1
THYROID & ADRENAL DISORDERS NURSING
EXAM 2026-28 LATEST VERSION
Exam Structure
• Total Questions: 100
• Question Type: Multiple Choice (A–D)
• Time Allowed: 2 hours
• Passing Score: 75%
• Focus Areas:
o Thyroid disorders: hypo- and hyperthyroidism, goiter, thyroiditis
o Adrenal disorders: Addison’s disease, Cushing’s syndrome, adrenal crisis
o Hormonal physiology and lab interpretation
o Pharmacologic management (thyroid hormones, antithyroid drugs, corticosteroids)
o Nursing care, patient education, and complication prevention
Exam Introduction
This exam evaluates nursing competency in thyroid and adrenal disorders, including diagnosis, management, and
patient education. Questions simulate clinical scenarios to assess critical thinking and evidence-based practice.
Instructions:
• Choose the single best answer for each question.
• Assume hospital policy aligns with current clinical guidelines (e.g., ATA, Endocrine Society).
• Each question includes answers and rationales for reinforcement.
Question & Answer Format
• Question
• Answer Choices (A–D)
• Correct Answer
• Rationale
,2
1. The most common cause of hypothyroidism in adults is:
A. Graves’ disease
B. Hashimoto’s thyroiditis
C. Thyroidectomy
D. Pituitary adenoma
Answer: B
Rationale: Hashimoto’s thyroiditis is an autoimmune
destruction of the thyroid, leading to decreased hormone
production.
2. A patient with hyperthyroidism often presents with:
A. Fatigue, weight gain, cold intolerance
B. Weight loss, heat intolerance, palpitations
C. Bradycardia and constipation
D. Hypothermia
Answer: B
Rationale: Hyperthyroidism increases metabolism, causing
weight loss, tachycardia, and heat intolerance.
3. Common lab findings in hypothyroidism include:
,3
A. Low TSH, high T4
B. High TSH, low T4
C. High T3 only
D. Low TSH, low T4
Answer: B
Rationale: In primary hypothyroidism, the thyroid cannot
produce enough T4, so TSH rises due to negative feedback.
4. Graves’ disease is associated with:
A. Hypothyroidism and cold intolerance
B. Hyperthyroidism, exophthalmos, and goiter
C. Hashimoto’s thyroiditis only
D. Adrenal insufficiency
Answer: B
Rationale: Autoimmune stimulation of the thyroid in Graves’
disease causes hyperthyroidism and characteristic eye changes.
5. A patient with myxedema is at risk for:
A. Thyroid storm
B. Coma due to severe hypothyroidism
C. Hyperglycemia
D. Hypertension only
, 4
Answer: B
Rationale: Myxedema represents severe hypothyroidism that
can lead to hypothermia, bradycardia, and coma.
6. The nurse should teach a patient on levothyroxine to:
A. Take the medication with food
B. Take it on an empty stomach in the morning
C. Take it only at bedtime
D. Double the dose if feeling fatigued
Answer: B
Rationale: Absorption is best on an empty stomach; consistent
timing is crucial for stable hormone levels.
7. Common signs of thyroid storm include:
A. Fever, tachycardia, agitation, hypertension
B. Fatigue, bradycardia, cold intolerance
C. Constipation and weight gain
D. Hypotension only
Answer: A
Rationale: Thyroid storm is an extreme form of hyperthyroidism
and is a medical emergency.
THYROID & ADRENAL DISORDERS NURSING
EXAM 2026-28 LATEST VERSION
Exam Structure
• Total Questions: 100
• Question Type: Multiple Choice (A–D)
• Time Allowed: 2 hours
• Passing Score: 75%
• Focus Areas:
o Thyroid disorders: hypo- and hyperthyroidism, goiter, thyroiditis
o Adrenal disorders: Addison’s disease, Cushing’s syndrome, adrenal crisis
o Hormonal physiology and lab interpretation
o Pharmacologic management (thyroid hormones, antithyroid drugs, corticosteroids)
o Nursing care, patient education, and complication prevention
Exam Introduction
This exam evaluates nursing competency in thyroid and adrenal disorders, including diagnosis, management, and
patient education. Questions simulate clinical scenarios to assess critical thinking and evidence-based practice.
Instructions:
• Choose the single best answer for each question.
• Assume hospital policy aligns with current clinical guidelines (e.g., ATA, Endocrine Society).
• Each question includes answers and rationales for reinforcement.
Question & Answer Format
• Question
• Answer Choices (A–D)
• Correct Answer
• Rationale
,2
1. The most common cause of hypothyroidism in adults is:
A. Graves’ disease
B. Hashimoto’s thyroiditis
C. Thyroidectomy
D. Pituitary adenoma
Answer: B
Rationale: Hashimoto’s thyroiditis is an autoimmune
destruction of the thyroid, leading to decreased hormone
production.
2. A patient with hyperthyroidism often presents with:
A. Fatigue, weight gain, cold intolerance
B. Weight loss, heat intolerance, palpitations
C. Bradycardia and constipation
D. Hypothermia
Answer: B
Rationale: Hyperthyroidism increases metabolism, causing
weight loss, tachycardia, and heat intolerance.
3. Common lab findings in hypothyroidism include:
,3
A. Low TSH, high T4
B. High TSH, low T4
C. High T3 only
D. Low TSH, low T4
Answer: B
Rationale: In primary hypothyroidism, the thyroid cannot
produce enough T4, so TSH rises due to negative feedback.
4. Graves’ disease is associated with:
A. Hypothyroidism and cold intolerance
B. Hyperthyroidism, exophthalmos, and goiter
C. Hashimoto’s thyroiditis only
D. Adrenal insufficiency
Answer: B
Rationale: Autoimmune stimulation of the thyroid in Graves’
disease causes hyperthyroidism and characteristic eye changes.
5. A patient with myxedema is at risk for:
A. Thyroid storm
B. Coma due to severe hypothyroidism
C. Hyperglycemia
D. Hypertension only
, 4
Answer: B
Rationale: Myxedema represents severe hypothyroidism that
can lead to hypothermia, bradycardia, and coma.
6. The nurse should teach a patient on levothyroxine to:
A. Take the medication with food
B. Take it on an empty stomach in the morning
C. Take it only at bedtime
D. Double the dose if feeling fatigued
Answer: B
Rationale: Absorption is best on an empty stomach; consistent
timing is crucial for stable hormone levels.
7. Common signs of thyroid storm include:
A. Fever, tachycardia, agitation, hypertension
B. Fatigue, bradycardia, cold intolerance
C. Constipation and weight gain
D. Hypotension only
Answer: A
Rationale: Thyroid storm is an extreme form of hyperthyroidism
and is a medical emergency.
