RN TARGETED MEDICAL-SURGICAL
ENDOCRINE FINAL PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS
◉ A nurse is caring for a client who has diabetes mellitus and has
developed peripheral neuropathy. Which of the following measures
should the nurse recommend to prevent injuries to the client's feet?
Answer: Monitor the temperature of bath water with a thermometer.
Peripheral neuropathy makes it difficult to determine if bath water
is too hot. Therefore, to prevent injury, the client should use a bath
thermometer to ensure a water temperature below 43.3° C (110° F).
◉ A nurse is assessing a client who has syndrome of inappropriate
antidiuretic hormone (SIADH). Which of the following findings
should the nurse report to the provider? Answer: Sodium 110
mEq/L
A client who has SIADH retains fluids, which causes dilutional
hyponatremia.
◉ A nurse is reviewing laboratory values for a client who has
diabetic ketoacidosis (DKA). Which of the following results should
,the nurse expect? Answer: pH 7.32, PaCO2 36 mm Hg, HCO3- 14
mEq/L
Metabolic acidosis is a common manifestation of DKA, with pH
characteristically low, carbon dioxide within the expected reference
range, and bicarbonate low.
◉ A nurse is assessing a client who has adrenal insufficiency. Which
of the following findings should the nurse expect? Answer: Calcium
12.8 mg/dL
A client who has adrenal insufficiency has a calcium level above the
expected reference range.
◉ A nurse is assessing a client who has a new diagnosis of Cushing's
disease. Which of the following findings should the nurse expect?
Answer: Hirsutism
Increased hair growth, or hirsutism, is an expected finding of
Cushing's disease due to increased androgen production.
◉ A nurse is monitoring the laboratory values of a client who has
diabetes mellitus and is taking insulin. Which of the following results
indicates a therapeutic outcome of insulin therapy? Answer: Fasting
blood glucose 96 mg/dL
, This is within the expected reference range for a fasting blood
glucose level and indicates that insulin therapy is effective.
◉ A nurse is assessing a client who has diabetes mellitus and
reports feeling anxious. Which of the following findings should the
nurse expect if the client is hypoglycemic? Answer: Cool, clammy
skin
Hypoglycemia causes cool, clammy skin, in addition to anxiety,
nervousness, tachycardia, and confusion.
◉ A nurse is managing the care of a client who is postoperative and
has acute adrenal insufficiency. Which of the following actions
should the nurse take? Answer: Administer IV hydrocortisone
sodium.
Hydrocortisone sodium is necessary to replace the cortisol
deficiency that occurs with adrenal insufficiency.
◉ A nurse is teaching a client who has type 1 diabetes mellitus about
how to prevent complications during illness. Which of the following
statements should the nurse identify as an indication that the client
understands the teaching? Answer: "I will call my doctor if my blood
sugar is more than 250 milligrams per deciliter."
ENDOCRINE FINAL PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS
◉ A nurse is caring for a client who has diabetes mellitus and has
developed peripheral neuropathy. Which of the following measures
should the nurse recommend to prevent injuries to the client's feet?
Answer: Monitor the temperature of bath water with a thermometer.
Peripheral neuropathy makes it difficult to determine if bath water
is too hot. Therefore, to prevent injury, the client should use a bath
thermometer to ensure a water temperature below 43.3° C (110° F).
◉ A nurse is assessing a client who has syndrome of inappropriate
antidiuretic hormone (SIADH). Which of the following findings
should the nurse report to the provider? Answer: Sodium 110
mEq/L
A client who has SIADH retains fluids, which causes dilutional
hyponatremia.
◉ A nurse is reviewing laboratory values for a client who has
diabetic ketoacidosis (DKA). Which of the following results should
,the nurse expect? Answer: pH 7.32, PaCO2 36 mm Hg, HCO3- 14
mEq/L
Metabolic acidosis is a common manifestation of DKA, with pH
characteristically low, carbon dioxide within the expected reference
range, and bicarbonate low.
◉ A nurse is assessing a client who has adrenal insufficiency. Which
of the following findings should the nurse expect? Answer: Calcium
12.8 mg/dL
A client who has adrenal insufficiency has a calcium level above the
expected reference range.
◉ A nurse is assessing a client who has a new diagnosis of Cushing's
disease. Which of the following findings should the nurse expect?
Answer: Hirsutism
Increased hair growth, or hirsutism, is an expected finding of
Cushing's disease due to increased androgen production.
◉ A nurse is monitoring the laboratory values of a client who has
diabetes mellitus and is taking insulin. Which of the following results
indicates a therapeutic outcome of insulin therapy? Answer: Fasting
blood glucose 96 mg/dL
, This is within the expected reference range for a fasting blood
glucose level and indicates that insulin therapy is effective.
◉ A nurse is assessing a client who has diabetes mellitus and
reports feeling anxious. Which of the following findings should the
nurse expect if the client is hypoglycemic? Answer: Cool, clammy
skin
Hypoglycemia causes cool, clammy skin, in addition to anxiety,
nervousness, tachycardia, and confusion.
◉ A nurse is managing the care of a client who is postoperative and
has acute adrenal insufficiency. Which of the following actions
should the nurse take? Answer: Administer IV hydrocortisone
sodium.
Hydrocortisone sodium is necessary to replace the cortisol
deficiency that occurs with adrenal insufficiency.
◉ A nurse is teaching a client who has type 1 diabetes mellitus about
how to prevent complications during illness. Which of the following
statements should the nurse identify as an indication that the client
understands the teaching? Answer: "I will call my doctor if my blood
sugar is more than 250 milligrams per deciliter."
