MEDICAL SURGICAL 120 ENDOCRINE EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS LATEST UPDATES
2026 (100% VERIFIED ANSWERS) ALREADY GRADED A+
A home health nurse is assessing a client who requires lifelong hormone replacement therapy
for the treatment of hypothyroidism. The client has not been taking the medication regularly.
Which of the following findings should the nurse expect? - ANSWERS-hypotension
Hypotension is an expected finding of hypothyroidism, along with bradypnea, dysrhythmias,
cold intolerance, and cool, dry skin.
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? - ANSWERS-sodium
110 mEq/L
A client who has SIADH retains fluids, which causes dilutional hyponatremia.
a nurse is teaching a client who is scheduled for a vanillylmandelic acid test to screen for
pheochromocytoma. Which of the following statements should the nurse include in the
teaching? - ANSWERS-"Restrict coffee intake 2 to 3 days prior to the test."
The client should avoid coffee and tea, even if they are decaffeinated, bananas, chocolate, and
vanilla for 2 to 3 days prior to the test.
,A nurse is caring for a client following a thyroidectomy. The nurse should assess for which of the
following findings as an indication of hypocalcemia? - ANSWERS-tingling and numbness of the
hands and feet
Hypocalcemia causes paresthesia, which usually starts in the hands and feet.
A nurse is teaching a client who has diabetes mellitus. Which of the following should the nurse
include as an expected finding of diabetic ketoacidosis (DKA)? - ANSWERS-blood glucose levels
above 300 mg/dL
Blood glucose levels above 300 mg/dL are an expected finding of DKA. Levels above 600 mg/dL
are an expected finding in a client who is in a hyperglycemic-hyperosmolar state.
A nurse is reviewing laboratory values for a client who has diabetic ketoacidosis (DKA). Which of
the following results should the nurse expect? - ANSWERS-pH 7.32, PaCO2 36 mmHg, HCO3 14
mEq/L
Metabolic acidosis is a common manifestation of DKA, with a low pH, carbon dioxide within the
expected reference range, and low bicarbonate.
A nurse is teaching a client who has an autoimmune disease about the adverse effects of long-
term corticosteroid therapy. Which of the following adverse effects should the nurse include?
(SATA) - ANSWERS-osteoporosis
moon-shaped face
increased risk of infection
-Osteoporosis is correct. Osteoporosis is an adverse effect of long-term corticosteroid therapy
due to the suppression of bone formation and the acceleration of bone resorption that
corticosteroid therapy can cause.
, -Moon-shaped face is correct. Long-term corticosteroid therapy causes characteristics of
iatrogenic Cushing's syndrome, including a moon-shaped face, a potbelly, and a buffalo hump.
-Increased risk of infection is correct. Increased risk of infection is an adverse effect of long-term
corticosteroid therapy. Corticosteroid therapy reduces the phagocytic actions of macrophages
and neutrophils, suppressing the immune system.
a nurse is caring for a client who has type 2 diabetes mellitus and is experiencing a
hyperglycemic-hyperosmolar state (HHS). Which of the following laboratory findings should the
nurse expect? - ANSWERS-serum pH 7.45
A client who is experiencing HHS produces enough insulin to prevent ketosis but not enough to
prevent hyperglycemia. Therefore, the serum pH is within the expected reference range.
Glucose levels will be above 600 mg/dL.
A nurse is teaching a client about glycosylated hemoglobin (HbA1c) testing. Which of the
following client statements indicates an understanding of the teaching? - ANSWERS-"This test's
result is a good indicator of my average blood glucose levels."
HbA1c reflects the client's glucose levels over a 120-day period, which is the life span of RBCs.
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? - ANSWERS-cool,
clammy skin
Hypoglycemia causes cool, clammy skin, in addition to anxiety, nervousness, tachycardia, and
confusion.
A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires
intranasal desmopressin. Which of the following information should the nurse include? -
ANSWERS-"report nocturia because it requires a dosage adjustment."
