ENDOCRINE SYSTEM AND
DISORDERS TEST BANK
(UPDATED 2025)\ACCURATE
ACTUAL EXAM WITH
FREQUENTLY TESTED
QUESTIONS AND STUDY
GUIDE \EXPERT VERIFIED
FOR GUARANTEED
PASS\ALREADY GRADED A+
A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis, the nurse
would anticipate an order for:
A. Potassium
B. Magnesium
C. Calcium
D. Iron
C.
The parathyroid is responsible for calcium and phosphorus absorption. Clients with hypoparathyroidism
have hypocalcemia. Answers A, B, and D are not associated with hypoparathyroidism therefore they are
incorrect.
A client with Addison's disease will most likely exhibit which symptom?
A. Hypertension
B. Bronze pigmentation
C. Hirsutism
D. Purple striae
,B.
Answer B is correct because a bronze pigmentation is a sign of Addison's disease. Answers A, C, and D
are symptoms of Cushing's syndrome, making them incorrect.
A client with Cushing's syndrome should be instructed to:
A. Avoid alcoholic beverages
B. Limit the sodium in her diet
C. Increase servings of dark green vegetables
D. Limit the amount of protein in her diet
B.
A client with Cushing's syndrome has adrenocortical hypersecretion, so she retains sodium and water.
The client may drink alcohol in moderation, so answer A is incorrect, and there is no need to eat more
green vegetables or limit protein, so answers C and D are incorrect.
The client with a suspected pituitary tumor will most likely exhibit symptoms of:
A. Alteration in visual acuity
B. Frequent diarrhea
C. Alterations in blood glucose
D. Urticaria
A.
The pituitary is located in the middle of the skull adjacent to the optic nerve and brain. Pressure on the
optic nerve can cause an increase in intracranial pressure. Clients frequently complain of headache,
nausea, vomiting, and decreasing visual acuity as the intracranial pressure increases. B, C, and D are
incorrect because they are not associated with a pituitary tumor.
A diabetic client has been maintained on Glucophage (metformin) for regulation of his blood glucose
levels. Which teaching should be included in the plan of care?
A. Report changes in urinary pattern.
B. Allow six weeks for optimal effects.
C. Increase the amount of carbohydrates in your diet.
D. Use lotions to treat itching.
A.
Glucophage (metformin) can cause renal complications. The client should be monitored for changes in
renal function. In answer B, the medication begins working immediately, so it is incorrect. In answer C,
the amount of carbohydrates should be regulated with a diabetic diet, so it is incorrect. The use of
lotions in answer D is unnecessary, so it is incorrect.
A client with diabetes experiences Somogyi's effect. To prevent this complication, the nurse should
instruct the client to:
A. Take his insulin each day at 1400 hours
B. Engage in physical activity daily
C. Increase the amount of regular insulin
D. Eat a protein and carbohydrate snack at bedtime
,D.
Somogyi's is characterized by a drop in glucose levels at approximately 2 a.m. or 3 a.m. followed by a
false elevation. Eating a protein and carbohydrate snack before retiring prevents the hypoglycemia and
rebound elevation. Answers A, B, and C are incorrect because they do not prevent Somogyi's effect.
Which item should be kept at the bedside of a client who has just returned from having a
thyroidectomy?
A. A padded tongue
B. An endotracheal tube
C. An airway
D. A tracheostomy set
D.
Laryngeal swelling is not uncommon in clients following a thyroidectomy. A tracheostomy tray should be
kept available. The ventilator is not necessary, so answer A is incorrect. The endotracheal tube is very
difficult, if not impossible, to intubate if swelling has already occurred, so answer B is incorrect. The
airway will do no good because the swelling is in the trachea, so answer C is incorrect.
Which vitamin is directly involved in the metabolism of the hormones secreted by the parathyroid?
A. Vitamin C
B. Vitamin D
C. Vitamin K
D. Vitamin B9
B.
Vitamin D is related to absorption of calcium and phosphorus. A, C, and D are incorrect because they are
not related to the absorption of calcium and phosphorus.
A client with acromegaly will most likely experience which symptom?
A. Bone pain
B. Frequent infections
C. Fatigue
D. Weight loss
A.
Acromegaly is an increase in secretion of growth hormone. The growth hormones cause expansion and
elongation of the bones. Answers B, C, and D are not directly associated with acromegaly, so they are
incorrect.
