RN ATI TARGETED MEDICAL SURGICAL
ENDOCRINE EXAM FINAL PAPER 2026
COMPLETE SOLVED QUESTIONS PRACTICE
REVISION PACK EXPERT REVIEW 209 ITEMS
◉ A nurse is caring for a client following a thyroidectomy. The nurse
should assess for which of the following findings as an indication of
hypocalcemia?
- Strong, bounding pulses
- Decreased bowel sounds
- Tingling and numbness of the hands and feet
- Diminished deep-tendon reflexes.
Answer: Tingling and numbness of the hands and feet
Rationale: Hypocalcemia causes paresthesia, which usually starts in
the hands and feet.
RATIONALES:
,Strong, bounding pulses
- Hypocalcemia causes a weak, thready pulse.
Decreased bowel sounds
- Hypocalcemia increases gastrointestinal motility.
Diminished deep-tendon reflexes
- Hypocalcemia causes hyperactive deep-tendon reflexes.
◉ A nurse is caring for a client who has pheochromocytoma. Which
of the following actions should the nurse take?
- Elevate the head of the client's bed
- Palpate the client's abdomen
- Monitor the client for hypotension
- Check the client's urine specific gravity.
Answer: Elevate the head of the client's bed
Rationale: The nurse should elevate the head of the client's bed to
reduce blood pressure and abdominal pressure.
,RATIONALES:
Palpate the client's abdomen
- The nurse should not palpate the abdomen of a client who has a
pheochromocytoma, because this can cause release of
catecholamines and increase blood pressure.
Monitor the client for hypotension
- The nurse should monitor a client who has pheochromocytoma for
hypertension
Check the client's urine specific gravity
- The nurse should monitor the urine specific gravity of a client who
has diabetes insipidus.
◉ A nurse is assessing a client who is taking propylthiouracil. The
nurse should identify which of the following findings as an
indication that the medication has been effective?
- Increased ability to sweat
- Increased bowel movements
- Increased body weight
- Increased libido.
, Answer: Increased body weight
Rationale: Propylthiouracil suppresses the production of thyroid
hormones and allows for weight gain. However, excessive weight
gain could indicate that the dose of propylthiouracil is too high.
RATIONALES:
Increased ability to sweat
- Diaphoresis is a manifestation of hyperthyroidism. Propylthiouracil
is an antithyroid agent that is expected to decrease diaphoresis.
Increased bowel movements
- Increased bowel movements is a manifestation of hyperthyroidism.
Propylthiouracil is an antithyroid agent that is expected to decrease
bowel movements.
Increased libido
- Increased libido is a manifestation of hyperthyroidism.
Propylthiouracil is an antithyroid agent that is expected to decrease
libido.
ENDOCRINE EXAM FINAL PAPER 2026
COMPLETE SOLVED QUESTIONS PRACTICE
REVISION PACK EXPERT REVIEW 209 ITEMS
◉ A nurse is caring for a client following a thyroidectomy. The nurse
should assess for which of the following findings as an indication of
hypocalcemia?
- Strong, bounding pulses
- Decreased bowel sounds
- Tingling and numbness of the hands and feet
- Diminished deep-tendon reflexes.
Answer: Tingling and numbness of the hands and feet
Rationale: Hypocalcemia causes paresthesia, which usually starts in
the hands and feet.
RATIONALES:
,Strong, bounding pulses
- Hypocalcemia causes a weak, thready pulse.
Decreased bowel sounds
- Hypocalcemia increases gastrointestinal motility.
Diminished deep-tendon reflexes
- Hypocalcemia causes hyperactive deep-tendon reflexes.
◉ A nurse is caring for a client who has pheochromocytoma. Which
of the following actions should the nurse take?
- Elevate the head of the client's bed
- Palpate the client's abdomen
- Monitor the client for hypotension
- Check the client's urine specific gravity.
Answer: Elevate the head of the client's bed
Rationale: The nurse should elevate the head of the client's bed to
reduce blood pressure and abdominal pressure.
,RATIONALES:
Palpate the client's abdomen
- The nurse should not palpate the abdomen of a client who has a
pheochromocytoma, because this can cause release of
catecholamines and increase blood pressure.
Monitor the client for hypotension
- The nurse should monitor a client who has pheochromocytoma for
hypertension
Check the client's urine specific gravity
- The nurse should monitor the urine specific gravity of a client who
has diabetes insipidus.
◉ A nurse is assessing a client who is taking propylthiouracil. The
nurse should identify which of the following findings as an
indication that the medication has been effective?
- Increased ability to sweat
- Increased bowel movements
- Increased body weight
- Increased libido.
, Answer: Increased body weight
Rationale: Propylthiouracil suppresses the production of thyroid
hormones and allows for weight gain. However, excessive weight
gain could indicate that the dose of propylthiouracil is too high.
RATIONALES:
Increased ability to sweat
- Diaphoresis is a manifestation of hyperthyroidism. Propylthiouracil
is an antithyroid agent that is expected to decrease diaphoresis.
Increased bowel movements
- Increased bowel movements is a manifestation of hyperthyroidism.
Propylthiouracil is an antithyroid agent that is expected to decrease
bowel movements.
Increased libido
- Increased libido is a manifestation of hyperthyroidism.
Propylthiouracil is an antithyroid agent that is expected to decrease
libido.
