Endocrine NCLEX Test Questions with 100% Verified Answers
1. 1. An agitated, confused fe- B.
male client arrives in the To reverse hypoglycemia, the American Di-
emergency department. Her abetes Association recommends ingesting
history includes type 1 dia- 10 to 15 g of a simple carbohydrate, such
betes mellitus, hypertension, as three to five pieces of hard candy, two to
and angina pectoris. Assess- three packets of sugar (4 to 6 tsp), or 4 oz of
ment reveals pallor, diaphore- fruit juice. If necessary, this treatment can be
sis, headache, and intense repeated in 15 minutes. Ingesting only 2 to
hunger. A stat blood glucose 5 g of a simple carbohydrate may not raise
sample measures 42 mg/dl, the blood glucose level sufficiently. Ingesting
and the client is treated for more than 15 g may raise it above normal,
an acute hypoglycemic re- causing hyperglycemia.
action. After recovery, nurse
Lily teaches the client to treat
hypoglycemia by ingesting:
a. 2 to 5 g of a simple carbo-
hydrate.
b. 10 to 15 g of a simple car-
bohydrate.
c. 18 to 20 g of a simple car-
bohydrate.
d. 25 to 30 g of a simple car-
bohydrate.
2. 2. A female adult client with A.
a history of chronic hyper- Poorly controlled hyperparathyroidism may
parathyroidism admits to be- cause an elevated serum calcium level. This,
ing noncompliant. Based on in turn, may diminish calcium stores in the
initial assessment findings, bone, causing bone demineralization and
nurse Julia formulates the setting the stage for pathologic fractures
nursing diagnosis of Risk and a risk for injury. Hyperparathyroidism
for injury. To complete the doesn't accelerate the metabolic rate. A
nursing diagnosis statement decreased thyroid hormone level, not an
for this client, which "re- increased parathyroid hormone level, may
lated-to" phrase should the cause edema and dry skin secondary to fluid
nurse add? infiltration into the interstitial spaces. Hyper-
a. Related to bone demineral- parathyroidism causes hypercalcemia, not
ization resulting in patholog- hypocalcemia; therefore, it isn't associated
ic fractures with tetany.
,Endocrine NCLEX Test Questions with 100% Verified Answers
b. Related to exhaustion sec-
ondary to an accelerated
metabolic rate
c. Related to edema and dry
skin secondary to fluid in-
filtration into the interstitial
spaces
d. Related to tetany sec-
ondary to a decreased serum
calcium level
3. 3. Nurse John is assigned D.
to care for a postoperative The nurse should refer this client to a sex
male client who has diabetes counselor or other professional. Making ap-
mellitus. During the assess- propriate referrals is a valid part of planning
ment interview, the client re- the client's care. The nurse doesn't normally
ports that he's impotent and provide sex counseling.
says he's concerned about
its effect on his marriage.
In planning this client's care,
the most appropriate inter-
vention would be to:
a. Encourage the client to
ask questions about personal
sexuality.
b. Provide time for privacy.
c. Provide support for the
spouse or significant other.
d. Suggest referral to a sex
counselor or other appropri-
ate professional.
4. 4. During a class on exercise B.
for diabetic clients, a female Diabetic clients must exercise at least three
client asks the nurse educa- times a week to meet the goals of planned
tor how often to exercise. The exercise — lowering the blood glucose level,
nurse educator advises the reducing or maintaining the proper weight,
clients to exercise how often increasing the serum high-density lipopro-
to meet the goals of planned tein level, decreasing serum triglyceride lev-
,Endocrine NCLEX Test Questions with 100% Verified Answers
exercise? els, reducing blood pressure, and minimiz-
a. At least once a week ing stress. Exercising once a week wouldn't
b. At least three times a week achieve these goals. Exercising more than
c. At least five times a week three times a week, although beneficial,
d. Every day would exceed the minimum requirement.
5. 5. Nurse Oliver should expect B.
a client with hypothyroidism Hypothyroidism (myxedema) causes facial
to report which health con- puffiness, extremity edema, and weight gain.
cerns? Signs and symptoms of hyperthyroidism
a. Increased appetite and (Graves' disease) include an increased ap-
weight loss petite, weight loss, nervousness, tremors,
b. Puffiness of the face and and thyroid gland enlargement (goiter).
hands
c. Nervousness and tremors
d. Thyroid gland swelling
6. 6. A female client with hy- C.
pothyroidism (myxedema) is Levothyroxine, a synthetic thyroid hormone,
receiving levothyroxine (Syn- is given to a client with hypothyroidism to
throid), 25 mcg P.O. daily. simulate the effects of thyroxine. Adverse
Which finding should nurse effects of this agent include tachycardia. The
Hans recognize as an ad- other options aren't associated with levothy-
verse drug effect? roxine.
a. Dysuria
b. Leg cramps
c. Tachycardia
d. Blurred vision
7. 7. A 67-year-old male client D.
