MGCCC Nursing 2 Endocrine Exam Questions
With Complete Solutions
Course
MGCCC
1. Question:
A patient is newly diagnosed with Type 1 Diabetes Mellitus. Which symptom reported by the
patient is most indicative of this condition?
A. Weight gain
B. Bradycardia
C. Polyuria
D. Cold intolerance
Correct Answer: C. Polyuria
Rationale:
Polyuria (excessive urination) is a classic sign of Type 1 Diabetes due to osmotic diuresis caused
by hyperglycemia. Weight loss, not gain, is typical. Bradycardia and cold intolerance are more
related to hypothyroidism.
2. Question:
A patient is receiving levothyroxine for hypothyroidism. Which finding indicates the medication
is effective?
A. Decreased heart rate
B. Weight gain
C. Improved energy levels
D. Constipation
Correct Answer: C. Improved energy levels
Rationale:
Levothyroxine replaces thyroid hormone, improving metabolism and relieving symptoms like
fatigue. Constipation and weight gain indicate inadequate dosing.
,3. Question:
A client with Addison’s disease is at risk for an adrenal crisis. Which finding requires
immediate intervention?
A. Bronze skin tone
B. Fatigue
C. Blood pressure of 80/50 mmHg
D. Craving for salty foods
Correct Answer: C. Blood pressure of 80/50 mmHg
Rationale:
Hypotension suggests adrenal crisis, a medical emergency. Other symptoms are chronic signs of
Addison's.
4. Question:
Which lab value should the nurse expect in a patient with Syndrome of Inappropriate
Antidiuretic Hormone (SIADH)?
A. Elevated serum sodium
B. Low urine specific gravity
C. Decreased serum osmolality
D. Increased serum calcium
Correct Answer: C. Decreased serum osmolality
Rationale:
In SIADH, excessive ADH causes water retention, diluting serum osmolality. Sodium is often
low, not high.
5. Question:
A patient with Graves’ disease asks why they feel anxious and are losing weight. What is the
best nurse response?
,A. "Your thyroid is underactive, slowing metabolism."
B. "Your thyroid is producing excess hormones, speeding metabolism."
C. "You're likely experiencing medication side effects."
D. "These are unrelated symptoms and need separate evaluation."
Correct Answer: B. "Your thyroid is producing excess hormones, speeding metabolism."
Rationale:
Graves' disease is a form of hyperthyroidism. Excess thyroid hormone increases metabolism,
leading to weight loss and anxiety.
6. Question:
Which instruction is most important for a patient prescribed prednisone long-term?
A. "Stop taking the medication when symptoms improve."
B. "Limit fluid intake to avoid retention."
C. "Take with food to prevent gastric upset."
D. "Avoid vaccines while on this medication."
Correct Answer: D. "Avoid vaccines while on this medication."
Rationale:
Prednisone suppresses immunity. Live vaccines should be avoided. Stopping abruptly may cause
adrenal insufficiency.
7. Question:
What is the priority action for a nurse caring for a patient with hypoglycemia?
A. Administer insulin
B. Give 15g of a fast-acting carbohydrate
C. Monitor intake and output
D. Encourage exercise
Correct Answer: B. Give 15g of a fast-acting carbohydrate
, Rationale:
Hypoglycemia is an emergency requiring quick glucose correction. Insulin would worsen
hypoglycemia.
8. Question:
The nurse suspects thyroid storm in a post-thyroidectomy patient. Which is the priority
symptom to report?
A. Hoarseness
B. Neck swelling
C. Tachycardia
D. Difficulty swallowing
Correct Answer: C. Tachycardia
Rationale:
Tachycardia is a key sign of thyroid storm—a life-threatening hypermetabolic state. Other
options could indicate local complications but are less urgent.
9. Question:
Which diet is most appropriate for a patient with hyperparathyroidism?
A. High calcium, low phosphorus
B. Low calcium, high phosphorus
C. High protein, low potassium
D. High sodium, low fat
Correct Answer: B. Low calcium, high phosphorus
Rationale:
Hyperparathyroidism causes hypercalcemia. The diet should limit calcium and increase
phosphorus to counterbalance.
