SHADOW HEALTH SICK VISIT
MANAGEMENT OF ENDOCRINE
CONDITIONS PRACTICE EXAMINATION
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ Which hormonal regulation mechanism occurs when a change in endocrine
response results in a decrease in secretion of a hormone.
Answer: Negative feedback loop
◍ The nurse is aware that the clinical symptoms of a patient with
hypoparathyroidism are the result of the initial physiologic response
of:Hypocalcemia.Decreased levels of vitamin D.Increased serum levels of
phosphate.Cardiac arrhythmias..
Answer: Hypocalcemia.
◍ What visual changes can occur due to pituitary tumors?.
Answer: Decreased visual acuity and decreased peripheral vision from
pressure on the optic nerve.
◍ What is the importance of assessing general appearance in endocrine
assessment?.
Answer: To identify abnormal facial features, skin conditions, and signs of
hormonal imbalance.
◍ 9. The nurse is aware that the following is the most common cause of
hyperaldosteronism?a. Excessive sodium intakeb. A pituitary adenomac.
Deficient potassium intaked. An adrenal adenoma.
Answer: D. An autonomous aldosterone-producing adenoma is the most
common cause of hyperaldosteronism. Hyperplasia is the second most
, frequent cause. Aldosterone secretion is independent of sodium and
potassium intake as well as of pituitary stimulation.
◍ Which is a clinical manifestation of diabetes insipidus?Low urine
outputExcessive thirstWeight gainExcessive activities.
Answer: Excessive thirst
◍ Antithyroid medications are not generally recommended for elderly patients
because of which side effect?Mental confusionGranulocytopeniaWeight
lossFatigue.
Answer: Granulocytopenia
◍ What diagnostic tests are used for parathyroid assessment?.
Answer: Serum calcium, PTH levels, and bone density tests.
◍ A client presents with a huge lower jaw, bulging forehead, large hands and
feet, and frequent headaches. What could be causing this client's
symptoms?hyperpituitarismhypopituitarismpanhypopituitarismpanhyperpituitarism.
Answer: hyperpituitarism
◍ A client is being evaluated for hypothyroidism. During assessment, the
nurse should stay alert for:exophthalmos and conjunctival redness.flushed,
warm, moist skin.systolic murmur at the left sternal border.decreased body
temperature and cold intolerance..
Answer: decreased body temperature and cold intolerance.
◍ What is the significance of serum TSH levels in thyroid assessment?.
Answer: Increased TSH indicates hypothyroidism; decreased TSH indicates
hyperthyroidism.
◍ What symptoms are associated with hyperparathyroidism?.
Answer: Hypercalcemia, GI upset, muscle weakness, bone pain, fatigue,
polyuria, and potential kidney stone formation.
◍ 30. A client with Addison's disease makes all of the following statements.
Which one does the nurse analyze as requiring further discussion?a) I wear a
Medic-Alert bracelet at all timesb) I need to weigh myself daily and record
, itc) It is important that I drink enough fluids and increase my salt intaked)
my medication doses will not need to be adjusted for any reason.
Answer: 30) D- The client with Addison's disease is experiencing deficits of
mineralocorticoids, glucocorticoids, and androgens. Aldosterone deficiency
affects the ability of the nephrons to conserve sodium, so the client
experiences sodium and fluid volume deficit. The client needs to manage
this problem with daily hormone replacement and increased fluid and
sodium intake. Clients are instructed to weigh themselves daily as a means
of monitoring fluid volume balance. Glucocorticoids and mineralocorticoids
are essential components of the stress response. Additional doses of
hormone replacement therapy are needed with any type of physical or
psychological stressor. This information needs to be conveyed to the client
and requires that the client wear a Medic-Alert bracelet so that health care
professionals are aware of this problem if the client were to experience a
medical emergency.
◍ What is the nursing care for hypothyroidism?.
Answer: Administer levothyroxine, monitor vital signs, skin care, avoid
sedatives, and monitor for myxedema.
◍ A client with polyuria, polydipsia, and polyphagia is diagnosed with
diabetes mellitus. The nurse would expect that these symptoms are related to
A. Hypoglycemia B. Hyperglycemia C. Hyperparathyroidism D.
Hyperthyroidism.
Answer: Answer B is correct. The client with hyperglycemia will exhibit
polyuria, polydipsia, or increased thirst, and polyphagia, or increased
hunger. A, C, and D are incorrect because they are not signs of
hypoglycemia.
◍ Which of the following statements by a client with Type II Diabetes
indicates the need for further education? Answers:A. I should avoid hot tubs
B. I should aim for an HbA1C level of 5.5% C. I may need insulin at times
D. My life expectancy is likely reduced by 10 years.
Answer: . BWhile an HbA1C level of 5.5% would be below the threshold
MANAGEMENT OF ENDOCRINE
CONDITIONS PRACTICE EXAMINATION
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ Which hormonal regulation mechanism occurs when a change in endocrine
response results in a decrease in secretion of a hormone.