has been complaining of Hyperparathyroidism is most common in
sleeping more, increased uri- older women and is characterized by bone
nation, anorexia, weakness, pain and weakness from excess parathy-
irritability, depression, and roid hormone (PTH). Clients also exhibit
bone pain that interferes with hypercaliuria-causing polyuria. While clients
her going outdoors. Based on with diabetes mellitus and diabetes insipidus
these assessment findings, also have polyuria, they don't have bone
nurse Richard would suspect pain and increased sleeping. Hypoparathy-
which of the following disor-
, Endocrine NCLEX Test Questions with 100% Verified Answers
ders? roidism is characterized by urinary frequen-
a. Diabetes mellitus cy rather than polyuria.
b. Diabetes insipidus
c. Hypoparathyroidism
d. Hyperparathyroidism
8. 8. When caring for a male A.
client with diabetes in- Because diabetes insipidus results from de-
sipidus, nurse Juliet expects creased antidiuretic hormone (vasopressin)
to administer: production, the nurse should expect to ad-
a. vasopressin (Pitressin minister synthetic vasopressin for hormone
Synthetic). replacement therapy. Furosemide, a diuret-
b. furosemide (Lasix). ic, is contraindicated because a client with
c. regular insulin. diabetes insipidus experiences polyuria. In-
d. 10% dextrose. sulin and dextrose are used to treat diabetes
mellitus and its complications, not diabetes
insipidus.
9. 9. The nurse is aware that the D.
following is the most com- An autonomous aldosterone-producing
mon cause of hyperaldos- adenoma is the most common cause of hy-
teronism? peraldosteronism. Hyperplasia is the sec-
a. Excessive sodium intake ond most frequent cause. Aldosterone se-
b. A pituitary adenoma cretion is independent of sodium and potas-
c. Deficient potassium intake sium intake as well as of pituitary stimula-
d. An adrenal adenoma tion.
10. 10. A male client with type C.
1 diabetes mellitus has a The glycosylated Hb test provides an ob-
highly elevated glycosylated jective measure of glycemic control over
hemoglobin (Hb) test result. a 3-month period. The test helps identify
In discussing the result with trends or practices that impair glycemic con-
the client, nurse Sharmaine trol, and it doesn't require a fasting peri-
would be most accurate in od before blood is drawn. The nurse can't
stating: conclude that the result occurs from poor
a. "The test needs to be re- dietary management or inadequate insulin
peated following a 12-hour coverage.
fast."
b. "It looks like you aren't fol-
1. 1. An agitated, confused fe- B.
male client arrives in the To reverse hypoglycemia, the American Di-
emergency department. Her abetes Association recommends ingesting
history includes type 1 dia- 10 to 15 g of a simple carbohydrate, such
betes mellitus, hypertension, as three to five pieces of hard candy, two to
and angina pectoris. Assess- three packets of sugar (4 to 6 tsp), or 4 oz of
ment reveals pallor, diaphore- fruit juice. If necessary, this treatment can be
sis, headache, and intense repeated in 15 minutes. Ingesting only 2 to
hunger. A stat blood glucose 5 g of a simple carbohydrate may not raise
sample measures 42 mg/dl, the blood glucose level sufficiently. Ingesting
and the client is treated for more than 15 g may raise it above normal,
an acute hypoglycemic re- causing hyperglycemia.
action. After recovery, nurse
Lily teaches the client to treat
hypoglycemia by ingesting:
a. 2 to 5 g of a simple carbo-
hydrate.
b. 10 to 15 g of a simple car-
bohydrate.
c. 18 to 20 g of a simple car-
bohydrate.
d. 25 to 30 g of a simple car-
bohydrate.
2. 2. A female adult client with A.
a history of chronic hyper- Poorly controlled hyperparathyroidism may
parathyroidism admits to be- cause an elevated serum calcium level. This,
ing noncompliant. Based on in turn, may diminish calcium stores in the
initial assessment findings, bone, causing bone demineralization and
nurse Julia formulates the setting the stage for pathologic fractures
nursing diagnosis of Risk and a risk for injury. Hyperparathyroidism
for injury. To complete the doesn't accelerate the metabolic rate. A
nursing diagnosis statement decreased thyroid hormone level, not an
for this client, which "re- increased parathyroid hormone level, may
lated-to" phrase should the cause edema and dry skin secondary to fluid
nurse add? infiltration into the interstitial spaces. Hyper-
a. Related to bone demineral- parathyroidism causes hypercalcemia, not
ization resulting in patholog- hypocalcemia; therefore, it isn't associated
ic fractures with tetany.