AND CORRECT DETAILED ANSWERS LATEST UPDATES
2026 (100% VERIFIED ANSWERS) ALREADY GRADED A+
A home health nurse is assessing a client who requires lifelong hormone replacement therapy
for the treatment of hypothyroidism. The client has not been taking the medication regularly.
Which of the following findings should the nurse expect? - ANSWERS-hypotension
Hypotension is an expected finding of hypothyroidism, along with bradypnea, dysrhythmias,
cold intolerance, and cool, dry skin.
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? - ANSWERS-sodium
110 mEq/L
A client who has SIADH retains fluids, which causes dilutional hyponatremia.
a nurse is teaching a client who is scheduled for a vanillylmandelic acid test to screen for
pheochromocytoma. Which of the following statements should the nurse include in the
teaching? - ANSWERS-"Restrict coffee intake 2 to 3 days prior to the test."
The client should avoid coffee and tea, even if they are decaffeinated, bananas, chocolate, and
vanilla for 2 to 3 days prior to the test.
,A nurse is caring for a client following a thyroidectomy. The nurse should assess for which of the
following findings as an indication of hypocalcemia? - ANSWERS-tingling and numbness of the
hands and feet
Hypocalcemia causes paresthesia, which usually starts in the hands and feet.
A nurse is teaching a client who has diabetes mellitus. Which of the following should the nurse
include as an expected finding of diabetic ketoacidosis (DKA)? - ANSWERS-blood glucose levels
above 300 mg/dL
Blood glucose levels above 300 mg/dL are an expected finding of DKA. Levels above 600 mg/dL
are an expected finding in a client who is in a hyperglycemic-hyperosmolar state.
A nurse is reviewing laboratory values for a client who has diabetic ketoacidosis (DKA). Which of
the following results should the nurse expect? - ANSWERS-pH 7.32, PaCO2 36 mmHg, HCO3 14
mEq/L
Metabolic acidosis is a common manifestation of DKA, with a low pH, carbon dioxide within the
expected reference range, and low bicarbonate.
A nurse is teaching a client who has an autoimmune disease about the adverse effects of long-
term corticosteroid therapy. Which of the following adverse effects should the nurse include?
(SATA) - ANSWERS-osteoporosis
moon-shaped face
increased risk of infection
-Osteoporosis is correct. Osteoporosis is an adverse effect of long-term corticosteroid therapy
due to the suppression of bone formation and the acceleration of bone resorption that
corticosteroid therapy can cause.
, -Moon-shaped face is correct. Long-term corticosteroid therapy causes characteristics of
iatrogenic Cushing's syndrome, including a moon-shaped face, a potbelly, and a buffalo hump.
-Increased risk of infection is correct. Increased risk of infection is an adverse effect of long-term
corticosteroid therapy. Corticosteroid therapy reduces the phagocytic actions of macrophages
and neutrophils, suppressing the immune system.
a nurse is caring for a client who has type 2 diabetes mellitus and is experiencing a
hyperglycemic-hyperosmolar state (HHS). Which of the following laboratory findings should the
nurse expect? - ANSWERS-serum pH 7.45
A client who is experiencing HHS produces enough insulin to prevent ketosis but not enough to
prevent hyperglycemia. Therefore, the serum pH is within the expected reference range.
Glucose levels will be above 600 mg/dL.
A nurse is teaching a client about glycosylated hemoglobin (HbA1c) testing. Which of the
following client statements indicates an understanding of the teaching? - ANSWERS-"This test's
result is a good indicator of my average blood glucose levels."
HbA1c reflects the client's glucose levels over a 120-day period, which is the life span of RBCs.
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? - ANSWERS-cool,
clammy skin
Hypoglycemia causes cool, clammy skin, in addition to anxiety, nervousness, tachycardia, and
confusion.
A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires
intranasal desmopressin. Which of the following information should the nurse include? -
ANSWERS-"report nocturia because it requires a dosage adjustment."
