SHADOW HEALTH SICK VISIT
MANAGEMENT OF ENDOCRINE
CONDITIONS COMPREHENSIVE STUDY
GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ a 26 year old female patient presents with a recent history of tremors,
unintentional weight loss and heat intolerance. She also complains of a
headache with blurred vision. Her lab results show increased TSH T3 and
T4What is the most likely cause of her symptoms.
Answer: Pituitary adenoma
◍ 27. A nurse provides instructions to a client who is scheduled for a
radioactive iodine uptake test. Which statement by the client indicates a
need for further instructions?a) the test measures the rate of iodine uptake by
my thyroid glandb) I will need to drink a small dose of radioactive iodine
before the testc) a 24 hour urine specimen will need to be collected to
measure iodine excretiond) I need to minimize close contact with others in
my family for a period of 48 hours after the test because of the radioactivity
in my system.
Answer: 27) D- The client undergoing a radioactive iodine uptake test needs
to be reassured that the amount of radioactive iodine used is very small, that
it is not harmful to the client, and that the client will not be radioactive. The
other options are correct regarding this diagnostic test.
◍ Goal.
Answer: Patient will have blood glucose in the normal range after
intervention
, ◍ What is the treatment for pituitary tumors?.
Answer: Surgery, specifically hypophysectomy.
◍ What are the signs of hypocalcemia?.
Answer: Prolonged QT intervals, ventricular arrhythmias, hypotension, and
neuromuscular irritability.
◍ What cognitive issues may occur with hypothyroidism?.
Answer: Memory deficits and changes in sodium levels.
◍ A nurse is instructing a 50yr diabetic client about the steps to be followed
for self admin of insulin. Which of the following instructions should be
included in te client teaching?a. instruct client to aviod injections to the
abdomenb. encourage client to always inject insulin in the same sitec.
inform client about the type of syringe to used. encourage client to do active
exercise after injection.
Answer: c
◍ 20. A husband of a client with graves' disease expresses concern regarding
his wife's health because during the past 3 months she has been experiencing
nervousness, inability to concentrate even on trivial tasks, and outbursts of
temper. On the basis of this information, which nursing diagnosis would the
nurse identify as appropriate for the client?a) ineffective copingb) disturbed
sensory perceptionc) social isolationd) grieving.
Answer: 20) A- Frequently, family and friends may report that the client
with Graves' disease has become more irritable or depressed. The signs and
symptoms in the question are supporting data for the nursing diagnosis of
Ineffective coping and are not related to options B, C, and D. The question
does not provide data to support options B, C, and D.
◍ Review of Systems (9).
Answer: Constitutional Health (fatigue, weight loss,
fever)HEENTRespiratoryCardiovascular GIGenitourinary
MusculoskeletalNeurologicalHSN
◍ What is a common symptom of a pituitary tumor?.
MANAGEMENT OF ENDOCRINE
CONDITIONS COMPREHENSIVE STUDY
GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ a 26 year old female patient presents with a recent history of tremors,
unintentional weight loss and heat intolerance. She also complains of a
headache with blurred vision. Her lab results show increased TSH T3 and
T4What is the most likely cause of her symptoms.
Answer: Pituitary adenoma
◍ 27. A nurse provides instructions to a client who is scheduled for a
radioactive iodine uptake test. Which statement by the client indicates a
need for further instructions?a) the test measures the rate of iodine uptake by
my thyroid glandb) I will need to drink a small dose of radioactive iodine
before the testc) a 24 hour urine specimen will need to be collected to
measure iodine excretiond) I need to minimize close contact with others in
my family for a period of 48 hours after the test because of the radioactivity
in my system.
Answer: 27) D- The client undergoing a radioactive iodine uptake test needs
to be reassured that the amount of radioactive iodine used is very small, that
it is not harmful to the client, and that the client will not be radioactive. The
other options are correct regarding this diagnostic test.
◍ Goal.
Answer: Patient will have blood glucose in the normal range after
intervention
, ◍ What is the treatment for pituitary tumors?.
Answer: Surgery, specifically hypophysectomy.
◍ What are the signs of hypocalcemia?.
Answer: Prolonged QT intervals, ventricular arrhythmias, hypotension, and
neuromuscular irritability.
◍ What cognitive issues may occur with hypothyroidism?.
Answer: Memory deficits and changes in sodium levels.
◍ A nurse is instructing a 50yr diabetic client about the steps to be followed
for self admin of insulin. Which of the following instructions should be
included in te client teaching?a. instruct client to aviod injections to the
abdomenb. encourage client to always inject insulin in the same sitec.
inform client about the type of syringe to used. encourage client to do active
exercise after injection.
Answer: c
◍ 20. A husband of a client with graves' disease expresses concern regarding
his wife's health because during the past 3 months she has been experiencing
nervousness, inability to concentrate even on trivial tasks, and outbursts of
temper. On the basis of this information, which nursing diagnosis would the
nurse identify as appropriate for the client?a) ineffective copingb) disturbed
sensory perceptionc) social isolationd) grieving.
Answer: 20) A- Frequently, family and friends may report that the client
with Graves' disease has become more irritable or depressed. The signs and
symptoms in the question are supporting data for the nursing diagnosis of
Ineffective coping and are not related to options B, C, and D. The question
does not provide data to support options B, C, and D.
◍ Review of Systems (9).
Answer: Constitutional Health (fatigue, weight loss,
fever)HEENTRespiratoryCardiovascular GIGenitourinary
MusculoskeletalNeurologicalHSN
◍ What is a common symptom of a pituitary tumor?.
