SHADOW HEALTH SICK VISIT
MANAGEMENT OF ENDOCRINE
CONDITIONS ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Evaluation of an adult client reveals oversecretion of growth hormone.
Which of the following would the nurse expect to find?Excessive urine
outputWeight lossBulging foreheadConstant thirst.
Answer: Bulging forehead
◍ A patient with a history of hypothyroidism is admitted to the intensive care
unit unconscious and with a temperature of 95.2ºF. A family member
informs the nurse that the patient has not taken thyroid medication in over 2
months. What does the nurse suspect that these findings indicate?Thyroid
stormMyxedema comaDiabetes insipidusSyndrome of inappropriate
antidiuretic hormone (SIADH).
Answer: Myxedema coma
◍ Intervention.
Answer: Request provider orders for IV D50 and administer
◍ The nurse is reviewing a client's history which reveals that the client has had
an oversecretion of growth hormone (GH) that occurred before puberty. The
nurse interprets this as resulting in which
condition?GigantismDwarfismAcromegalySimmonds disease.
Answer: Gigantism
◍ Ask Suicide Screening Questions.
Answer: Followed up on suicide attemptAsked about other suicide
attemptsAsked about wanting to be deadAsked about belief that others
, would be better off without youAsked about thoughts of suicideAsked about
current plans for suicideAsked about self-harming without intending to
dieAsked about homicidal urges
◍ The nurse is caring for a client who is about to undergo an adrenalectomy.
Which of the following Preoperative interventions is most appropriate for
this client? Maintain careful use of medical and surgical asepsis when
providing care and treatments. Teach the client about a diet high in sodium
to correct any potential sodium imbalances preoperatively. Explain to the
client that electrolytes and glucose levels will be measured postoperatively.
Teach the client how to effectively cough and deep breathe once surgery is
complete..
Answer: Maintain careful use of medical and surgical asepsis when
providing care and treatments. Rationale: Use careful medical and surgical
asepsis when providing care and treatments since Cortisol excess increases
the risk of infection. # 2 is incorrect. Nutrition should be addressed
preoperatively. Request a dietary consultation to discuss with the client
about a diet high in vitamins and proteins. If hypokalemia exists, include
foods high in potassium. Glucocorticoid excess increases catabolism.
Vitamins and proteins are necessary for tissue repair and wound healing
following surgery. # 3 is incorrect. Monitor the results of laboratory tests of
electrolytes and glucose levels. Electrolyte and glucose imbalances are
corrected
◍ A client with Addison's disease will most likely exhibit which symptom? A.
Hypertension B. Bronze pigmentation C. Hirsutism D. Purple striae.
Answer: Answer B is correct. Answer B is correct because a bronze
pigmentation is a sign of Addison's disease. Answers A, C, and D are
symptoms of Cushing's syndrome, making them incorrect.
◍ A nurse is reviewing the laboratory order for a client suspected of having an
endocrine disorder. The lab slip includes obtaining cortisol levels. What is
being tested?adrenal functionthyroid functionthymus functionparathyroid
function.
MANAGEMENT OF ENDOCRINE
CONDITIONS ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Evaluation of an adult client reveals oversecretion of growth hormone.
Which of the following would the nurse expect to find?Excessive urine
outputWeight lossBulging foreheadConstant thirst.
Answer: Bulging forehead
◍ A patient with a history of hypothyroidism is admitted to the intensive care
unit unconscious and with a temperature of 95.2ºF. A family member
informs the nurse that the patient has not taken thyroid medication in over 2
months. What does the nurse suspect that these findings indicate?Thyroid
stormMyxedema comaDiabetes insipidusSyndrome of inappropriate
antidiuretic hormone (SIADH).
Answer: Myxedema coma
◍ Intervention.
Answer: Request provider orders for IV D50 and administer
◍ The nurse is reviewing a client's history which reveals that the client has had
an oversecretion of growth hormone (GH) that occurred before puberty. The
nurse interprets this as resulting in which
condition?GigantismDwarfismAcromegalySimmonds disease.
Answer: Gigantism
◍ Ask Suicide Screening Questions.
Answer: Followed up on suicide attemptAsked about other suicide
attemptsAsked about wanting to be deadAsked about belief that others
, would be better off without youAsked about thoughts of suicideAsked about
current plans for suicideAsked about self-harming without intending to
dieAsked about homicidal urges
◍ The nurse is caring for a client who is about to undergo an adrenalectomy.
Which of the following Preoperative interventions is most appropriate for
this client? Maintain careful use of medical and surgical asepsis when
providing care and treatments. Teach the client about a diet high in sodium
to correct any potential sodium imbalances preoperatively. Explain to the
client that electrolytes and glucose levels will be measured postoperatively.
Teach the client how to effectively cough and deep breathe once surgery is
complete..
Answer: Maintain careful use of medical and surgical asepsis when
providing care and treatments. Rationale: Use careful medical and surgical
asepsis when providing care and treatments since Cortisol excess increases
the risk of infection. # 2 is incorrect. Nutrition should be addressed
preoperatively. Request a dietary consultation to discuss with the client
about a diet high in vitamins and proteins. If hypokalemia exists, include
foods high in potassium. Glucocorticoid excess increases catabolism.
Vitamins and proteins are necessary for tissue repair and wound healing
following surgery. # 3 is incorrect. Monitor the results of laboratory tests of
electrolytes and glucose levels. Electrolyte and glucose imbalances are
corrected
◍ A client with Addison's disease will most likely exhibit which symptom? A.
Hypertension B. Bronze pigmentation C. Hirsutism D. Purple striae.
Answer: Answer B is correct. Answer B is correct because a bronze
pigmentation is a sign of Addison's disease. Answers A, C, and D are
symptoms of Cushing's syndrome, making them incorrect.
◍ A nurse is reviewing the laboratory order for a client suspected of having an
endocrine disorder. The lab slip includes obtaining cortisol levels. What is
being tested?adrenal functionthyroid functionthymus functionparathyroid
function.
