PNR 309 FINAL EXAM 2024/2025
PNR 309 FINAL EXAM 2024/2025 VERIFIED
QUESTIONS AND ANSWERS
What is a characteristic that is common to all hormones?
They influence cellular activity of specific target tissues.
A client is receiving radiation therapy for cancer of the kidney. The nurse monitors the client for
signs and symptoms of damage to which of the following organ(s)?
Adrenal Glands
A client has a serum sodium level of 152 mmol/L. What is the normal hormonal response to this
situation?
Release of ADH
All cells in the body are believed to have intracellular receptors for which of the following?
Thyroid hormone
When obtaining subjective data from a client during assessment of the endocrine system, the
nurse asks specifically about which of the following?
Energy level
,PNR 309 FINAL EXAM 2024/2025
What is appropriate technique to use during physical assessment of the thyroid gland?
Have the client swallow water during inspection and palpitation of the gland.
Why do endocrine disorders often go unrecognized in older adults?
Symptoms are often attributed to aging.
A client has a total serum calcium level of 0.75 mmol/L. If this finding reflects
hypoparathyroidism, what would the nurse expect further diagnostic testing to reveal?
Decrease serum PTH
after hypophysectomy for acromegaly, which of the following should be the focus of post-
operative Nursing Care?
frequent monitoring of serum and urine osmolarity
a client with head injury develops siadh. Which of the following manifestations of siadh would
the nurse expect to find?
low urine output and hyponatremia
which of the following symptoms would lead the nurse to suspect Ganondorf removal of the
parathyroid glands after thyroid surgery?
hypothermia and tachycardia
,PNR 309 FINAL EXAM 2024/2025
important nursing intervention when caring for a client with Cushing's syndrome?
monitoring blood glucose levels and protecting the client from exposure to infection
which of the following is an important preoperative nursing intervention before an
adrenalectomy for hyper aldosteronism
administer potassium sparing diuretics
how does the nurse instruct the client who is taking corticosteroids to control the adverse effects
of drug therapy?
increase calcium intake to 1500 mg per day
what does the nurse teach the client regarding the best time to take corticosteroids for
replacement purposes?
honour rising and in the late afternoon
The nurse is providing instructions to a client regarding a urine study for free cortisol. Which of
the following instructions is most important to include?
Try to avoid stressful situations during the collection period.
Which of the following assessment parameters is of highest priority when caring for a client
undergoing a water deprivation test?
, PNR 309 FINAL EXAM 2024/2025
Weight
A client has sought care because of a loss of 12 kg over the past 6 months, during which the
client claims to have made no significant dietary changes. Which of the following disorders is a
potential cause of the weight loss?
Thyroid disorder
The surgeon was unable to save a client's parathyroid gland during a radical thyroidectomy. The
nurse should consequently pay particular attention to which of the following components of the
client's laboratory values?
Calcium levels
A client's recent medical history is indicative of diabetes insipidus. The nurse would perform
client education related to which of the following diagnostic tests?
Water deprivation test
The nurse is caring for a client admitted with suspected hyperparathyroidism. Because of the
potential effects of this disease on electrolyte balance, the nurse should assess this client for
which of the following manifestations?
Lethargy and weakness
The nurse should monitor for which of the following adverse changes in the client's laboratory
values as a result of being treated with dexamethasone?
PNR 309 FINAL EXAM 2024/2025 VERIFIED
QUESTIONS AND ANSWERS
What is a characteristic that is common to all hormones?
They influence cellular activity of specific target tissues.
A client is receiving radiation therapy for cancer of the kidney. The nurse monitors the client for
signs and symptoms of damage to which of the following organ(s)?
Adrenal Glands
A client has a serum sodium level of 152 mmol/L. What is the normal hormonal response to this
situation?
Release of ADH
All cells in the body are believed to have intracellular receptors for which of the following?
Thyroid hormone
When obtaining subjective data from a client during assessment of the endocrine system, the
nurse asks specifically about which of the following?
Energy level
,PNR 309 FINAL EXAM 2024/2025
What is appropriate technique to use during physical assessment of the thyroid gland?
Have the client swallow water during inspection and palpitation of the gland.
Why do endocrine disorders often go unrecognized in older adults?
Symptoms are often attributed to aging.
A client has a total serum calcium level of 0.75 mmol/L. If this finding reflects
hypoparathyroidism, what would the nurse expect further diagnostic testing to reveal?
Decrease serum PTH
after hypophysectomy for acromegaly, which of the following should be the focus of post-
operative Nursing Care?
frequent monitoring of serum and urine osmolarity
a client with head injury develops siadh. Which of the following manifestations of siadh would
the nurse expect to find?
low urine output and hyponatremia
which of the following symptoms would lead the nurse to suspect Ganondorf removal of the
parathyroid glands after thyroid surgery?
hypothermia and tachycardia
,PNR 309 FINAL EXAM 2024/2025
important nursing intervention when caring for a client with Cushing's syndrome?
monitoring blood glucose levels and protecting the client from exposure to infection
which of the following is an important preoperative nursing intervention before an
adrenalectomy for hyper aldosteronism
administer potassium sparing diuretics
how does the nurse instruct the client who is taking corticosteroids to control the adverse effects
of drug therapy?
increase calcium intake to 1500 mg per day
what does the nurse teach the client regarding the best time to take corticosteroids for
replacement purposes?
honour rising and in the late afternoon
The nurse is providing instructions to a client regarding a urine study for free cortisol. Which of
the following instructions is most important to include?
Try to avoid stressful situations during the collection period.
Which of the following assessment parameters is of highest priority when caring for a client
undergoing a water deprivation test?
, PNR 309 FINAL EXAM 2024/2025
Weight
A client has sought care because of a loss of 12 kg over the past 6 months, during which the
client claims to have made no significant dietary changes. Which of the following disorders is a
potential cause of the weight loss?
Thyroid disorder
The surgeon was unable to save a client's parathyroid gland during a radical thyroidectomy. The
nurse should consequently pay particular attention to which of the following components of the
client's laboratory values?
Calcium levels
A client's recent medical history is indicative of diabetes insipidus. The nurse would perform
client education related to which of the following diagnostic tests?
Water deprivation test
The nurse is caring for a client admitted with suspected hyperparathyroidism. Because of the
potential effects of this disease on electrolyte balance, the nurse should assess this client for
which of the following manifestations?
Lethargy and weakness
The nurse should monitor for which of the following adverse changes in the client's laboratory
values as a result of being treated with dexamethasone?
