GALEN COLLEGE OF NURSING · NUR 257 EXAM
NUR 257 Exam
NUR 257 Exam - Endocrine, Renal, Neuro &
150-question targeted practice set for endocrine, renal, neurocognitive, and geriatric care.
150 A-D + SATA Explained
Practice Questions Exam-Style Items Answer Format
Focus: Thyroid disorders, CKD and electrolytes, delirium/dementia/Parkinson/stroke, falls, incontinence,
frailty, skin, and medication safety.
PassPoint Pro Original practice & revision material
, NUR 257 Exam · Endocrine · Renal · Neuro · Older Adult
Instructions
Select the best answer for each item. Some questions use “Select all that apply.” The correct answer and detailed explanation appear directly after each
question for active review.
Endocrine Disorders
1 Which findings are consistent with hyperthyroidism? Select all that apply.
A Tremor
B Heat intolerance
C Tachycardia
D Marked cold intolerance
Answer: A, B, C. Tremor; Heat intolerance; Tachycardia
Explanation: These selections reflect recommended assessment, safety, or self-management principles for this topic. The remaining option is
inconsistent with safe older-adult chronic-care practice. Apply the same reasoning to similar clinical scenarios rather than memorizing the
wording.
2 Which teaching is important for a client on chronic corticosteroid therapy?
A Infection risk, glucose elevation, and bone loss
B Guaranteed low blood glucose
C Improved bone density without exercise
D Permanent resistance to infection
Answer: A. Infection risk, glucose elevation, and bone loss
Explanation: Long-term systemic corticosteroids can suppress immunity, increase glucose, and contribute to osteoporosis among other effects.
Clients should report infection symptoms and follow monitoring plans. Abrupt discontinuation after prolonged therapy can also be unsafe.
3 An older adult has unexplained weight loss, heat intolerance, tremor, and tachycardia. Which endocrine disorder is most
likely?
A Hyperthyroidism
B Simple age-related change
C Chronic hypoglycemia only
D Hypothyroidism
Answer: A. Hyperthyroidism
Explanation: Hyperthyroidism commonly causes heat intolerance, weight loss, tremor, and tachycardia. Older adults may have less dramatic
symptoms, but unexplained cardiovascular or weight changes deserve evaluation. Untreated disease can increase cardiac risk.
PassPoint Pro · NUR 257 · Exam Practice Series Page 2
, NUR 257 Exam · Endocrine · Renal · Neuro · Older Adult
4 An older adult reports fatigue, constipation, cold intolerance, and slowed thinking. Which disorder should the nurse
consider?
A Uncomplicated dehydration only
B Hyperthyroidism
C Acute panic reaction
D Hypothyroidism
Answer: D. Hypothyroidism
Explanation: Hypothyroidism can cause fatigue, cold intolerance, constipation, bradycardia, and cognitive slowing. In older adults, symptoms
may be subtle and mistaken for normal aging. Thyroid testing helps confirm the diagnosis.
5 A client with hyperthyroidism develops high fever, severe tachycardia, agitation, and vomiting. Which complication is most
concerning?
A Thyroid storm
B Mild medication intolerance
C Routine heat sensitivity
D Stable chronic tremor
Answer: A. Thyroid storm
Explanation: Thyroid storm is a life-threatening escalation of thyrotoxicosis characterized by marked fever, tachycardia, and central nervous
system or gastrointestinal symptoms. Immediate emergency treatment is required. Stable chronic symptoms are not equivalent to this crisis.
6 An older adult has unexplained weight loss, heat intolerance, tremor, and tachycardia. Which endocrine disorder is most
likely? Which response by the nurse is most appropriate?
A Chronic hypoglycemia only
B Hyperthyroidism
C Simple age-related change
D Hypothyroidism
Answer: B. Hyperthyroidism
Explanation: Hyperthyroidism commonly causes heat intolerance, weight loss, tremor, and tachycardia. Older adults may have less dramatic
symptoms, but unexplained cardiovascular or weight changes deserve evaluation. Untreated disease can increase cardiac risk.
7 Which presentation in a client with severe hypothyroidism requires emergency evaluation?
A Possible myxedema coma
B Normal sleepiness after a meal
C Mild seasonal fatigue
D Expected medication adjustment
Answer: A. Possible myxedema coma
Explanation: Severe hypothyroidism can rarely progress to myxedema coma with hypothermia, bradycardia, hypotension, and altered
consciousness. This is a medical emergency requiring rapid supportive care and thyroid replacement. It should not be treated as routine fatigue.
