PNR 309 FINAL EXAM QUESTIONS AND ANSWERS 2025
What is a characteristic that is common to all hormones? - (ANSWER)They influence cellular activity of
specific target tissues.
A client is receiving radiation therapy for cancer of the kidney. The nurse monitors the client for signs
and symptoms of damage to which of the following organ(s)? - (ANSWER)Adrenal Glands
A client has a serum sodium level of 152 mmol/L. What is the normal hormonal response to this
situation? - (ANSWER)Release of ADH
All cells in the body are believed to have intracellular receptors for which of the following? -
(ANSWER)Thyroid hormone
When obtaining subjective data from a client during assessment of the endocrine system, the nurse asks
specifically about which of the following? - (ANSWER)Energy level
What is appropriate technique to use during physical assessment of the thyroid gland? - (ANSWER)Have
the client swallow water during inspection and palpitation of the gland.
Why do endocrine disorders often go unrecognized in older adults? - (ANSWER)Symptoms are often
attributed to aging.
A client has a total serum calcium level of 0.75 mmol/L. If this finding reflects hypoparathyroidism, what
would the nurse expect further diagnostic testing to reveal? - (ANSWER)Decrease serum PTH
after hypophysectomy for acromegaly, which of the following should be the focus of post-operative
Nursing Care? - (ANSWER)frequent monitoring of serum and urine osmolarity
a client with head injury develops siadh. Which of the following manifestations of siadh would the nurse
expect to find? - (ANSWER)low urine output and hyponatremia
,PNR 309 FINAL EXAM QUESTIONS AND ANSWERS 2025
which of the following symptoms would lead the nurse to suspect Ganondorf removal of the parathyroid
glands after thyroid surgery? - (ANSWER)hypothermia and tachycardia
important nursing intervention when caring for a client with Cushing's syndrome? -
(ANSWER)monitoring blood glucose levels and protecting the client from exposure to infection
which of the following is an important preoperative nursing intervention before an adrenalectomy for
hyper aldosteronism - (ANSWER)administer potassium sparing diuretics
how does the nurse instruct the client who is taking corticosteroids to control the adverse effects of
drug therapy? - (ANSWER)increase calcium intake to 1500 mg per day
what does the nurse teach the client regarding the best time to take corticosteroids for replacement
purposes? - (ANSWER)honour rising and in the late afternoon
The nurse is providing instructions to a client regarding a urine study for free cortisol. Which of the
following instructions is most important to include? - (ANSWER)Try to avoid stressful situations during
the collection period.
Which of the following assessment parameters is of highest priority when caring for a client undergoing
a water deprivation test? - (ANSWER)Weight
A client has sought care because of a loss of 12 kg over the past 6 months, during which the client claims
to have made no significant dietary changes. Which of the following disorders is a potential cause of the
weight loss? - (ANSWER)Thyroid disorder
The surgeon was unable to save a client's parathyroid gland during a radical thyroidectomy. The nurse
should consequently pay particular attention to which of the following components of the client's
laboratory values? - (ANSWER)Calcium levels
A client's recent medical history is indicative of diabetes insipidus. The nurse would perform client
education related to which of the following diagnostic tests? - (ANSWER)Water deprivation test
, PNR 309 FINAL EXAM QUESTIONS AND ANSWERS 2025
The nurse is caring for a client admitted with suspected hyperparathyroidism. Because of the potential
effects of this disease on electrolyte balance, the nurse should assess this client for which of the
following manifestations? - (ANSWER)Lethargy and weakness
The nurse should monitor for which of the following adverse changes in the client's laboratory values as
a result of being treated with dexamethasone? - (ANSWER)Blood glucose 8.9 mmol/L
The nurse is providing discharge teaching to a client with diabetes insipidus who is taking desmopressin
acetate (DDAVP) intranasally. Which of the following instructions should the nurse include in the client
teaching plan? - (ANSWER)Alternate nostrils during administration
The client has a prescription for prednisone 45 mg PO daily. Available are 10-mg tablets. How many
tablets should the nurse prepare to give? - (ANSWER)4.5 tabs
Which of the following is a nursing priority in the care of a client with a diagnosis of hypothyroidism? -
(ANSWER)Client teaching related to levothyroxine
A client has been taking oral prednisone for the past several weeks after having a severe reaction to
poison ivy. The nurse has explained the procedure for gradual reduction rather than sudden cessation of
the drug. What of the following complications does this approach to drug administration prevent? -
(ANSWER)Adrenal insufficiency
The nurse is caring for a client who had a thyroidectomy, including removal of the parathyroid gland.
Which of the following assessments should the nurse prioritize when providing postoperative care for
this client? - (ANSWER)Monitoring the client's serum calcium levels and assessing for signs of
hypocalcemia
The nurse is admitting a client with the diagnosis of advanced renal carcinoma. Based on this diagnosis,
the nurse will expect to find which of the following presenting symptoms that occur in clients with renal
cancer? - (ANSWER)Hematuria, flank pain, palpable mass
What is a characteristic that is common to all hormones? - (ANSWER)They influence cellular activity of
specific target tissues.