10. Question:
With Complete Solutions
Course
MGCCC
1. Question:
A patient is newly diagnosed with Type 1 Diabetes Mellitus. Which symptom reported by the
patient is most indicative of this condition?
A. Weight gain
B. Bradycardia
C. Polyuria
D. Cold intolerance
Correct Answer: C. Polyuria
Rationale:
Polyuria (excessive urination) is a classic sign of Type 1 Diabetes due to osmotic diuresis caused
by hyperglycemia. Weight loss, not gain, is typical. Bradycardia and cold intolerance are more
related to hypothyroidism.
2. Question:
A patient is receiving levothyroxine for hypothyroidism. Which finding indicates the medication
is effective?
A. Decreased heart rate
B. Weight gain
C. Improved energy levels
D. Constipation
Correct Answer: C. Improved energy levels
Rationale:
Levothyroxine replaces thyroid hormone, improving metabolism and relieving symptoms like
fatigue. Constipation and weight gain indicate inadequate dosing.
,3. Question:
A client with Addison’s disease is at risk for an adrenal crisis. Which finding requires
immediate intervention?
A. Bronze skin tone
B. Fatigue
C. Blood pressure of 80/50 mmHg
D. Craving for salty foods
Correct Answer: C. Blood pressure of 80/50 mmHg
Rationale:
Hypotension suggests adrenal crisis, a medical emergency. Other symptoms are chronic signs of
Addison's.
4. Question:
Which lab value should the nurse expect in a patient with Syndrome of Inappropriate
Antidiuretic Hormone (SIADH)?
A. Elevated serum sodium
B. Low urine specific gravity
C. Decreased serum osmolality
D. Increased serum calcium
Correct Answer: C. Decreased serum osmolality
Rationale:
In SIADH, excessive ADH causes water retention, diluting serum osmolality. Sodium is often
low, not high.
5. Question:
A patient with Graves’ disease asks why they feel anxious and are losing weight. What is the
best nurse response?
,A. "Your thyroid is underactive, slowing metabolism."
B. "Your thyroid is producing excess hormones, speeding metabolism."
C. "You're likely experiencing medication side effects."
D. "These are unrelated symptoms and need separate evaluation."
Correct Answer: B. "Your thyroid is producing excess hormones, speeding metabolism."
Rationale:
Graves' disease is a form of hyperthyroidism. Excess thyroid hormone increases metabolism,
leading to weight loss and anxiety.
6. Question:
Which instruction is most important for a patient prescribed prednisone long-term?
A. "Stop taking the medication when symptoms improve."
B. "Limit fluid intake to avoid retention."
C. "Take with food to prevent gastric upset."
D. "Avoid vaccines while on this medication."
Correct Answer: D. "Avoid vaccines while on this medication."
Rationale:
Prednisone suppresses immunity. Live vaccines should be avoided. Stopping abruptly may cause
adrenal insufficiency.
7. Question:
What is the priority action for a nurse caring for a patient with hypoglycemia?
A. Administer insulin
B. Give 15g of a fast-acting carbohydrate
C. Monitor intake and output
D. Encourage exercise
Correct Answer: B. Give 15g of a fast-acting carbohydrate
, Rationale:
Hypoglycemia is an emergency requiring quick glucose correction. Insulin would worsen
hypoglycemia.
8. Question:
The nurse suspects thyroid storm in a post-thyroidectomy patient. Which is the priority
symptom to report?
A. Hoarseness
B. Neck swelling
C. Tachycardia
D. Difficulty swallowing
Correct Answer: C. Tachycardia
Rationale:
Tachycardia is a key sign of thyroid storm—a life-threatening hypermetabolic state. Other
options could indicate local complications but are less urgent.
9. Question:
Which diet is most appropriate for a patient with hyperparathyroidism?
A. High calcium, low phosphorus
B. Low calcium, high phosphorus
C. High protein, low potassium
D. High sodium, low fat
Correct Answer: B. Low calcium, high phosphorus
Rationale:
Hyperparathyroidism causes hypercalcemia. The diet should limit calcium and increase
phosphorus to counterbalance.
10. Question:
