ADVANCED EXAM PRACTICE
ENDOCRINE DISORDER QUESTIONS AND
WELL VERIFIED ANSWERS REAL EXAM
2025 !!!
The nurse working on an endocrine nursing unit understands that which correct concept is used in
planning care? - ----ANSWER-----Clients with hyperthyroidism must be monitored for weight gain.
Clients who have diabetes insipidus should be assessed for fluid excess.
-> Clients who have hyperparathyroidism should be protected against falls.
Clients with Cushing's syndrome are likely to experience episodic hypotension.
The nurse educator is asking the nursing student to recall the signs/symptoms of hypothyroidism. The
nurse educator determines that the student understands this disorder if which are included in the
student's response? Select all that apply. - ----ANSWER------> Dry skin
Irritability
Palpitations
Weight loss
-> Constipation
-> Cold intolerance
When the nurse is reinforcing instructions to a client who has been newly diagnosed with type 1
diabetes mellitus, which statement by the client would indicate that teaching has been effective? - ----
ANSWER-----"I will stop taking my insulin if I'm too sick to eat."
"I will decrease my insulin dose during times of illness."
"I will adjust my insulin dose according to the level of glucose in my urine."
,-> "I will notify my health care provider if my blood glucose level is consistently greater than 250 mg/dL."
During data collection on a postoperative client who has undergone hypophysectomy, the client
complains of thirst and frequent urination. Knowing the expected complication of this surgery, the nurse
should check which parameter next? - ----ANSWER-----Serum glucose
Blood pressure
Respiratory rate
-> Urine specific gravity
The nurse should expect to note which interventions in the plan of care for a client with
hypothyroidism? Select all that apply. - ----ANSWER-----Provide a cool environment for the client.
Instruct the client to consume a high-fat diet.
-> Instruct the client about thyroid replacement therapy.
-> Encourage the client to consume fluids and high-fiber foods in the diet.
Inform the client that iodine preparations will be prescribed to treat the disorder.
-> Instruct the client to contact the health care provider if episodes of chest pain occur.
Glucagon hydrochloride injection would most likely be prescribed for which disorder? - CORRECT
ANSWER -Thyroid crisis
Hypoadrenalism
-> Type 1 diabetes mellitus
Excess growth hormone secretion
A client is brought to the emergency department with suspected diabetic ketoacidosis (DKA). Which
finding should the nurse note as being consistent with this diagnosis? - ----ANSWER-----High serum
glucose level and low serum bicarbonate level
The nurse is monitoring a client following a thyroidectomy for signs/symptoms of hypocalcemia. Which
sign/symptom noted in the client indicates the presence of hypocalcemia? - ----ANSWER----Bradycardia
Flaccid paralysis
, Negative Chvostek's sign
-> Tingling around the mouth
The nurse in an outpatient diabetes clinic is assisting in caring for a client on insulin pump therapy.
Which statement by the client indicates that a need for teaching regarding insulin pump therapy? - ----
ANSWER-----"I'll need to check my blood sugars before meals in case I need a premeal insulin bolus."
"If my blood sugars are elevated, I can bolus myself with additional insulin as prescribed."
-> "Now that I have this pump, I don't have to worry about insulin reactions or ketoacidosis occurring
again."
"I still need to follow an appropriate diet and exercise plan even though I don't have to inject myself
daily anymore."
The nurse is preparing to discharge a client who has had a parathyroidectomy. When reinforcing
instructions to the client about the prescribed oral calcium supplement, which information should the
nurse include? - ----ANSWER------> Take the calcium 30 to 60 minutes following a meal.
Avoid sunlight because it can cause skin color change.
Store the calcium in the refrigerator to maintain potency.
Check the pulse daily and hold the dosage if it is below 60 beats per minute.
In planning nutrition for the client with hypoparathyroidism, which diet would be appropriate? -
----ANSWER-----Low in vitamins A, D, E, and K
Low in water and insoluble fiber
-> High in calcium and low phosphorous
High in sodium with no fluid restriction
After several diagnostic tests, a client is diagnosed with diabetes insipidus. The nurse understands that
which signs/symptoms are indicative of this disorder? - ----ANSWER-----Blurred vision and hot, dry skin
-> Excessive thirst and urine output
Diarrhea and decreased urine output
ENDOCRINE DISORDER QUESTIONS AND
WELL VERIFIED ANSWERS REAL EXAM
2025 !!!
