TEST 4 NURS 215 EXAM QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
A patient is scheduled in the outpatient clinic for blood cortisol testing. Which
instruction should the nurse provide?
a. "Avoid adding any salt to your foods for 24 hours before the test."
b. "You will need to lie down for 30 minutes before the blood is drawn."
c. "Come to the laboratory to have the blood drawn early in the morning."
d. "Do not have anything to eat or drink before the blood test is obtained." -
CORRECT ANSWERS ANS: C
Cortisol levels are usually drawn in the morning, when levels are highest. The
other instructions would be given to patients who were having other endocrine
testing.
A patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL.
What should the nurse anticipate will be tested next?
a. Calcitonin
b. Catecholamine
c. Thyroid hormone
d. Parathyroid hormone - CORRECT ANSWERS ANS: D
Parathyroid hormone (PTH) is the major controller of blood calcium levels.
Although calcitonin secretion is a counter mechanism to PTH, it does not play a
major role in calcium balance. Catecholamine and thyroid hormone levels do not
affect serum calcium level.
,TEST 4 NURS 215 EXAM QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
During the physical examination, the nurse cannot feel the patient's thyroid
gland. What action should the nurse take?
a. Palpate the patient's neck more deeply.
b. Document that the thyroid was nonpalpable.
c. Notify the health care provider immediately.
d. Teach the patient about thyroid hormone testing - CORRECT ANSWERS
ANS: B
The thyroid is usually nonpalpable. The nurse should simply document the
finding. There is no need to notify the health care provider immediately about a
normal finding. There is no indication for thyroid-stimulating hormone (TSH)
testing unless there is evidence of thyroid dysfunction. Deep palpation of the neck
is not appropriate
Which laboratory value should the nurse review to determine whether a patient's
hypothyroidism is caused by a problem with the anterior pituitary gland?
a. Thyroxine (T4) level
b. Triiodothyronine (T3) level
c. Thyroid-stimulating hormone (TSH) level
d. Thyrotropin-releasing hormone (TRH) level - CORRECT ANSWERS ANS: C
,TEST 4 NURS 215 EXAM QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
A low TSH level indicates that the patient's hypothyroidism is caused by
decreased anterior pituitary secretion of TSH. Low T3and T4 levels are not
diagnostic of the primary cause of the hypothyroidism. TRH levels indicate the
function of the hypothalamus.
What information will a review of a patient's glycosylated hemoglobin (A1C)
results provide to the nurse?
a. Fasting preprandial glucose levels
b. Glucose levels 2 hours after a meal
c. Glucose control over the past 90 days
d. Hypoglycemic episodes in the past 3 months - CORRECT ANSWERS ANS:
C
Glycosylated hemoglobin testing measures glucose control over the last 3
months. Glucose testing before/after a meal or random testing may reveal
impaired glucose tolerance and indicate prediabetes, but it is not done on
patients who already have a diagnosis of diabetes. There is no test to evaluate for
hypoglycemic episodes in the past.
A patient is taking spironolactone (Aldactone), a drug that blocks the action of
aldosterone on the kidney, for hypertension. What additional effect of the
medication should the nurse monitor?
a. Increased serum sodium
, TEST 4 NURS 215 EXAM QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
b. Decreased urinary output
c. Elevated serum potassium
d. Evidence of fluid overload - CORRECT ANSWERS ANS: C
Because aldosterone increases the excretion of potassium, a medication that
blocks aldosterone will tend to cause hyperkalemia. Aldosterone also promotes
the reabsorption of sodium and water in the renal tubules, so spironolactone will
tend to cause increased urine output, a decreased or normal serum sodium level,
and signs of dehydration.
A patient has been newly diagnosed with type 2 diabetes. Which information
about the patient will be most useful to the nurse who is helping the patient
develop strategies for successful adaptation to this disease?
a. Ideal weight
b. Value system
c. Activity level
d. Visual changes - CORRECT ANSWERS ANS: B
When dealing with a patient with a chronic condition such as diabetes,
identification of the patient's values and beliefs can assist the interprofessional
team in choosing strategies for successful lifestyle change. The other information
also will be useful but is not as important in developing an individualized plan for
the necessary lifestyle changes.
