• NUR 504 EXAM 09/07/2026
NUR 504 EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH
RATIONALE
A nurse assesses a client who is prescribed a medication that stimulates beta1 receptors. Which assessment
finding would indicate that the medication is effective?
a. Heart rate of 92 beats/min
b. Respiratory rate of 18 breaths/min
c. Oxygenation saturation of 92%
d. Blood pressure of 144/69mmHg - Correct Answer :ANS: A
Stimulation of beta1 receptor sites in the heart has positive chronotropic and inotropic actions.
The nurse expects an increase in heart rate and increased cardiac output. The other vital signs
P 1
, • NUR 504 EXAM 09/07/2026
are within normal limits and do not indicate any response to the medication.
A nurse collaborates with assistive personnel (AP) to provide care for a client who is prescribed a 24-hour urine
specimen collection. Which statement would the nurse include when teaching the AP about this activity?
a. "Note the time of the client's first void and collect urine for 24 hours."
b. "Add the preservative to the container at the end of the test."
c. "Start the collection by saving the first urine of the morning."
d. "It is okay if one urine sample during the 24 hours is not collected." - Correct Answer :ANS: A
The collection of a 24-hour urine specimen is often delegated to AP. The nurse must ensure
that the AP understands the proper process for collecting the urine. The 24-hour urine
collection specimen is started after the client's first urination. The first urine specimen is
discarded because there is no way to know how long it has been in the bladder, but the time of
the client's first void is noted. The client adds all urine voided after that first discarded
specimen during the next 24 hours. When the 24-hour mark is reached, the client voids one
last time and adds this specimen to the collection. The preservative, if used, must be added to
the container at the beginning of the collection. All urine samples need to be collected for the
test results to be accurate.
A nurse assesses a female client who presents with hirsutism. Which question would the nurse
ask when assessing this client?
a. "How do you plan to pay for your treatments?"
b. "How do you feel about yourself?"
c. "What medications are you prescribed?"
d. "What are you doing to prevent this from happening?" - Correct Answer :ANS: B
Hirsutism, or excessive hair growth on the face and body, can result from endocrine disorders.
This may cause a disruption in body image, especially for female clients. The nurse would
inquire into the client's body image and self-perception. Asking about the client's financial
status or current medications does not address the client's immediate problem. The client is
not doing anything to herself to cause the problem, nor can the client prevent it from
P 2
, • NUR 504 EXAM 09/07/2026
happening.
A nurse is caring for a patient who has excessive catecholamine release. Which assessment
finding would the nurse correlate with this condition?
a. Decreased blood pressure
b. Increased pulse
c. Decreased respiratory rate
d. Increased urine output - Correct Answer :ANS: B
Catecholamines are responsible for the fight-or-flight stress response. Activation of the
sympathetic nervous system can be correlated with tachycardia. Catecholamines do not
decrease blood pressure or respiratory rate, nor do they increase urine output.
The nurse is teaching assistive personnel (AP) about hormones that are produced by the adrenal glands. Which
hormone has the primary responsibility of maintaining fluid volume
and electrolyte composition?
a. Sodium
b. Magnesium
c. Aldosterone
d. Renin - Correct Answer :ANS: C
Aldosterone is a hormone secreted by the adrenal cortex that causes water and sodium
absorption to maintain body fluid volume. Renin is secreted by the kidney to trigger
angiotensinogen converting angiotensin I to angiotensin II to help control blood pressure.
Magnesium and sodium are electrolytes and not hormones.
The nurse reviews the function of thyroid gland hormones. What is the primary function of
calcitonin?
a. Sodium and potassium balance
b. Magnesium balance
c. Norepinephrine balance
P 3
, • NUR 504 EXAM 09/07/2026
d. Calcium and phosphorus balance - Correct Answer :ANS: D
Calcitonin is the primary body hormone that is secreted from the thyroid gland and is
responsible for maintaining calcium and phosphorus balance.
A nurse teaches an older woman who has a decreased production of estrogen. Which
statement would the nurse include in this client's teaching to decrease injury?
a. "Drink at least 2 quarts (2 L) of fluids each day."
b. "Walk around the neighborhood for daily exercise."
c. "Bathe your perineal area twice a day."
d. "You should check your blood glucose before meals." - Correct Answer :ANS: B
An older female with decreased production of estrogen is at risk for decreased bone density
and fractures. The nurse would encourage the client to participate in weight-bearing exercises
such as walking. Drinking fluids and performing perineal care will decrease vaginal drying
but not injury. Older adults often have a decreased glucose tolerance, but this is not related to
a decrease in estrogen.
A nurse cares for clients with hormone disorders. Which are common key features of
hormones? (Select all that apply.)
a. Hormones may travel long distances to get to their target tissues.
b. Continued hormone activity requires continued production and secretion.
c. Control of hormone activity is caused by negative feedback mechanisms.
d. Most hormones are stored in the target tissues for use later.
e. Most hormones cause target tissues to change activities by changing gene activity. –
Correct Answer :ANS: A, B, C
Hormones are secreted by endocrine glands and travel through the body to reach their target
tissues. Hormone activity can increase or decrease according to the body's needs, and
continued hormone activity requires continued production and secretion. Control is
maintained via negative feedback. Hormones are not stored for later use, and they do not alter
genetic activity.
