Page 1 of 42
ENDOCRINE PHARMACOLOGY EXAM QUESTIONS
NEWEST 2026 EXAM LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
Exam 6 Test bank
An adolescent patient recently attended a health fair and had a serum glucose
test. The patient telephones the nurse and says, "My level was 125 mg/dL.
Does that mean I have diabetes?" What is the nurse's most accurate
response?
a. "Unless you were fasting for longer than 8 hours, this does not necessarily
mean you have diabetes."
b. "At this level, you probably have diabetes. You will need an oral glucose
tolerance test this week."
c. "This level is conclusive evidence that you have diabetes."
d. "This level is conclusive evidence that you do not have diabetes."
A
A nurse provides dietary counseling for a patient newly diagnosed with type 1
diabetes. Which instruction should be included?
a. "You may eat any foods you want and cover the glucose increase with
sliding scale, regular insulin."
b. "Most of the calories you eat should be in the form of protein to promote fat
breakdown and preserve muscle mass."
c. "Your total caloric intake should not exceed 1800 calories in a 24-hour
period."
d. "You should use a carbohydrate counting approach to maintain glycemic
control."
D
, Page 2 of 42
What is the most reliable measure for assessing diabetes control over the
preceding 3-month period?
a. Self-monitoring blood glucose (SMBG) graph report
b. Patient's report
c. Fasting blood glucose level
d. Glycosylated hemoglobin level
D
A patient with type 1 diabetes reports mixing NPH and regular insulin to allow
for one injection. What should the nurse tell the patient?
a. This is an acceptable practice.
b. These two forms of insulin are not compatible and cannot be mixed.
c. Mixing these two forms of insulin may increase the overall potency of the
products.
d. NPH insulin should only be mixed with insulin glargine.
A
Insulin glargine is prescribed for a hospitalized patient who has diabetes.
When will the nurse expect to administer this drug?
a. Approximately 15 to 30 minutes before each meal
b. In the morning and at 4:00 PM
c. Once daily at bedtime
d. After meals and at bedtime
C
A patient with type 1 diabetes who takes insulin reports taking propranolol for
hypertension. Why is the nurse concerned?
a. The beta blocker can cause insulin resistance.
b. Using the two agents together increases the risk of ketoacidosis.
c. Propranolol increases insulin requirements because of receptor blocking.
d. The beta blocker can mask the symptoms of hypoglycemia.
D
Which statement is correct about the contrast between acarbose and miglitol?
a. Miglitol has not been associated with hepatic dysfunction.
b. With miglitol, sucrose can be used to treat hypoglycemia.
c. Miglitol is less effective in African Americans.
d. Miglitol has no gastrointestinal side effects.
, Page 3 of 42
A
An elderly patient who has type 2 diabetes has a history of severe
hypoglycemia. The patient's spouse asks the nurse what the optimum A1c
level is for the patient. Which is correct?
a. Between 6.5 and 7.0
b. Below 7.0
c. Below 8.0
d. Between 7.0 and 8.5
C
A patient who has type 2 diabetes will begin taking glipizide [Glucotrol]. Which
statement by the patient is concerning to the nurse?
a. "I will begin by taking this once daily with breakfast."
b. "It is safe to drink grapefruit juice while taking this drug."
c. "I may continue to have a glass of wine with dinner."
d. "I will need to check my blood sugar once daily or more."
C
A patient newly diagnosed with diabetes expresses concern about losing her
vision. Which interventions should be included in the plan of care to reduce
this risk? (Select all that apply.)
a. Initiation of reliable contraception to prevent pregnancy
b. Ways to reduce hyperglycemic episodes
c. Use of a prokinetic drug (eg, metoclopramide)
d. Smoking cessation
e. Emphasis on the importance of taking antihypertensive drugs consistently
BDE
A nurse counsels a patient with diabetes who is starting therapy with an alpha-
glucosidase inhibitor. The patient should be educated about the potential for
which adverse reactions? (Select all that apply.)
a. Hypoglycemia
b. Flatulence
c. Elevated iron levels in the blood
d. Fluid retention
e. Diarrhea
, Page 4 of 42
A patient has a free T4 level of 0.6 ng/dL and a free T3 of 220 pg/dL. The patient
asks the nurse what these laboratory values mean. How will the nurse
respond?
a. "These laboratory values indicate that you may have Graves' disease."
b. "These results suggest you may have hyperthyroidism."
c. "We will need to obtain a total T4 and a total T3 to tell for sure."
d. "We will need to obtain a TSH level to better evaluate your diagnosis."
