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PNR 309 FINAL EXAM QUESTIONS AND
ANSWERS 2025
What is a characteristic that is common to all hormones? -
correct answer- They influence cellular activity of specific target
tissues.
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)? - correct answer-
Adrenal Glands
A client has a serum sodium level of 152 mmol/L. What is the
normal hormonal response to this situation? - correct answer-
Release of ADH
All cells in the body are believed to have intracellular receptors
for which of the following? - correct 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? - correct answer-
Energy level
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What is appropriate technique to use during physical
assessment of the thyroid gland? - correct answer- Have the
client swallow water during inspection and palpitation of the
gland.
Why do endocrine disorders often go unrecognized in older
adults? - correct 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? - correct answer-
Decrease serum PTH
after hypophysectomy for acromegaly, which of the following
should be the focus of post-operative Nursing Care? - correct
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? -
correct answer- low urine output and hyponatremia
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which of the following symptoms would lead the nurse to
suspect Ganondorf removal of the parathyroid glands after
thyroid surgery? - correct answer- hypothermia and tachycardia
important nursing intervention when caring for a client with
Cushing's syndrome? - correct 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 -
correct answer- administer potassium sparing diuretics
how does the nurse instruct the client who is taking
corticosteroids to control the adverse effects of drug therapy? -
correct 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? - correct
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
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most important to include? - correct 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? - correct 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? - correct 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? - correct 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? - correct answer- Water
deprivation test
PNR 309 FINAL EXAM QUESTIONS AND
ANSWERS 2025
What is a characteristic that is common to all hormones? -
correct answer- They influence cellular activity of specific target
tissues.
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)? - correct answer-
Adrenal Glands
A client has a serum sodium level of 152 mmol/L. What is the
normal hormonal response to this situation? - correct answer-
Release of ADH
All cells in the body are believed to have intracellular receptors
for which of the following? - correct 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? - correct answer-
Energy level
,2 | Page
What is appropriate technique to use during physical
assessment of the thyroid gland? - correct answer- Have the
client swallow water during inspection and palpitation of the
gland.
Why do endocrine disorders often go unrecognized in older
adults? - correct 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? - correct answer-
Decrease serum PTH
after hypophysectomy for acromegaly, which of the following
should be the focus of post-operative Nursing Care? - correct
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? -
correct answer- low urine output and hyponatremia
,3 | Page
which of the following symptoms would lead the nurse to
suspect Ganondorf removal of the parathyroid glands after
thyroid surgery? - correct answer- hypothermia and tachycardia
important nursing intervention when caring for a client with
Cushing's syndrome? - correct 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 -
correct answer- administer potassium sparing diuretics
how does the nurse instruct the client who is taking
corticosteroids to control the adverse effects of drug therapy? -
correct 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? - correct
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
, 4 | Page
most important to include? - correct 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? - correct 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? - correct 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? - correct 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? - correct answer- Water
deprivation test
