ADULT HEALTH III EXAM 2 - ENDOCRINE QUESTIONS
AND CORRECT EXPLAINED ANSWERS 2026|| 100%
GUARANTEED PASS!! <RECENT VERSION>
1. a tumor that is usually benign and originates from the chromaffin cells of the
adrenal medulla-CORRECT ANSWER- pheochromocytoma
2. what are the signs/symptoms of pheochromocytoma?-CORRECT ANSWER- think 5 Hs!-
hypertension - hyperglycemia- hypermetabolism - hyperhidrosis (excess sweating)- headache-
tremors, weakness, anxiety, impending doom, tinnitus, palpitations, vertigo, blurred vision -
abrupt onset of symptoms!!
3. diagnosis of pheochromocytoma-CORRECT ANSWER- - 24 hour urine test - detects
catecholamines - plasma catecholamine - clonidine suppression test
4. severity of signs and symptoms of pheochromocytoma depend on-CORRECT ANSWER-
epinephrine
and norepinephrine
5. patient positioning for pheochromocytoma-CORRECT ANSWER- - bedrest- HOB ELEVATED
(this promotes orthostatic decrease in BP)
6. medications for pheochromocytoma-CORRECT ANSWER- - Alpha-Adrenergic Blockers
(dibenzyline, Prazosin [mini
press], Terazosin [hytrin], or Doxazosin [cardura])- Beta-Adrenergic Blocker (Propranolol)-
Calcium Channel Blockers (Nifedipine [procardia] or Nicardipine [cardene])- Catecholamine
Synthesis Inhibitors (Metyrosine Desmer)- Corticosteroids may be required
7. Definitive treatment of choice for pheochromocytoma =-CORRECT ANSWER- Adrenalectomy
8. Nursing care for pheochromocytoma-CORRECT ANSWER- - monitor BP closely before and
after surgery- monitor blood glucose levels- teach patient not to stop corticosteroids abruptly -
anti-hypertensive will be give until surgery (surgery typically cures the hypertension!)
9. priority nursing intervention for pheochromocytoma =-CORRECT ANSWER- *do NOT palpate
the ab
,domen!!!* this will cause a sudden release of catecholamines and trigger severe hypertension!
Adult Health III Exam 2 - Endocrine
Study online at https-CORRECT ANSWER-//quizlet.com/_9c82bs
10. occurs when the enzyme needed for cortisol production is lacking because
of gene defect. - low cortisol and elevated ACTH secretion-CORRECT ANSWER- Congenital
Adrenal Hyperplasia
11. S/S of Congenital Adrenal Hyperplasia-CORRECT ANSWER- - virilization of the genitalia in
infants- females - facial hair (like a beard), deep voice, baldness, masculine distribution of pubic
hair, growth of clitoris to
resemble a penis- males - similar to females and harder to diagnose
12. what is the treatment for congenital adrenal hyperplasia?-CORRECT ANSWER-
corticosteroids
13. A patient with pheochromocytoma has been admitted for an adrenalectomy
to be performed the following day. To prevent complications, the nurse should
anticipate preoperative administration of which of the following?
A) IV antibiotics
B) Oral antihypertensives
C) Parenteral nutrition
D) IV corticosteroids-CORRECT ANSWER- D) IV corticosteroids
(IV administration of corticosteroids may begin the evening before surgery and continue during
the early post-op
period to prevent adrenal insufficiency!) (antihypertensive ARE given pre-operatively BUT do
NOT prevent adrenal
insufficiency!!!)
14. A patient is undergoing testing for suspected adrenocortical insufficiency.
The care team should ensure that the patient has been assessed for the most
common cause of adrenocortical insufficiency. What is the most common cause
,of this health problem?
A) Therapeutic use of corticosteroids
B) Pheochromocytoma
C) Inadequate secretion of ACTH
D) Adrenal tumor-CORRECT ANSWER- A) Therapeutic use of corticosteroids
15. What is the primary cause of adrenocortical insuffiency?-CORRECT ANSWER- addison's
disease
16. The nurse is caring for a patient with a diagnosis of Addisons disease. What
sign or symptom is most closely associated with this health problem?