P 4
NUR 504 EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH
RATIONALE
A nurse assesses a client who is prescribed a medication that stimulates beta1 receptors. Which assessment
finding would indicate that the medication is effective?
a. Heart rate of 92 beats/min
b. Respiratory rate of 18 breaths/min
c. Oxygenation saturation of 92%
d. Blood pressure of 144/69mmHg - Correct Answer :ANS: A
Stimulation of beta1 receptor sites in the heart has positive chronotropic and inotropic actions.
The nurse expects an increase in heart rate and increased cardiac output. The other vital signs
P 1
, • NUR 504 EXAM 09/07/2026
are within normal limits and do not indicate any response to the medication.
A nurse collaborates with assistive personnel (AP) to provide care for a client who is prescribed a 24-hour urine
specimen collection. Which statement would the nurse include when teaching the AP about this activity?
a. "Note the time of the client's first void and collect urine for 24 hours."
b. "Add the preservative to the container at the end of the test."
c. "Start the collection by saving the first urine of the morning."
d. "It is okay if one urine sample during the 24 hours is not collected." - Correct Answer :ANS: A
The collection of a 24-hour urine specimen is often delegated to AP. The nurse must ensure
that the AP understands the proper process for collecting the urine. The 24-hour urine
collection specimen is started after the client's first urination. The first urine specimen is
discarded because there is no way to know how long it has been in the bladder, but the time of
the client's first void is noted. The client adds all urine voided after that first discarded
specimen during the next 24 hours. When the 24-hour mark is reached, the client voids one
last time and adds this specimen to the collection. The preservative, if used, must be added to
the container at the beginning of the collection. All urine samples need to be collected for the
test results to be accurate.
A nurse assesses a female client who presents with hirsutism. Which question would the nurse
ask when assessing this client?
a. "How do you plan to pay for your treatments?"
b. "How do you feel about yourself?"
c. "What medications are you prescribed?"
d. "What are you doing to prevent this from happening?" - Correct Answer :ANS: B
Hirsutism, or excessive hair growth on the face and body, can result from endocrine disorders.
This may cause a disruption in body image, especially for female clients. The nurse would
inquire into the client's body image and self-perception. Asking about the client's financial
status or current medications does not address the client's immediate problem. The client is
not doing anything to herself to cause the problem, nor can the client prevent it from
P 2
, • NUR 504 EXAM 09/07/2026
happening.
A nurse is caring for a patient who has excessive catecholamine release. Which assessment
finding would the nurse correlate with this condition?
a. Decreased blood pressure
b. Increased pulse
c. Decreased respiratory rate
d. Increased urine output - Correct Answer :ANS: B
Catecholamines are responsible for the fight-or-flight stress response. Activation of the
sympathetic nervous system can be correlated with tachycardia. Catecholamines do not
decrease blood pressure or respiratory rate, nor do they increase urine output.
The nurse is teaching assistive personnel (AP) about hormones that are produced by the adrenal glands. Which
hormone has the primary responsibility of maintaining fluid volume
and electrolyte composition?
a. Sodium
b. Magnesium
c. Aldosterone
d. Renin - Correct Answer :ANS: C
Aldosterone is a hormone secreted by the adrenal cortex that causes water and sodium
absorption to maintain body fluid volume. Renin is secreted by the kidney to trigger
angiotensinogen converting angiotensin I to angiotensin II to help control blood pressure.
Magnesium and sodium are electrolytes and not hormones.
The nurse reviews the function of thyroid gland hormones. What is the primary function of
calcitonin?
a. Sodium and potassium balance
b. Magnesium balance
c. Norepinephrine balance
P 3
, • NUR 504 EXAM 09/07/2026
d. Calcium and phosphorus balance - Correct Answer :ANS: D
Calcitonin is the primary body hormone that is secreted from the thyroid gland and is
responsible for maintaining calcium and phosphorus balance.
A nurse teaches an older woman who has a decreased production of estrogen. Which
statement would the nurse include in this client's teaching to decrease injury?
a. "Drink at least 2 quarts (2 L) of fluids each day."
b. "Walk around the neighborhood for daily exercise."
c. "Bathe your perineal area twice a day."
d. "You should check your blood glucose before meals." - Correct Answer :ANS: B
An older female with decreased production of estrogen is at risk for decreased bone density
and fractures. The nurse would encourage the client to participate in weight-bearing exercises
such as walking. Drinking fluids and performing perineal care will decrease vaginal drying
but not injury. Older adults often have a decreased glucose tolerance, but this is not related to
a decrease in estrogen.
A nurse cares for clients with hormone disorders. Which are common key features of
hormones? (Select all that apply.)
a. Hormones may travel long distances to get to their target tissues.
b. Continued hormone activity requires continued production and secretion.
c. Control of hormone activity is caused by negative feedback mechanisms.
d. Most hormones are stored in the target tissues for use later.
e. Most hormones cause target tissues to change activities by changing gene activity. –
Correct Answer :ANS: A, B, C
Hormones are secreted by endocrine glands and travel through the body to reach their target
tissues. Hormone activity can increase or decrease according to the body's needs, and
continued hormone activity requires continued production and secretion. Control is
maintained via negative feedback. Hormones are not stored for later use, and they do not alter
genetic activity.
P 4
