poor skin turgor on both forearms
b. Multiple petechiae and large bruises
c. Dry, flaky skin on arms and legs
d. Decreased body hair distribution - Correct Answer :ANS: B
The presence of multiple petechiae and large bruises indicate a possible problem with blood
clotting. Older adults typically have poor skin turgor and dry, flaky skin due to decreased
body fluid as a result of aging. They also lose body hair or have thinning hair as a normal
change of aging.
P 4