A) Truncal obesity
Adult Health III Exam 2 - Endocrine
Study online at https-CORRECT ANSWER-//quizlet.com/_9c82bs
B) Hypertension
C) Muscle weakness
D) Moon face-CORRECT ANSWER- C) Muscle weakness
17. Pharmacological therapies such as _____________, _____________, and
___________ have resulted in manifestations of primary adrenal insufficiency-CORRECT
ANSWER- -
anticoagulants- anticonvulsants (phenytoin and phenobarbital)- antibiotics (rifampicin)
18. dark pigmentation of the mucous membranes and the skin (especially on
the knuckles, elbows, and knees) is a sign of...-CORRECT ANSWER- - addison's disease / adrenal
insufficiency /
hypoaldosteronism
19. Addison's Disease-CORRECT ANSWER- are the following high or low?- blood glucose = - BP =
- serum sodium = - serum potassium =- calcium = - Cortisol =-CORRECT ANSWER- - low blood
glucose - low BP- low serum sodium - high serum potassium- high calcium - low cortisol
, 20. s/s of addisonian crisis-CORRECT ANSWER- - hypotension - tachycardia - cyanosis - pallor-
headache- confusion - restlessness - N/V- weakness
Adult Health III Exam 2 - Endocrine
Study online at https-CORRECT ANSWER-//quizlet.com/_9c82bs
*severe abdominal pain*
21. diagnosis of adrenal insuffiency / hypoaldosteronism / addison's disease-CORRECT ANSWER-
-
early morning serum cortisol and plasma ACTH - ACTH will be elevated and cortisol will be LOW
22. treatment for addisonian/adrenal crisis-CORRECT ANSWER- - hydrocortisone IV followed by
5% dextrose in NS
23. Diet for patient with adrenal insufficiency-CORRECT ANSWER- - high carb, high protein, high
sodium
24. Teaching for patients with adrenal insufficiency-CORRECT ANSWER- - avoid strenuous
activity in hot/humid
weather- wear a medical bracelet- may need to increase salt intake - regimen is lifelong
25. what are the 4 main causes of Addisonian Crisis?-CORRECT ANSWER- - stress- infection -
abrupt stop of corticosteroids- trauma
26. The nurse is caring for a patient with Addisons disease who is scheduled for
discharge. When teaching the patient about hormone replacement therapy,
the nurse should address what topic? A) The possibility of precipitous weight
gain
B) The need for lifelong steroid replacement
C) The need to match the daily steroid dose to immediate symptoms
D) The importance of monitoring liver function-CORRECT ANSWER- B) The need for lifelong
steroid replacement
27. Following an addisonian crisis, a patients adrenal function has been gradu
ally regained. The nurse should ensure that the patient knows about the need
AND CORRECT EXPLAINED ANSWERS 2026|| 100%
GUARANTEED PASS!! <RECENT VERSION>
1. a tumor that is usually benign and originates from the chromaffin cells of the
adrenal medulla-CORRECT ANSWER- pheochromocytoma
2. what are the signs/symptoms of pheochromocytoma?-CORRECT ANSWER- think 5 Hs!-
hypertension - hyperglycemia- hypermetabolism - hyperhidrosis (excess sweating)- headache-
tremors, weakness, anxiety, impending doom, tinnitus, palpitations, vertigo, blurred vision -
abrupt onset of symptoms!!
3. diagnosis of pheochromocytoma-CORRECT ANSWER- - 24 hour urine test - detects
catecholamines - plasma catecholamine - clonidine suppression test
4. severity of signs and symptoms of pheochromocytoma depend on-CORRECT ANSWER-
epinephrine
and norepinephrine
5. patient positioning for pheochromocytoma-CORRECT ANSWER- - bedrest- HOB ELEVATED
(this promotes orthostatic decrease in BP)
6. medications for pheochromocytoma-CORRECT ANSWER- - Alpha-Adrenergic Blockers
(dibenzyline, Prazosin [mini
press], Terazosin [hytrin], or Doxazosin [cardura])- Beta-Adrenergic Blocker (Propranolol)-
Calcium Channel Blockers (Nifedipine [procardia] or Nicardipine [cardene])- Catecholamine
Synthesis Inhibitors (Metyrosine Desmer)- Corticosteroids may be required
7. Definitive treatment of choice for pheochromocytoma =-CORRECT ANSWER- Adrenalectomy
8. Nursing care for pheochromocytoma-CORRECT ANSWER- - monitor BP closely before and
after surgery- monitor blood glucose levels- teach patient not to stop corticosteroids abruptly -
anti-hypertensive will be give until surgery (surgery typically cures the hypertension!)
9. priority nursing intervention for pheochromocytoma =-CORRECT ANSWER- *do NOT palpate
the ab
,domen!!!* this will cause a sudden release of catecholamines and trigger severe hypertension!