Answer: Negative feedback loop
◍ The nurse is aware that the clinical symptoms of a patient with
hypoparathyroidism are the result of the initial physiologic response
of:Hypocalcemia.Decreased levels of vitamin D.Increased serum levels of
phosphate.Cardiac arrhythmias..
Answer: Hypocalcemia.
◍ What visual changes can occur due to pituitary tumors?.
Answer: Decreased visual acuity and decreased peripheral vision from
pressure on the optic nerve.
◍ What is the importance of assessing general appearance in endocrine
assessment?.
Answer: To identify abnormal facial features, skin conditions, and signs of
hormonal imbalance.
◍ 9. The nurse is aware that the following is the most common cause of
hyperaldosteronism?a. Excessive sodium intakeb. A pituitary adenomac.
Deficient potassium intaked. An adrenal adenoma.
Answer: D. An autonomous aldosterone-producing adenoma is the most
common cause of hyperaldosteronism. Hyperplasia is the second most
, frequent cause. Aldosterone secretion is independent of sodium and
potassium intake as well as of pituitary stimulation.
◍ Which is a clinical manifestation of diabetes insipidus?Low urine
outputExcessive thirstWeight gainExcessive activities.
Answer: Excessive thirst
◍ Antithyroid medications are not generally recommended for elderly patients
because of which side effect?Mental confusionGranulocytopeniaWeight
lossFatigue.
Answer: Granulocytopenia
◍ What diagnostic tests are used for parathyroid assessment?.
Answer: Serum calcium, PTH levels, and bone density tests.
◍ A client presents with a huge lower jaw, bulging forehead, large hands and
feet, and frequent headaches. What could be causing this client's
symptoms?hyperpituitarismhypopituitarismpanhypopituitarismpanhyperpituitarism.
Answer: hyperpituitarism
◍ A client is being evaluated for hypothyroidism. During assessment, the
nurse should stay alert for:exophthalmos and conjunctival redness.flushed,
warm, moist skin.systolic murmur at the left sternal border.decreased body
temperature and cold intolerance..
Answer: decreased body temperature and cold intolerance.
◍ What is the significance of serum TSH levels in thyroid assessment?.
Answer: Increased TSH indicates hypothyroidism; decreased TSH indicates
hyperthyroidism.
◍ What symptoms are associated with hyperparathyroidism?.
Answer: Hypercalcemia, GI upset, muscle weakness, bone pain, fatigue,
polyuria, and potential kidney stone formation.
◍ 30. A client with Addison's disease makes all of the following statements.
Which one does the nurse analyze as requiring further discussion?a) I wear a
Medic-Alert bracelet at all timesb) I need to weigh myself daily and record
, itc) It is important that I drink enough fluids and increase my salt intaked)
my medication doses will not need to be adjusted for any reason.
Answer: 30) D- The client with Addison's disease is experiencing deficits of
mineralocorticoids, glucocorticoids, and androgens. Aldosterone deficiency
affects the ability of the nephrons to conserve sodium, so the client
experiences sodium and fluid volume deficit. The client needs to manage
this problem with daily hormone replacement and increased fluid and
sodium intake. Clients are instructed to weigh themselves daily as a means
of monitoring fluid volume balance. Glucocorticoids and mineralocorticoids
are essential components of the stress response. Additional doses of
hormone replacement therapy are needed with any type of physical or
psychological stressor. This information needs to be conveyed to the client
and requires that the client wear a Medic-Alert bracelet so that health care
professionals are aware of this problem if the client were to experience a
medical emergency.
◍ What is the nursing care for hypothyroidism?.
Answer: Administer levothyroxine, monitor vital signs, skin care, avoid
sedatives, and monitor for myxedema.
◍ A client with polyuria, polydipsia, and polyphagia is diagnosed with
diabetes mellitus. The nurse would expect that these symptoms are related to
A. Hypoglycemia B. Hyperglycemia C. Hyperparathyroidism D.
Hyperthyroidism.
Answer: Answer B is correct. The client with hyperglycemia will exhibit
polyuria, polydipsia, or increased thirst, and polyphagia, or increased
hunger. A, C, and D are incorrect because they are not signs of
hypoglycemia.
◍ Which of the following statements by a client with Type II Diabetes
indicates the need for further education? Answers:A. I should avoid hot tubs
B. I should aim for an HbA1C level of 5.5% C. I may need insulin at times
D. My life expectancy is likely reduced by 10 years.
Answer: . BWhile an HbA1C level of 5.5% would be below the threshold
