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NUR2212 Endocrine NCLEX 2026 STUDY
GUIDE QUESTIONS AND EXPERT
VERIFIED ANSWERS ALREADY
GRADED A+,exams of nursing
13. Early this morning, a female client had a subtotal thyroidectomy. During evening rounds,
nurse Tina assesses the client, who now has nausea, a temperature of 105° F (40.5° C),
tachycardia, and extreme restlessness. What is the most likely cause of these signs?
a. Diabetic ketoacidosis
b. Thyroid crisis
c. Hypoglycemia
d. Tetany B.
Thyroid crisis usually occurs in the first 12 hours after thyroidectomy and causes exaggerated
signs of hyperthyroidism, such as high fever, tachycardia, and extreme restlessness. Diabetic
ketoacidosis is more likely to produce polyuria, polydipsia, and polyphagia; hypoglycemia, to
produce weakness, tremors, profuse perspiration, and hunger. Tetany typically causes
uncontrollable muscle spasms, stridor, cyanosis, and possibly asphyxia.
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14. For a male client with hyperglycemia, which assessment finding best supports a nursing
diagnosis of Deficient fluid volume?
a. Cool, clammy skin
b. Distended neck veins
c. Increased urine osmolarity
d. Decreased serum sodium level C.
In hyperglycemia, urine osmolarity (the measurement of dissolved particles in the urine)
increases as glucose particles move into the urine. The client experiences glucosuria and
polyuria, losing body fluids and experiencing fluid volume deficit. Cool, clammy skin; distended
neck veins; and a decreased serum sodium level are signs of fluid volume excess, the opposite
imbalance.
15. When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that
secretes excessive catecholamine, nurse April is most likely to detect:
a. a blood pressure of 130/70 mm Hg.
b. a blood glucose level of 130 mg/dl.
c. bradycardia.
d. a blood pressure of 176/88 mm Hg. D.
Pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine,
causes hypertension, tachycardia, hyperglycemia, hypermetabolism, and weight loss. It isn't
associated with the other options.
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16. A male client is admitted for treatment of the syndrome of inappropriate antidiuretic
hormone (SIADH). Which nursing intervention is appropriate?
a. Infusing I.V. fluids rapidly as ordered
b. Encouraging increased oral intake
c. Restricting fluids
d. Administering glucose-containing I.V. fluids as ordered C.
To reduce water retention in a client with the SIADH, the nurse should restrict fluids.
Administering fluids by any route would further increase the client's already heightened fluid
load.
17. A female client has a serum calcium level of 7.2 mg/dl. During the physical examination,
nurse Noah expects to assess:
a. Trousseau's sign.
b. Homans' sign.
c. Hegar's sign.
d. Goodell's sign. A.
This client's serum calcium level indicates hypocalcemia, an electrolyte imbalance that causes
Trousseau's sign (carpopedal spasm induced by inflating the blood pressure cuff above systolic
pressure). Homans' sign (pain on dorsiflexion of the foot) indicates deep vein thrombosis.
Hegar's sign (softening of the uterine isthmus) and Goodell's sign (cervical softening) are
probable signs of pregnancy.
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18. Which outcome indicates that treatment of a male client with diabetes insipidus has been
effective?
a. Fluid intake is less than 2,500 ml/day.
b. Urine output measures more than 200 ml/hour.
c. Blood pressure is 90/50 mm Hg.
d. The heart rate is 126 beats/minute. A.
Diabetes insipidus is characterized by polyuria (up to 8 L/day), constant thirst, and an unusually
high oral intake of fluids. Treatment with the appropriate drug should decrease both oral fluid
intake and urine output. A urine output of 200 ml/hour indicates continuing polyuria. A blood
pressure of 90/50 mm Hg and a heart rate of 126 beats/minute indicate compensation for the
continued fluid deficit, suggesting that treatment hasn't been effective.
19. Jemma, who weighs 210 lb (95 kg) and has been diagnosed with hyperglycemia tells the
nurse that her husband sleeps in another room because her snoring keeps him awake. The nurse
notices that she has large hands and a hoarse voice. Which of the following would the nurse
suspect as a possible cause of the client's hyperglycemia?
a. Acromegaly
b. Type 1 diabetes mellitus
c. Hypothyroidism
d. Deficient growth hormone A.
Acromegaly, which is caused by a pituitary tumor that releases excessive growth hormone, is
associated with hyperglycemia, hypertension, diaphoresis, peripheral neuropathy, and joint pain.