PassPoint Pro · NUR 257 · Exam Practice Series Page 3
, NUR 257 Exam · Endocrine · Renal · Neuro · Older Adult
8 An older adult reports fatigue, constipation, cold intolerance, and slowed thinking. Which disorder should the nurse
consider? Which response by the nurse is most appropriate?
A Uncomplicated dehydration only
B Hypothyroidism
C Acute panic reaction
D Hyperthyroidism
Answer: B. Hypothyroidism
Explanation: Hypothyroidism can cause fatigue, cold intolerance, constipation, bradycardia, and cognitive slowing. In older adults, symptoms
may be subtle and mistaken for normal aging. Thyroid testing helps confirm the diagnosis.
9 Which teaching is important for a client on chronic corticosteroid therapy? Which response by the nurse is most
appropriate?
A Improved bone density without exercise
B Permanent resistance to infection
C Infection risk, glucose elevation, and bone loss
D Guaranteed low blood glucose
Answer: C. Infection risk, glucose elevation, and bone loss
Explanation: Long-term systemic corticosteroids can suppress immunity, increase glucose, and contribute to osteoporosis among other effects.
Clients should report infection symptoms and follow monitoring plans. Abrupt discontinuation after prolonged therapy can also be unsafe.
10 During a community setting review of a 74-year-old client, which findings are consistent with hyperthyroidism? Select all that
apply.
A Heat intolerance
B Tachycardia
C Marked cold intolerance
D Tremor
Answer: A, B, D. Heat intolerance; Tachycardia; Tremor
Explanation: These selections reflect recommended assessment, safety, or self-management principles for this topic. The remaining option is
inconsistent with safe older-adult chronic-care practice. Apply the same reasoning to similar clinical scenarios rather than memorizing the
wording.
11 During follow-up, an older adult receiving long-term systemic corticosteroids should be monitored closely for which
problem?
A Improved bone density without exercise
B Infection risk, glucose elevation, and bone loss
C Guaranteed low blood glucose
D Permanent resistance to infection
Answer: B. Infection risk, glucose elevation, and bone loss
Explanation: Long-term systemic corticosteroids can suppress immunity, increase glucose, and contribute to osteoporosis among other effects.
Clients should report infection symptoms and follow monitoring plans. Abrupt discontinuation after prolonged therapy can also be unsafe.
PassPoint Pro · NUR 257 · Exam Practice Series Page 4
NUR 257 Exam
NUR 257 Exam - Endocrine, Renal, Neuro &
150-question targeted practice set for endocrine, renal, neurocognitive, and geriatric care.
150 A-D + SATA Explained
Practice Questions Exam-Style Items Answer Format
Focus: Thyroid disorders, CKD and electrolytes, delirium/dementia/Parkinson/stroke, falls, incontinence,
frailty, skin, and medication safety.
PassPoint Pro Original practice & revision material
, NUR 257 Exam · Endocrine · Renal · Neuro · Older Adult
Instructions
Select the best answer for each item. Some questions use “Select all that apply.” The correct answer and detailed explanation appear directly after each
question for active review.
Endocrine Disorders
1 Which findings are consistent with hyperthyroidism? Select all that apply.
A Tremor
B Heat intolerance
C Tachycardia
D Marked cold intolerance
Answer: A, B, C. Tremor; Heat intolerance; Tachycardia
Explanation: These selections reflect recommended assessment, safety, or self-management principles for this topic. The remaining option is
inconsistent with safe older-adult chronic-care practice. Apply the same reasoning to similar clinical scenarios rather than memorizing the
wording.
2 Which teaching is important for a client on chronic corticosteroid therapy?
A Infection risk, glucose elevation, and bone loss
B Guaranteed low blood glucose
C Improved bone density without exercise
D Permanent resistance to infection
Answer: A. Infection risk, glucose elevation, and bone loss
Explanation: Long-term systemic corticosteroids can suppress immunity, increase glucose, and contribute to osteoporosis among other effects.
Clients should report infection symptoms and follow monitoring plans. Abrupt discontinuation after prolonged therapy can also be unsafe.
3 An older adult has unexplained weight loss, heat intolerance, tremor, and tachycardia. Which endocrine disorder is most
likely?
A Hyperthyroidism
B Simple age-related change
C Chronic hypoglycemia only
D Hypothyroidism
Answer: A. Hyperthyroidism
Explanation: Hyperthyroidism commonly causes heat intolerance, weight loss, tremor, and tachycardia. Older adults may have less dramatic
symptoms, but unexplained cardiovascular or weight changes deserve evaluation. Untreated disease can increase cardiac risk.
PassPoint Pro · NUR 257 · Exam Practice Series Page 2
, NUR 257 Exam · Endocrine · Renal · Neuro · Older Adult
4 An older adult reports fatigue, constipation, cold intolerance, and slowed thinking. Which disorder should the nurse
consider?
A Uncomplicated dehydration only
B Hyperthyroidism
C Acute panic reaction
D Hypothyroidism
Answer: D. Hypothyroidism
Explanation: Hypothyroidism can cause fatigue, cold intolerance, constipation, bradycardia, and cognitive slowing. In older adults, symptoms
may be subtle and mistaken for normal aging. Thyroid testing helps confirm the diagnosis.
5 A client with hyperthyroidism develops high fever, severe tachycardia, agitation, and vomiting. Which complication is most
concerning?
A Thyroid storm
B Mild medication intolerance
C Routine heat sensitivity
D Stable chronic tremor
Answer: A. Thyroid storm
Explanation: Thyroid storm is a life-threatening escalation of thyrotoxicosis characterized by marked fever, tachycardia, and central nervous
system or gastrointestinal symptoms. Immediate emergency treatment is required. Stable chronic symptoms are not equivalent to this crisis.
6 An older adult has unexplained weight loss, heat intolerance, tremor, and tachycardia. Which endocrine disorder is most
likely? Which response by the nurse is most appropriate?
A Chronic hypoglycemia only
B Hyperthyroidism
C Simple age-related change
D Hypothyroidism
Answer: B. Hyperthyroidism
Explanation: Hyperthyroidism commonly causes heat intolerance, weight loss, tremor, and tachycardia. Older adults may have less dramatic
symptoms, but unexplained cardiovascular or weight changes deserve evaluation. Untreated disease can increase cardiac risk.
7 Which presentation in a client with severe hypothyroidism requires emergency evaluation?
A Possible myxedema coma
B Normal sleepiness after a meal
C Mild seasonal fatigue
D Expected medication adjustment
Answer: A. Possible myxedema coma
Explanation: Severe hypothyroidism can rarely progress to myxedema coma with hypothermia, bradycardia, hypotension, and altered
consciousness. This is a medical emergency requiring rapid supportive care and thyroid replacement. It should not be treated as routine fatigue.
PassPoint Pro · NUR 257 · Exam Practice Series Page 3
, NUR 257 Exam · Endocrine · Renal · Neuro · Older Adult
8 An older adult reports fatigue, constipation, cold intolerance, and slowed thinking. Which disorder should the nurse
consider? Which response by the nurse is most appropriate?
A Uncomplicated dehydration only
B Hypothyroidism
C Acute panic reaction
D Hyperthyroidism
Answer: B. Hypothyroidism
Explanation: Hypothyroidism can cause fatigue, cold intolerance, constipation, bradycardia, and cognitive slowing. In older adults, symptoms
may be subtle and mistaken for normal aging. Thyroid testing helps confirm the diagnosis.
9 Which teaching is important for a client on chronic corticosteroid therapy? Which response by the nurse is most
appropriate?
A Improved bone density without exercise
B Permanent resistance to infection
C Infection risk, glucose elevation, and bone loss
D Guaranteed low blood glucose
Answer: C. Infection risk, glucose elevation, and bone loss
Explanation: Long-term systemic corticosteroids can suppress immunity, increase glucose, and contribute to osteoporosis among other effects.
Clients should report infection symptoms and follow monitoring plans. Abrupt discontinuation after prolonged therapy can also be unsafe.
10 During a community setting review of a 74-year-old client, which findings are consistent with hyperthyroidism? Select all that
apply.
A Heat intolerance
B Tachycardia
C Marked cold intolerance
D Tremor
Answer: A, B, D. Heat intolerance; Tachycardia; Tremor
Explanation: These selections reflect recommended assessment, safety, or self-management principles for this topic. The remaining option is
inconsistent with safe older-adult chronic-care practice. Apply the same reasoning to similar clinical scenarios rather than memorizing the
wording.
11 During follow-up, an older adult receiving long-term systemic corticosteroids should be monitored closely for which
problem?
A Improved bone density without exercise
B Infection risk, glucose elevation, and bone loss
C Guaranteed low blood glucose
D Permanent resistance to infection
Answer: B. Infection risk, glucose elevation, and bone loss
Explanation: Long-term systemic corticosteroids can suppress immunity, increase glucose, and contribute to osteoporosis among other effects.
Clients should report infection symptoms and follow monitoring plans. Abrupt discontinuation after prolonged therapy can also be unsafe.
PassPoint Pro · NUR 257 · Exam Practice Series Page 4