,Endocrine NCLEX Test Questions with 100% Verified Answers
b. Related to exhaustion sec-
ondary to an accelerated
metabolic rate
c. Related to edema and dry
skin secondary to fluid in-
filtration into the interstitial
spaces
d. Related to tetany sec-
ondary to a decreased serum
calcium level
3. 3. Nurse John is assigned D.
to care for a postoperative The nurse should refer this client to a sex
male client who has diabetes counselor or other professional. Making ap-
mellitus. During the assess- propriate referrals is a valid part of planning
ment interview, the client re- the client's care. The nurse doesn't normally
ports that he's impotent and provide sex counseling.
says he's concerned about
its effect on his marriage.
In planning this client's care,
the most appropriate inter-
vention would be to:
a. Encourage the client to
ask questions about personal
sexuality.
b. Provide time for privacy.
c. Provide support for the
spouse or significant other.
d. Suggest referral to a sex
counselor or other appropri-
ate professional.
4. 4. During a class on exercise B.
for diabetic clients, a female Diabetic clients must exercise at least three
client asks the nurse educa- times a week to meet the goals of planned
tor how often to exercise. The exercise — lowering the blood glucose level,
nurse educator advises the reducing or maintaining the proper weight,
clients to exercise how often increasing the serum high-density lipopro-
to meet the goals of planned tein level, decreasing serum triglyceride lev-
,Endocrine NCLEX Test Questions with 100% Verified Answers
exercise? els, reducing blood pressure, and minimiz-
a. At least once a week ing stress. Exercising once a week wouldn't
b. At least three times a week achieve these goals. Exercising more than
c. At least five times a week three times a week, although beneficial,
d. Every day would exceed the minimum requirement.
5. 5. Nurse Oliver should expect B.
a client with hypothyroidism Hypothyroidism (myxedema) causes facial
to report which health con- puffiness, extremity edema, and weight gain.
cerns? Signs and symptoms of hyperthyroidism
a. Increased appetite and (Graves' disease) include an increased ap-
weight loss petite, weight loss, nervousness, tremors,
b. Puffiness of the face and and thyroid gland enlargement (goiter).
hands
c. Nervousness and tremors
d. Thyroid gland swelling
6. 6. A female client with hy- C.
pothyroidism (myxedema) is Levothyroxine, a synthetic thyroid hormone,
receiving levothyroxine (Syn- is given to a client with hypothyroidism to
throid), 25 mcg P.O. daily. simulate the effects of thyroxine. Adverse
Which finding should nurse effects of this agent include tachycardia. The
Hans recognize as an ad- other options aren't associated with levothy-
verse drug effect? roxine.
a. Dysuria
b. Leg cramps
c. Tachycardia
d. Blurred vision
7. 7. A 67-year-old male client D.
has been complaining of Hyperparathyroidism is most common in
sleeping more, increased uri- older women and is characterized by bone
nation, anorexia, weakness, pain and weakness from excess parathy-
irritability, depression, and roid hormone (PTH). Clients also exhibit
bone pain that interferes with hypercaliuria-causing polyuria. While clients
her going outdoors. Based on with diabetes mellitus and diabetes insipidus
these assessment findings, also have polyuria, they don't have bone
nurse Richard would suspect pain and increased sleeping. Hypoparathy-
which of the following disor-
, Endocrine NCLEX Test Questions with 100% Verified Answers
ders? roidism is characterized by urinary frequen-
a. Diabetes mellitus cy rather than polyuria.
b. Diabetes insipidus
c. Hypoparathyroidism
d. Hyperparathyroidism
8. 8. When caring for a male A.
client with diabetes in- Because diabetes insipidus results from de-
sipidus, nurse Juliet expects creased antidiuretic hormone (vasopressin)
to administer: production, the nurse should expect to ad-
a. vasopressin (Pitressin minister synthetic vasopressin for hormone
Synthetic). replacement therapy. Furosemide, a diuret-
b. furosemide (Lasix). ic, is contraindicated because a client with
c. regular insulin. diabetes insipidus experiences polyuria. In-
d. 10% dextrose. sulin and dextrose are used to treat diabetes
mellitus and its complications, not diabetes
insipidus.
9. 9. The nurse is aware that the D.
following is the most com- An autonomous aldosterone-producing
mon cause of hyperaldos- adenoma is the most common cause of hy-
teronism? peraldosteronism. Hyperplasia is the sec-
a. Excessive sodium intake ond most frequent cause. Aldosterone se-
b. A pituitary adenoma cretion is independent of sodium and potas-
c. Deficient potassium intake sium intake as well as of pituitary stimula-
d. An adrenal adenoma tion.
10. 10. A male client with type C.
1 diabetes mellitus has a The glycosylated Hb test provides an ob-
highly elevated glycosylated jective measure of glycemic control over
hemoglobin (Hb) test result. a 3-month period. The test helps identify
In discussing the result with trends or practices that impair glycemic con-
the client, nurse Sharmaine trol, and it doesn't require a fasting peri-
would be most accurate in od before blood is drawn. The nurse can't
stating: conclude that the result occurs from poor
a. "The test needs to be re- dietary management or inadequate insulin
peated following a 12-hour coverage.
fast."
b. "It looks like you aren't fol-
