GRADE A+ Endocrine NCLEX style questions and ans 2025
A nurse mixes a short-acting and an intermediate-acting insulin in
the same syringe to administer to a client with diabetes. List the
actions in the order the nurse should perform them.
A) Don a pair of clean gloves.
A, D, B, C, E
B) Put air into the intermediate-acting insulin vial.
C) Withdraw the prescribed amount of short-acting insulin.
D) Put air into the short-acting insulin vial.
E) Withdraw the prescribed amount of intermediate-acting insulin.
An client who is obese and has type 2 diabetes asks about the
intake of alcohol and special "dietetic" food in the diet. What should
the nurse include in teaching?
A) Alcohol can be consumed, with its calories counted in the diet.
B) Unlimited amounts of sugar substitutes can be used as desired. A
C) Alcohol should not be used in cooking because it adds too
many calories.
D) Special "dietetic" foods are needed because many regular
foods cannot be used.
A client with addisonian crisis exhibits severe manifestations
of glucocorticoid and mineralocorticoid deficiencies. Which re-
sponses should the nurse expect the client to exhibit? Select all
that apply.
A) Bradycardia C, D, E
B) Hypertension
C) Hyperkalemia
D) Hyponatremia
E) Postural hypotension
A client, reports feeling nervous, irritable, and extremely tired.
The client says to the nurse, "Although I eat a lot of food, I
have frequent bouts of diarrhea and am losing weight." The nurse
observes a fine hand tremor, an exaggerated reaction to external
stimuli, and a wide-eyed expression. What laboratory tests may be
prescribed to determine the cause of these signs and symptoms?
B
A) Partial thromboplastin time (PTT) and prothrombin time (PT)
B) T3, T4, and thyroid-stimulating hormone (TSH)
C) Venereal disease research laboratory (VDRL) test and com-
plete blood count (CBC)
D) Adrenocorticotropic hormone (ACTH), antidiuretic hormone
ADH, and corticotropin-releasing factor (CRF)
Which client response should the nurse monitor when assessing
for complications of hyperparathyroidism?
A) Tetany
B) Seizures C
C) Bone pain
D) Graves disease
A client with type 1 diabetes self-administers Novolin N insulin
every morning at 8 AM. The nurse evaluates that the client under-
stands the action of the insulin when the client says she should
be alert for signs of hypoglycemia between what hours?
A) 9 am and 10 am C
B) 10 am and 11 am
C) 2 pm and 8 pm
D) 8 pm and 12 noon
The nurse is teaching a student nurse about caring for a client with
decreased bone density. Which statements made by the student
nurse indicates effective learning? Select all that apply.
A) "I will instruct the client to refrain from running as exercise."
B) "I will instruct the client to be very careful to prevent injuries." B, C
C) "I will instruct the client to perform weight-bearing activities."
D) "I will instruct the client to drink at least 2 liters of water daily."
E) "I will instruct the client to change positions every 2 hours."
1/8
, GRADE A+ Endocrine NCLEX style questions and ans 2025
The nurse is caring for a client with type 1 diabetes. Which signs or
symptoms of insulin reaction should the nurse be most concerned
should they occur? Select all that apply.
A) Lethargy
B, C
B) Headache
C) Diaphoresis
D) Excessive thirst
E) Deep respirations
A, B
Before a client's discharge after a thyroidectomy, the nurse teach-
es the client to observe for signs of surgically induced hypothy-
roidism. What clinical indicators of hypoglycemia should the client Fatigue is caused by a decreased metabolic rate. Dry skin is
report. Select all that apply.
caused by decreased glandular function associated with a de-
A) Fatigue
creased metabolic rate. Insomnia is caused by an increased meta-
B) Dry skin
bolic rate associated with hyperthyroidism, not hypothyroidism.
C) Insomnia
Intolerance to heat is associated with hyperthyroidism. Intolerance
D) Intolerance to heat
to cold is associated with hypothyroidism. Progressive weight loss
E) Progressive weight loss
is associated with hyperthyroidism. Progressive weight gain is
associated with hypothyroidism because of the reduced metabolic
rate.
The nurse provides education related to manifestations of hy-
perglycemia to a client with type 1 diabetes. Which signs and
symptoms identified by the client indicate that the teaching was
effective? Select all that apply.
A) Thirst A, D, E
B) Headache
C) Nervousness
D) Fruity breath odor
E) Excessive urination
A nurse is caring for a client who has had type 1 diabetes for 25
years. The client states, "I have been really bad for the last 15
years. I have not paid attention to my diet and have done little
to control my diabetes." What signs of common complications of
diabetes might the nurse expect to identify when assessing this
client? Select all that apply. A, B, C, E
A) Leg ulcers
B) Loss of visual acuity
C) Thick, yellow toenails
D) Increased growth of body hair
E) Decreased sensation in the feet
Which clinical findings should the nurse expect when assessing a
client with hyperthyroidism? Select all that apply.
A) Diarrhea
B) Listlessness A, C
C) Weight loss
D) Bradycardia
E) Decreased appetite
Which clinical findings should the nurse assess when caring for a
client with hyperthyroidism? Select all that apply.
A) Lethargy
B) Tachycardia B, E
C) Weight gain
D) Constipation
E) Exophthalmos
A client is diagnosed with parathyroid dysfunction. Which serum
calcium concentration in the client would support the diagnosis?