Adult Health III Exam 2 - Endocrine
Study online at https-CORRECT ANSWER-//quizlet.com/_9c82bs
10. occurs when the enzyme needed for cortisol production is lacking because
of gene defect. - low cortisol and elevated ACTH secretion-CORRECT ANSWER- Congenital
Adrenal Hyperplasia
11. S/S of Congenital Adrenal Hyperplasia-CORRECT ANSWER- - virilization of the genitalia in
infants- females - facial hair (like a beard), deep voice, baldness, masculine distribution of pubic
hair, growth of clitoris to
resemble a penis- males - similar to females and harder to diagnose
12. what is the treatment for congenital adrenal hyperplasia?-CORRECT ANSWER-
corticosteroids
13. A patient with pheochromocytoma has been admitted for an adrenalectomy
to be performed the following day. To prevent complications, the nurse should
anticipate preoperative administration of which of the following?
A) IV antibiotics
B) Oral antihypertensives
C) Parenteral nutrition
D) IV corticosteroids-CORRECT ANSWER- D) IV corticosteroids
(IV administration of corticosteroids may begin the evening before surgery and continue during
the early post-op
period to prevent adrenal insufficiency!) (antihypertensive ARE given pre-operatively BUT do
NOT prevent adrenal
insufficiency!!!)
14. A patient is undergoing testing for suspected adrenocortical insufficiency.
The care team should ensure that the patient has been assessed for the most
common cause of adrenocortical insufficiency. What is the most common cause
,of this health problem?
A) Therapeutic use of corticosteroids
B) Pheochromocytoma
C) Inadequate secretion of ACTH
D) Adrenal tumor-CORRECT ANSWER- A) Therapeutic use of corticosteroids
15. What is the primary cause of adrenocortical insuffiency?-CORRECT ANSWER- addison's
disease
16. The nurse is caring for a patient with a diagnosis of Addisons disease. What
sign or symptom is most closely associated with this health problem?
A) Truncal obesity
Adult Health III Exam 2 - Endocrine
Study online at https-CORRECT ANSWER-//quizlet.com/_9c82bs
B) Hypertension
C) Muscle weakness
D) Moon face-CORRECT ANSWER- C) Muscle weakness
17. Pharmacological therapies such as _____________, _____________, and
___________ have resulted in manifestations of primary adrenal insufficiency-CORRECT
ANSWER- -
anticoagulants- anticonvulsants (phenytoin and phenobarbital)- antibiotics (rifampicin)
18. dark pigmentation of the mucous membranes and the skin (especially on
the knuckles, elbows, and knees) is a sign of...-CORRECT ANSWER- - addison's disease / adrenal
insufficiency /
hypoaldosteronism
19. Addison's Disease-CORRECT ANSWER- are the following high or low?- blood glucose = - BP =
- serum sodium = - serum potassium =- calcium = - Cortisol =-CORRECT ANSWER- - low blood
glucose - low BP- low serum sodium - high serum potassium- high calcium - low cortisol
, 20. s/s of addisonian crisis-CORRECT ANSWER- - hypotension - tachycardia - cyanosis - pallor-
headache- confusion - restlessness - N/V- weakness
Adult Health III Exam 2 - Endocrine
Study online at https-CORRECT ANSWER-//quizlet.com/_9c82bs
*severe abdominal pain*
21. diagnosis of adrenal insuffiency / hypoaldosteronism / addison's disease-CORRECT ANSWER-
-
early morning serum cortisol and plasma ACTH - ACTH will be elevated and cortisol will be LOW
22. treatment for addisonian/adrenal crisis-CORRECT ANSWER- - hydrocortisone IV followed by
5% dextrose in NS
23. Diet for patient with adrenal insufficiency-CORRECT ANSWER- - high carb, high protein, high
sodium
24. Teaching for patients with adrenal insufficiency-CORRECT ANSWER- - avoid strenuous
activity in hot/humid
weather- wear a medical bracelet- may need to increase salt intake - regimen is lifelong
25. what are the 4 main causes of Addisonian Crisis?-CORRECT ANSWER- - stress- infection -
abrupt stop of corticosteroids- trauma
26. The nurse is caring for a patient with Addisons disease who is scheduled for
discharge. When teaching the patient about hormone replacement therapy,
the nurse should address what topic? A) The possibility of precipitous weight
gain
B) The need for lifelong steroid replacement
C) The need to match the daily steroid dose to immediate symptoms
D) The importance of monitoring liver function-CORRECT ANSWER- B) The need for lifelong
steroid replacement
27. Following an addisonian crisis, a patients adrenal function has been gradu
ally regained. The nurse should ensure that the patient knows about the need