A diabetic client is taking Lantus insulin for regulation of his blood glucose levels. The nurse should
know that this insulin will most likely be administered:
A. Prior to each meal
B. At night
C. Midday
D. Prior to the evening meal
, B.
This insulin, unlike others, is most frequently administered at night. Its duration is 24-36 hours. A, C, and
D are incorrect they are incorrect times to administer Lantus insulin.
A client with polyuria, polydipsia, and polyphagia is diagnosed with diabetes mellitus. The nurse
would expect that these symptoms are related to
A. Hypoglycemia
B. Hyperglycemia
C. Hyperparathyroidism
D. Hyperthyroidism
B.
The client with hyperglycemia will exhibit polyuria, polydipsia, or increased thirst, and polyphagia, or
increased hunger. A, C, and D are incorrect because they are not signs of hypoglycemia.
Which laboratory test conducted on the client with diabetes mellitus indicates compliance?
A. Fasting blood glucose
B. Two-hour post-prandial
C. Hgb A-1C
D. Dextrostix
C.
The Hgb A-1C indicates that the client has been compliant for approximately three months. Answers A,
B, and D tell the nurse the client's blood glucose at the time of the test, so they are incorrect.
The nurse is caring for a group of older patients in a long-term care setting. Which physical changes in
the patients should the nurse investigate as signs of possible endocrine dysfunction?
A. Absent reflexes, diarrhea, and hearing loss
B. Hypoglycemia, delirium, and incontinence
C. Fatigue, constipation, and mental impairment
D. Hypotension, heat intolerance, and bradycardia
C.
Changes of aging often mimic clinical manifestations of endocrine disorders. Clinical manifestations of
endocrine dysfunction such as fatigue, constipation, or mental impairment in the older adult are often
missed because they are attributed solely to aging.
The nurse interviews a 50-year-old man with a history of type 2 diabetes mellitus, chronic bronchitis,
and osteoarthritis who has a fasting blood glucose of 154 mg/dL. Which medications, if taken by the
patient, may raise blood glucose levels?
A. Glargine (Lantus)
B. Prednisone (Deltasone)
C. Metformin (Glucophage)
D. Acetaminophen (Tylenol)
B.
Prednisone is a corticosteroid that may cause glucose intolerance in susceptible patients by increasing
DISORDERS TEST BANK
(UPDATED 2025)\ACCURATE
ACTUAL EXAM WITH
FREQUENTLY TESTED
QUESTIONS AND STUDY
GUIDE \EXPERT VERIFIED
FOR GUARANTEED
PASS\ALREADY GRADED A+
A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis, the nurse
would anticipate an order for:
A. Potassium
B. Magnesium
C. Calcium
D. Iron
C.
The parathyroid is responsible for calcium and phosphorus absorption. Clients with hypoparathyroidism
have hypocalcemia. Answers A, B, and D are not associated with hypoparathyroidism therefore they are
incorrect.
A client with Addison's disease will most likely exhibit which symptom?
A. Hypertension
B. Bronze pigmentation
C. Hirsutism
D. Purple striae
,B.
Answer B is correct because a bronze pigmentation is a sign of Addison's disease. Answers A, C, and D
are symptoms of Cushing's syndrome, making them incorrect.
A client with Cushing's syndrome should be instructed to:
A. Avoid alcoholic beverages
B. Limit the sodium in her diet
C. Increase servings of dark green vegetables
D. Limit the amount of protein in her diet
B.
A client with Cushing's syndrome has adrenocortical hypersecretion, so she retains sodium and water.
The client may drink alcohol in moderation, so answer A is incorrect, and there is no need to eat more
green vegetables or limit protein, so answers C and D are incorrect.
The client with a suspected pituitary tumor will most likely exhibit symptoms of:
A. Alteration in visual acuity
B. Frequent diarrhea
C. Alterations in blood glucose
D. Urticaria
A.
The pituitary is located in the middle of the skull adjacent to the optic nerve and brain. Pressure on the
optic nerve can cause an increase in intracranial pressure. Clients frequently complain of headache,
nausea, vomiting, and decreasing visual acuity as the intracranial pressure increases. B, C, and D are
incorrect because they are not associated with a pituitary tumor.
A diabetic client has been maintained on Glucophage (metformin) for regulation of his blood glucose
levels. Which teaching should be included in the plan of care?
A. Report changes in urinary pattern.
B. Allow six weeks for optimal effects.
C. Increase the amount of carbohydrates in your diet.
D. Use lotions to treat itching.
A.