The nurse working on an endocrine nursing unit understands that which correct concept is used in
planning care? - ----ANSWER-----Clients with hyperthyroidism must be monitored for weight gain.
Clients who have diabetes insipidus should be assessed for fluid excess.
-> Clients who have hyperparathyroidism should be protected against falls.
Clients with Cushing's syndrome are likely to experience episodic hypotension.
The nurse educator is asking the nursing student to recall the signs/symptoms of hypothyroidism. The
nurse educator determines that the student understands this disorder if which are included in the
student's response? Select all that apply. - ----ANSWER------> Dry skin
Irritability
Palpitations
Weight loss
-> Constipation
-> Cold intolerance
When the nurse is reinforcing instructions to a client who has been newly diagnosed with type 1
diabetes mellitus, which statement by the client would indicate that teaching has been effective? - ----
ANSWER-----"I will stop taking my insulin if I'm too sick to eat."
"I will decrease my insulin dose during times of illness."
"I will adjust my insulin dose according to the level of glucose in my urine."
,-> "I will notify my health care provider if my blood glucose level is consistently greater than 250 mg/dL."
During data collection on a postoperative client who has undergone hypophysectomy, the client
complains of thirst and frequent urination. Knowing the expected complication of this surgery, the nurse
should check which parameter next? - ----ANSWER-----Serum glucose
Blood pressure
Respiratory rate
-> Urine specific gravity
The nurse should expect to note which interventions in the plan of care for a client with
hypothyroidism? Select all that apply. - ----ANSWER-----Provide a cool environment for the client.
Instruct the client to consume a high-fat diet.
-> Instruct the client about thyroid replacement therapy.
-> Encourage the client to consume fluids and high-fiber foods in the diet.
Inform the client that iodine preparations will be prescribed to treat the disorder.
-> Instruct the client to contact the health care provider if episodes of chest pain occur.
Glucagon hydrochloride injection would most likely be prescribed for which disorder? - CORRECT
ANSWER -Thyroid crisis
Hypoadrenalism
-> Type 1 diabetes mellitus
Excess growth hormone secretion
A client is brought to the emergency department with suspected diabetic ketoacidosis (DKA). Which
finding should the nurse note as being consistent with this diagnosis? - ----ANSWER-----High serum
glucose level and low serum bicarbonate level
The nurse is monitoring a client following a thyroidectomy for signs/symptoms of hypocalcemia. Which
sign/symptom noted in the client indicates the presence of hypocalcemia? - ----ANSWER----Bradycardia
Flaccid paralysis
, Negative Chvostek's sign
-> Tingling around the mouth
The nurse in an outpatient diabetes clinic is assisting in caring for a client on insulin pump therapy.
Which statement by the client indicates that a need for teaching regarding insulin pump therapy? - ----
ANSWER-----"I'll need to check my blood sugars before meals in case I need a premeal insulin bolus."
"If my blood sugars are elevated, I can bolus myself with additional insulin as prescribed."
-> "Now that I have this pump, I don't have to worry about insulin reactions or ketoacidosis occurring
again."
"I still need to follow an appropriate diet and exercise plan even though I don't have to inject myself
daily anymore."
The nurse is preparing to discharge a client who has had a parathyroidectomy. When reinforcing
instructions to the client about the prescribed oral calcium supplement, which information should the
nurse include? - ----ANSWER------> Take the calcium 30 to 60 minutes following a meal.
Avoid sunlight because it can cause skin color change.
Store the calcium in the refrigerator to maintain potency.
Check the pulse daily and hold the dosage if it is below 60 beats per minute.
In planning nutrition for the client with hypoparathyroidism, which diet would be appropriate? -
----ANSWER-----Low in vitamins A, D, E, and K
Low in water and insoluble fiber
-> High in calcium and low phosphorous
High in sodium with no fluid restriction
After several diagnostic tests, a client is diagnosed with diabetes insipidus. The nurse understands that
which signs/symptoms are indicative of this disorder? - ----ANSWER-----Blurred vision and hot, dry skin
-> Excessive thirst and urine output
Diarrhea and decreased urine output