A) 7.8 mg/dL A
B) 8.9 mg/dL
2/8
A nurse mixes a short-acting and an intermediate-acting insulin in
the same syringe to administer to a client with diabetes. List the
actions in the order the nurse should perform them.
A) Don a pair of clean gloves.
A, D, B, C, E
B) Put air into the intermediate-acting insulin vial.
C) Withdraw the prescribed amount of short-acting insulin.
D) Put air into the short-acting insulin vial.
E) Withdraw the prescribed amount of intermediate-acting insulin.
An client who is obese and has type 2 diabetes asks about the
intake of alcohol and special "dietetic" food in the diet. What should
the nurse include in teaching?
A) Alcohol can be consumed, with its calories counted in the diet.
B) Unlimited amounts of sugar substitutes can be used as desired. A
C) Alcohol should not be used in cooking because it adds too
many calories.
D) Special "dietetic" foods are needed because many regular
foods cannot be used.
A client with addisonian crisis exhibits severe manifestations
of glucocorticoid and mineralocorticoid deficiencies. Which re-
sponses should the nurse expect the client to exhibit? Select all
that apply.
A) Bradycardia C, D, E
B) Hypertension
C) Hyperkalemia
D) Hyponatremia
E) Postural hypotension
A client, reports feeling nervous, irritable, and extremely tired.
The client says to the nurse, "Although I eat a lot of food, I
have frequent bouts of diarrhea and am losing weight." The nurse
observes a fine hand tremor, an exaggerated reaction to external
stimuli, and a wide-eyed expression. What laboratory tests may be
prescribed to determine the cause of these signs and symptoms?
B
A) Partial thromboplastin time (PTT) and prothrombin time (PT)
B) T3, T4, and thyroid-stimulating hormone (TSH)
C) Venereal disease research laboratory (VDRL) test and com-
plete blood count (CBC)
D) Adrenocorticotropic hormone (ACTH), antidiuretic hormone
ADH, and corticotropin-releasing factor (CRF)
Which client response should the nurse monitor when assessing
for complications of hyperparathyroidism?
A) Tetany
B) Seizures C
C) Bone pain
D) Graves disease
A client with type 1 diabetes self-administers Novolin N insulin
every morning at 8 AM. The nurse evaluates that the client under-
stands the action of the insulin when the client says she should
be alert for signs of hypoglycemia between what hours?
A) 9 am and 10 am C
B) 10 am and 11 am
C) 2 pm and 8 pm
D) 8 pm and 12 noon
The nurse is teaching a student nurse about caring for a client with
decreased bone density. Which statements made by the student
nurse indicates effective learning? Select all that apply.
A) "I will instruct the client to refrain from running as exercise."
B) "I will instruct the client to be very careful to prevent injuries." B, C
C) "I will instruct the client to perform weight-bearing activities."
D) "I will instruct the client to drink at least 2 liters of water daily."
E) "I will instruct the client to change positions every 2 hours."
1/8
, GRADE A+ Endocrine NCLEX style questions and ans 2025
The nurse is caring for a client with type 1 diabetes. Which signs or
symptoms of insulin reaction should the nurse be most concerned
should they occur? Select all that apply.
A) Lethargy
B, C
B) Headache
C) Diaphoresis
D) Excessive thirst
E) Deep respirations
A, B
Before a client's discharge after a thyroidectomy, the nurse teach-
es the client to observe for signs of surgically induced hypothy-
roidism. What clinical indicators of hypoglycemia should the client Fatigue is caused by a decreased metabolic rate. Dry skin is
report. Select all that apply.
caused by decreased glandular function associated with a de-
A) Fatigue
creased metabolic rate. Insomnia is caused by an increased meta-
B) Dry skin
bolic rate associated with hyperthyroidism, not hypothyroidism.
C) Insomnia
Intolerance to heat is associated with hyperthyroidism. Intolerance
D) Intolerance to heat
to cold is associated with hypothyroidism. Progressive weight loss
E) Progressive weight loss
is associated with hyperthyroidism. Progressive weight gain is
associated with hypothyroidism because of the reduced metabolic
rate.
The nurse provides education related to manifestations of hy-
perglycemia to a client with type 1 diabetes. Which signs and
symptoms identified by the client indicate that the teaching was
effective? Select all that apply.
A) Thirst A, D, E
B) Headache
C) Nervousness
D) Fruity breath odor
E) Excessive urination
A nurse is caring for a client who has had type 1 diabetes for 25
years. The client states, "I have been really bad for the last 15
years. I have not paid attention to my diet and have done little
to control my diabetes." What signs of common complications of
diabetes might the nurse expect to identify when assessing this
client? Select all that apply. A, B, C, E
A) Leg ulcers
B) Loss of visual acuity
C) Thick, yellow toenails
D) Increased growth of body hair
E) Decreased sensation in the feet
Which clinical findings should the nurse expect when assessing a
client with hyperthyroidism? Select all that apply.
A) Diarrhea
B) Listlessness A, C
C) Weight loss
D) Bradycardia
E) Decreased appetite
Which clinical findings should the nurse assess when caring for a
client with hyperthyroidism? Select all that apply.
A) Lethargy
B) Tachycardia B, E
C) Weight gain
D) Constipation
E) Exophthalmos
A client is diagnosed with parathyroid dysfunction. Which serum
calcium concentration in the client would support the diagnosis?
A) 7.8 mg/dL A
B) 8.9 mg/dL
2/8