Glucophage (metformin) can cause renal complications. The client should be monitored for changes in
renal function. In answer B, the medication begins working immediately, so it is incorrect. In answer C,
the amount of carbohydrates should be regulated with a diabetic diet, so it is incorrect. The use of
lotions in answer D is unnecessary, so it is incorrect.
A client with diabetes experiences Somogyi's effect. To prevent this complication, the nurse should
instruct the client to:
A. Take his insulin each day at 1400 hours
B. Engage in physical activity daily
C. Increase the amount of regular insulin
D. Eat a protein and carbohydrate snack at bedtime
,D.
Somogyi's is characterized by a drop in glucose levels at approximately 2 a.m. or 3 a.m. followed by a
false elevation. Eating a protein and carbohydrate snack before retiring prevents the hypoglycemia and
rebound elevation. Answers A, B, and C are incorrect because they do not prevent Somogyi's effect.
Which item should be kept at the bedside of a client who has just returned from having a
thyroidectomy?
A. A padded tongue
B. An endotracheal tube
C. An airway
D. A tracheostomy set
D.
Laryngeal swelling is not uncommon in clients following a thyroidectomy. A tracheostomy tray should be
kept available. The ventilator is not necessary, so answer A is incorrect. The endotracheal tube is very
difficult, if not impossible, to intubate if swelling has already occurred, so answer B is incorrect. The
airway will do no good because the swelling is in the trachea, so answer C is incorrect.
Which vitamin is directly involved in the metabolism of the hormones secreted by the parathyroid?
A. Vitamin C
B. Vitamin D
C. Vitamin K
D. Vitamin B9
B.
Vitamin D is related to absorption of calcium and phosphorus. A, C, and D are incorrect because they are
not related to the absorption of calcium and phosphorus.
A client with acromegaly will most likely experience which symptom?
A. Bone pain
B. Frequent infections
C. Fatigue
D. Weight loss
A.
Acromegaly is an increase in secretion of growth hormone. The growth hormones cause expansion and
elongation of the bones. Answers B, C, and D are not directly associated with acromegaly, so they are
incorrect.
A diabetic client is taking Lantus insulin for regulation of his blood glucose levels. The nurse should
know that this insulin will most likely be administered:
A. Prior to each meal
B. At night
C. Midday
D. Prior to the evening meal
, B.
This insulin, unlike others, is most frequently administered at night. Its duration is 24-36 hours. A, C, and
D are incorrect they are incorrect times to administer Lantus insulin.
A client with polyuria, polydipsia, and polyphagia is diagnosed with diabetes mellitus. The nurse
would expect that these symptoms are related to
A. Hypoglycemia
B. Hyperglycemia
C. Hyperparathyroidism
D. Hyperthyroidism
B.
The client with hyperglycemia will exhibit polyuria, polydipsia, or increased thirst, and polyphagia, or
increased hunger. A, C, and D are incorrect because they are not signs of hypoglycemia.
Which laboratory test conducted on the client with diabetes mellitus indicates compliance?
A. Fasting blood glucose
B. Two-hour post-prandial
C. Hgb A-1C
D. Dextrostix
C.
The Hgb A-1C indicates that the client has been compliant for approximately three months. Answers A,
B, and D tell the nurse the client's blood glucose at the time of the test, so they are incorrect.
The nurse is caring for a group of older patients in a long-term care setting. Which physical changes in
the patients should the nurse investigate as signs of possible endocrine dysfunction?
A. Absent reflexes, diarrhea, and hearing loss
B. Hypoglycemia, delirium, and incontinence
C. Fatigue, constipation, and mental impairment
D. Hypotension, heat intolerance, and bradycardia
C.
Changes of aging often mimic clinical manifestations of endocrine disorders. Clinical manifestations of
endocrine dysfunction such as fatigue, constipation, or mental impairment in the older adult are often
missed because they are attributed solely to aging.
The nurse interviews a 50-year-old man with a history of type 2 diabetes mellitus, chronic bronchitis,
and osteoarthritis who has a fasting blood glucose of 154 mg/dL. Which medications, if taken by the
patient, may raise blood glucose levels?
A. Glargine (Lantus)
B. Prednisone (Deltasone)
C. Metformin (Glucophage)
D. Acetaminophen (Tylenol)
B.
Prednisone is a corticosteroid that may cause glucose intolerance in susceptible patients by increasing