A client is receiving radiation therapy for cancer of the kidney. The nurse monitors the client for signs
and symptoms of damage to which of the following organ(s)? - (ANSWER)Adrenal Glands
A client has a serum sodium level of 152 mmol/L. What is the normal hormonal response to this
situation? - (ANSWER)Release of ADH
All cells in the body are believed to have intracellular receptors for which of the following? -
(ANSWER)Thyroid hormone
When obtaining subjective data from a client during assessment of the endocrine system, the nurse asks
specifically about which of the following? - (ANSWER)Energy level
What is appropriate technique to use during physical assessment of the thyroid gland? - (ANSWER)Have
the client swallow water during inspection and palpitation of the gland.
Why do endocrine disorders often go unrecognized in older adults? - (ANSWER)Symptoms are often
attributed to aging.
A client has a total serum calcium level of 0.75 mmol/L. If this finding reflects hypoparathyroidism, what
would the nurse expect further diagnostic testing to reveal? - (ANSWER)Decrease serum PTH
after hypophysectomy for acromegaly, which of the following should be the focus of post-operative
Nursing Care? - (ANSWER)frequent monitoring of serum and urine osmolarity
a client with head injury develops siadh. Which of the following manifestations of siadh would the nurse
expect to find? - (ANSWER)low urine output and hyponatremia
,PNR 309 FINAL EXAM QUESTIONS AND ANSWERS 2025
which of the following symptoms would lead the nurse to suspect Ganondorf removal of the parathyroid
glands after thyroid surgery? - (ANSWER)hypothermia and tachycardia
important nursing intervention when caring for a client with Cushing's syndrome? -
(ANSWER)monitoring blood glucose levels and protecting the client from exposure to infection
which of the following is an important preoperative nursing intervention before an adrenalectomy for
hyper aldosteronism - (ANSWER)administer potassium sparing diuretics
how does the nurse instruct the client who is taking corticosteroids to control the adverse effects of
drug therapy? - (ANSWER)increase calcium intake to 1500 mg per day
what does the nurse teach the client regarding the best time to take corticosteroids for replacement
purposes? - (ANSWER)honour rising and in the late afternoon
The nurse is providing instructions to a client regarding a urine study for free cortisol. Which of the
following instructions is most important to include? - (ANSWER)Try to avoid stressful situations during
the collection period.
Which of the following assessment parameters is of highest priority when caring for a client undergoing
a water deprivation test? - (ANSWER)Weight
A client has sought care because of a loss of 12 kg over the past 6 months, during which the client claims
to have made no significant dietary changes. Which of the following disorders is a potential cause of the
weight loss? - (ANSWER)Thyroid disorder
The surgeon was unable to save a client's parathyroid gland during a radical thyroidectomy. The nurse
should consequently pay particular attention to which of the following components of the client's
laboratory values? - (ANSWER)Calcium levels
A client's recent medical history is indicative of diabetes insipidus. The nurse would perform client
education related to which of the following diagnostic tests? - (ANSWER)Water deprivation test
, PNR 309 FINAL EXAM QUESTIONS AND ANSWERS 2025
The nurse is caring for a client admitted with suspected hyperparathyroidism. Because of the potential
effects of this disease on electrolyte balance, the nurse should assess this client for which of the
following manifestations? - (ANSWER)Lethargy and weakness
The nurse should monitor for which of the following adverse changes in the client's laboratory values as
a result of being treated with dexamethasone? - (ANSWER)Blood glucose 8.9 mmol/L
The nurse is providing discharge teaching to a client with diabetes insipidus who is taking desmopressin
acetate (DDAVP) intranasally. Which of the following instructions should the nurse include in the client
teaching plan? - (ANSWER)Alternate nostrils during administration
The client has a prescription for prednisone 45 mg PO daily. Available are 10-mg tablets. How many
tablets should the nurse prepare to give? - (ANSWER)4.5 tabs
Which of the following is a nursing priority in the care of a client with a diagnosis of hypothyroidism? -
(ANSWER)Client teaching related to levothyroxine
A client has been taking oral prednisone for the past several weeks after having a severe reaction to
poison ivy. The nurse has explained the procedure for gradual reduction rather than sudden cessation of
the drug. What of the following complications does this approach to drug administration prevent? -
(ANSWER)Adrenal insufficiency
The nurse is caring for a client who had a thyroidectomy, including removal of the parathyroid gland.
Which of the following assessments should the nurse prioritize when providing postoperative care for
this client? - (ANSWER)Monitoring the client's serum calcium levels and assessing for signs of
hypocalcemia
The nurse is admitting a client with the diagnosis of advanced renal carcinoma. Based on this diagnosis,
the nurse will expect to find which of the following presenting symptoms that occur in clients with renal
cancer? - (ANSWER)Hematuria, flank pain, palpable mass