Enlarged hands and feet are related to lateral bone growth, which is seen in adults with this
NUR2212 Endocrine NCLEX 2026 STUDY
GUIDE QUESTIONS AND EXPERT
VERIFIED ANSWERS ALREADY
GRADED A+,exams of nursing
13. Early this morning, a female client had a subtotal thyroidectomy. During evening rounds,
nurse Tina assesses the client, who now has nausea, a temperature of 105° F (40.5° C),
tachycardia, and extreme restlessness. What is the most likely cause of these signs?
a. Diabetic ketoacidosis
b. Thyroid crisis
c. Hypoglycemia
d. Tetany B.
Thyroid crisis usually occurs in the first 12 hours after thyroidectomy and causes exaggerated
signs of hyperthyroidism, such as high fever, tachycardia, and extreme restlessness. Diabetic
ketoacidosis is more likely to produce polyuria, polydipsia, and polyphagia; hypoglycemia, to
produce weakness, tremors, profuse perspiration, and hunger. Tetany typically causes
uncontrollable muscle spasms, stridor, cyanosis, and possibly asphyxia.
,2|Page
14. For a male client with hyperglycemia, which assessment finding best supports a nursing
diagnosis of Deficient fluid volume?
a. Cool, clammy skin
b. Distended neck veins
c. Increased urine osmolarity
d. Decreased serum sodium level C.
In hyperglycemia, urine osmolarity (the measurement of dissolved particles in the urine)
increases as glucose particles move into the urine. The client experiences glucosuria and
polyuria, losing body fluids and experiencing fluid volume deficit. Cool, clammy skin; distended
neck veins; and a decreased serum sodium level are signs of fluid volume excess, the opposite
imbalance.
15. When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that
secretes excessive catecholamine, nurse April is most likely to detect:
a. a blood pressure of 130/70 mm Hg.
b. a blood glucose level of 130 mg/dl.
c. bradycardia.
d. a blood pressure of 176/88 mm Hg. D.
Pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine,
causes hypertension, tachycardia, hyperglycemia, hypermetabolism, and weight loss. It isn't
associated with the other options.
,3|Page
16. A male client is admitted for treatment of the syndrome of inappropriate antidiuretic
hormone (SIADH). Which nursing intervention is appropriate?
a. Infusing I.V. fluids rapidly as ordered
b. Encouraging increased oral intake
c. Restricting fluids
d. Administering glucose-containing I.V. fluids as ordered C.
To reduce water retention in a client with the SIADH, the nurse should restrict fluids.
Administering fluids by any route would further increase the client's already heightened fluid
load.
17. A female client has a serum calcium level of 7.2 mg/dl. During the physical examination,
nurse Noah expects to assess:
a. Trousseau's sign.
b. Homans' sign.
c. Hegar's sign.
d. Goodell's sign. A.
This client's serum calcium level indicates hypocalcemia, an electrolyte imbalance that causes
Trousseau's sign (carpopedal spasm induced by inflating the blood pressure cuff above systolic
pressure). Homans' sign (pain on dorsiflexion of the foot) indicates deep vein thrombosis.
Hegar's sign (softening of the uterine isthmus) and Goodell's sign (cervical softening) are
probable signs of pregnancy.
, 4|Page
18. Which outcome indicates that treatment of a male client with diabetes insipidus has been
effective?
a. Fluid intake is less than 2,500 ml/day.
b. Urine output measures more than 200 ml/hour.
c. Blood pressure is 90/50 mm Hg.
d. The heart rate is 126 beats/minute. A.
Diabetes insipidus is characterized by polyuria (up to 8 L/day), constant thirst, and an unusually
high oral intake of fluids. Treatment with the appropriate drug should decrease both oral fluid
intake and urine output. A urine output of 200 ml/hour indicates continuing polyuria. A blood
pressure of 90/50 mm Hg and a heart rate of 126 beats/minute indicate compensation for the
continued fluid deficit, suggesting that treatment hasn't been effective.
19. Jemma, who weighs 210 lb (95 kg) and has been diagnosed with hyperglycemia tells the
nurse that her husband sleeps in another room because her snoring keeps him awake. The nurse
notices that she has large hands and a hoarse voice. Which of the following would the nurse
suspect as a possible cause of the client's hyperglycemia?
a. Acromegaly
b. Type 1 diabetes mellitus
c. Hypothyroidism
d. Deficient growth hormone A.
Acromegaly, which is caused by a pituitary tumor that releases excessive growth hormone, is
associated with hyperglycemia, hypertension, diaphoresis, peripheral neuropathy, and joint pain.
Enlarged hands and feet are related to lateral bone growth, which is seen in adults with this
