SHADOW HEALTH SICK VISIT
MANAGEMENT OF ENDOCRINE
CONDITIONS FINAL TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
◍ 19. Jemma, who weighs 210 lb (95 kg) and has been diagnosed with
hyperglycemia tells the nurse that her husband sleeps in another room
because her snoring keeps him awake. The nurse notices that she has large
hands and a hoarse voice. Which of the following would the nurse suspect
as a possible cause of the client's hyperglycemia?a. Acromegalyb. Type 1
diabetes mellitusc. Hypothyroidismd. Deficient growth hormone.
Answer: A. Acromegaly, which is caused by a pituitary tumor that releases
excessive growth hormone, is associated with hyperglycemia, hypertension,
diaphoresis, peripheral neuropathy, and joint pain. Enlarged hands and feet
are related to lateral bone growth, which is seen in adults with this disorder.
The accompanying soft tissue swelling causes hoarseness and often sleep
apnea. Type 1 diabetes is usually seen in children, and newly diagnosed
persons are usually very ill and thin. Hypothyroidism isn't associated with
hyperglycemia, nor is growth hormone deficiency.
◍ 22. A nurse is caring for a hospitalized older client with a diagnosis of
dehydration who also has diabetes mellitus. The client is alert but
disoriented, pale, and slightly diaphoretic, and the nurse suspects that the
client is hypoglycemic. The initial nursing intervention would be to:a)
administer oral glucoseb) assist the client to bed, put the side rails up, and
call the physicianc) seat the client at the nurse's desk while checking the
physician's orderd) obtain a fingerstick blood specimen and test the glucose
level.
Answer: 22) D- The nurse should confirm that the client is hypoglycemic by
, checking the blood glucose. Option A is incorrect because hypoglycemia
has not been determined. More information should be gathered before
calling the physician, so option B is incorrect. Option C does not meet the
client's immediate needs.
◍ A nurse on a general medical-surgical unit is caring for a client with
Cushing's syndrome. Which of the following statements is correct about the
medication regimen for Cushing's syndrome? Mitotane is used to treat
metastatic adrenal cancer. Aminogluthimide may be administered to clients
with ectopic ACTH-secreting tumors before surgery is performed.
Ketoconazole increases cortisol synthesis by the adrenal cortex.
Somatostatin analog increases ACTH secretion in some clients..
Answer: Mitotane is used to treat metastatic adrenal cancer. Rationale:
Mitotane directly suppresses activity of the adrenal cortex and decreases
peripheral metabolism of corticosteroids. It is used to treat metastatic
adrenal cancer. # 2 is incorrect because aminogluthimide may be
administered to clients with ectopic ACTH-secreting tumors that cannot be
surgically removed. # 3 is incorrect because ketoconazole inhibits, not
increases, cortisol synthesis by the adrenal cortex. # 4 is incorrect because
somatostatin suppresses, not increases, ACTH secretion.
◍ which of the following would be a nursing priority for a client just DX with
Addison's disease?a. avioding unnecessary activityb. encouraging client to
wear a med alert tagc. ensuring the client is adequatly hydratedd. explaining
that the client will need life long hormone therapy.
Answer: c
◍ What changes might indicate thyroid dysfunction?.
Answer: Changes in weight/appetite, heart rate, bowel movements, tremors,
nervousness, heat/cold intolerance, changes in hair and skin.
◍ What is the recommended timing for administering Levothyroxine?.
Answer: In the morning on an empty stomach.
◍ 3. Symptoms of Grave's ophthalmopathy include all of the following except:
a. Bulging eyeballsb. Dry, irritated eyes and puffy eyelidsc. Cataracts d.
MANAGEMENT OF ENDOCRINE
CONDITIONS FINAL TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
◍ 19. Jemma, who weighs 210 lb (95 kg) and has been diagnosed with
hyperglycemia tells the nurse that her husband sleeps in another room
because her snoring keeps him awake. The nurse notices that she has large
hands and a hoarse voice. Which of the following would the nurse suspect
as a possible cause of the client's hyperglycemia?a. Acromegalyb. Type 1
diabetes mellitusc. Hypothyroidismd. Deficient growth hormone.
Answer: A. Acromegaly, which is caused by a pituitary tumor that releases
excessive growth hormone, is associated with hyperglycemia, hypertension,
diaphoresis, peripheral neuropathy, and joint pain. Enlarged hands and feet
are related to lateral bone growth, which is seen in adults with this disorder.
The accompanying soft tissue swelling causes hoarseness and often sleep
apnea. Type 1 diabetes is usually seen in children, and newly diagnosed
persons are usually very ill and thin. Hypothyroidism isn't associated with
hyperglycemia, nor is growth hormone deficiency.
◍ 22. A nurse is caring for a hospitalized older client with a diagnosis of
dehydration who also has diabetes mellitus. The client is alert but
disoriented, pale, and slightly diaphoretic, and the nurse suspects that the
client is hypoglycemic. The initial nursing intervention would be to:a)
administer oral glucoseb) assist the client to bed, put the side rails up, and
call the physicianc) seat the client at the nurse's desk while checking the
physician's orderd) obtain a fingerstick blood specimen and test the glucose
level.
Answer: 22) D- The nurse should confirm that the client is hypoglycemic by
, checking the blood glucose. Option A is incorrect because hypoglycemia
has not been determined. More information should be gathered before
calling the physician, so option B is incorrect. Option C does not meet the
client's immediate needs.
◍ A nurse on a general medical-surgical unit is caring for a client with
Cushing's syndrome. Which of the following statements is correct about the
medication regimen for Cushing's syndrome? Mitotane is used to treat
metastatic adrenal cancer. Aminogluthimide may be administered to clients
with ectopic ACTH-secreting tumors before surgery is performed.
Ketoconazole increases cortisol synthesis by the adrenal cortex.
Somatostatin analog increases ACTH secretion in some clients..
Answer: Mitotane is used to treat metastatic adrenal cancer. Rationale:
Mitotane directly suppresses activity of the adrenal cortex and decreases
peripheral metabolism of corticosteroids. It is used to treat metastatic
adrenal cancer. # 2 is incorrect because aminogluthimide may be
administered to clients with ectopic ACTH-secreting tumors that cannot be
surgically removed. # 3 is incorrect because ketoconazole inhibits, not
increases, cortisol synthesis by the adrenal cortex. # 4 is incorrect because
somatostatin suppresses, not increases, ACTH secretion.
◍ which of the following would be a nursing priority for a client just DX with
Addison's disease?a. avioding unnecessary activityb. encouraging client to
wear a med alert tagc. ensuring the client is adequatly hydratedd. explaining
that the client will need life long hormone therapy.
Answer: c
◍ What changes might indicate thyroid dysfunction?.
Answer: Changes in weight/appetite, heart rate, bowel movements, tremors,
nervousness, heat/cold intolerance, changes in hair and skin.
◍ What is the recommended timing for administering Levothyroxine?.
Answer: In the morning on an empty stomach.
◍ 3. Symptoms of Grave's ophthalmopathy include all of the following except:
a. Bulging eyeballsb. Dry, irritated eyes and puffy eyelidsc. Cataracts d.