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
A patient is scheduled in the outpatient clinic for blood cortisol testing. Which
instruction should the nurse provide?
a. "Avoid adding any salt to your foods for 24 hours before the test."
b. "You will need to lie down for 30 minutes before the blood is drawn."
c. "Come to the laboratory to have the blood drawn early in the morning."
d. "Do not have anything to eat or drink before the blood test is obtained." -
CORRECT ANSWERS ANS: C
Cortisol levels are usually drawn in the morning, when levels are highest. The
other instructions would be given to patients who were having other endocrine
testing.
A patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL.
What should the nurse anticipate will be tested next?
a. Calcitonin
b. Catecholamine
c. Thyroid hormone
d. Parathyroid hormone - CORRECT ANSWERS ANS: D
Parathyroid hormone (PTH) is the major controller of blood calcium levels.
Although calcitonin secretion is a counter mechanism to PTH, it does not play a
major role in calcium balance. Catecholamine and thyroid hormone levels do not
affect serum calcium level.
,TEST 4 NURS 215 EXAM QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
During the physical examination, the nurse cannot feel the patient's thyroid
gland. What action should the nurse take?
a. Palpate the patient's neck more deeply.
b. Document that the thyroid was nonpalpable.
c. Notify the health care provider immediately.
d. Teach the patient about thyroid hormone testing - CORRECT ANSWERS
ANS: B
The thyroid is usually nonpalpable. The nurse should simply document the
finding. There is no need to notify the health care provider immediately about a
normal finding. There is no indication for thyroid-stimulating hormone (TSH)
testing unless there is evidence of thyroid dysfunction. Deep palpation of the neck
is not appropriate
Which laboratory value should the nurse review to determine whether a patient's
hypothyroidism is caused by a problem with the anterior pituitary gland?
a. Thyroxine (T4) level
b. Triiodothyronine (T3) level
c. Thyroid-stimulating hormone (TSH) level
d. Thyrotropin-releasing hormone (TRH) level - CORRECT ANSWERS ANS: C
,TEST 4 NURS 215 EXAM QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
A low TSH level indicates that the patient's hypothyroidism is caused by
decreased anterior pituitary secretion of TSH. Low T3and T4 levels are not
diagnostic of the primary cause of the hypothyroidism. TRH levels indicate the
function of the hypothalamus.
What information will a review of a patient's glycosylated hemoglobin (A1C)
results provide to the nurse?
a. Fasting preprandial glucose levels
b. Glucose levels 2 hours after a meal
c. Glucose control over the past 90 days
d. Hypoglycemic episodes in the past 3 months - CORRECT ANSWERS ANS:
C
Glycosylated hemoglobin testing measures glucose control over the last 3
months. Glucose testing before/after a meal or random testing may reveal
impaired glucose tolerance and indicate prediabetes, but it is not done on
patients who already have a diagnosis of diabetes. There is no test to evaluate for
hypoglycemic episodes in the past.
A patient is taking spironolactone (Aldactone), a drug that blocks the action of
aldosterone on the kidney, for hypertension. What additional effect of the
medication should the nurse monitor?
a. Increased serum sodium
, TEST 4 NURS 215 EXAM QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
b. Decreased urinary output
c. Elevated serum potassium
d. Evidence of fluid overload - CORRECT ANSWERS ANS: C
Because aldosterone increases the excretion of potassium, a medication that
blocks aldosterone will tend to cause hyperkalemia. Aldosterone also promotes
the reabsorption of sodium and water in the renal tubules, so spironolactone will
tend to cause increased urine output, a decreased or normal serum sodium level,
and signs of dehydration.
A patient has been newly diagnosed with type 2 diabetes. Which information
about the patient will be most useful to the nurse who is helping the patient
develop strategies for successful adaptation to this disease?
a. Ideal weight
b. Value system
c. Activity level
d. Visual changes - CORRECT ANSWERS ANS: B
When dealing with a patient with a chronic condition such as diabetes,
identification of the patient's values and beliefs can assist the interprofessional
team in choosing strategies for successful lifestyle change. The other information
also will be useful but is not as important in developing an individualized plan for
the necessary lifestyle changes.