D
A nurse obtaining an admission history on an adult patient notes that the
patient has a heart rate of 62 beats per minute, a blood pressure of 105/62 mm
Hg, and a temperature of 96.2°F. The patient appears pale and complains of
always feeling cold and tired. The nurse will contact the provider to discuss
tests for which condition?
a. Cretinism
b. Graves' disease
c. Hypothyroidism
d. Plummer's disease
C
The nurse is caring for a pregnant patient recently diagnosed with
hypothyroidism. The patient tells the nurse she does not want to take
medications while she is pregnant. What will the nurse explain to this patient?
a. Hypothyroidism is a normal effect of pregnancy and usually is of no
consequence.
b. Neuropsychologic deficits in the fetus can occur if the condition is not
treated.
c. No danger to the fetus exists until the third trimester.
d. Treatment is required only if the patient is experiencing symptoms.
B
A nurse caring for a patient notes that the patient has a temperature of 104°F
and a heart rate of 110 beats per minute. The patient's skin is warm and moist,
and the patient complains that the room is too warm. The patient appears
nervous and has protuberant eyes. The nurse will contact the provider to
discuss:
a. cretinism.
ENDOCRINE PHARMACOLOGY EXAM QUESTIONS
NEWEST 2026 EXAM LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
Exam 6 Test bank
An adolescent patient recently attended a health fair and had a serum glucose
test. The patient telephones the nurse and says, "My level was 125 mg/dL.
Does that mean I have diabetes?" What is the nurse's most accurate
response?
a. "Unless you were fasting for longer than 8 hours, this does not necessarily
mean you have diabetes."
b. "At this level, you probably have diabetes. You will need an oral glucose
tolerance test this week."
c. "This level is conclusive evidence that you have diabetes."
d. "This level is conclusive evidence that you do not have diabetes."
A
A nurse provides dietary counseling for a patient newly diagnosed with type 1
diabetes. Which instruction should be included?
a. "You may eat any foods you want and cover the glucose increase with
sliding scale, regular insulin."
b. "Most of the calories you eat should be in the form of protein to promote fat
breakdown and preserve muscle mass."
c. "Your total caloric intake should not exceed 1800 calories in a 24-hour
period."
d. "You should use a carbohydrate counting approach to maintain glycemic
control."
D
, Page 2 of 42
What is the most reliable measure for assessing diabetes control over the
preceding 3-month period?
a. Self-monitoring blood glucose (SMBG) graph report
b. Patient's report
c. Fasting blood glucose level
d. Glycosylated hemoglobin level
D
A patient with type 1 diabetes reports mixing NPH and regular insulin to allow
for one injection. What should the nurse tell the patient?
a. This is an acceptable practice.
b. These two forms of insulin are not compatible and cannot be mixed.
c. Mixing these two forms of insulin may increase the overall potency of the
products.
d. NPH insulin should only be mixed with insulin glargine.
A
Insulin glargine is prescribed for a hospitalized patient who has diabetes.
When will the nurse expect to administer this drug?
a. Approximately 15 to 30 minutes before each meal
b. In the morning and at 4:00 PM
c. Once daily at bedtime
d. After meals and at bedtime
C
A patient with type 1 diabetes who takes insulin reports taking propranolol for
hypertension. Why is the nurse concerned?
a. The beta blocker can cause insulin resistance.
b. Using the two agents together increases the risk of ketoacidosis.
c. Propranolol increases insulin requirements because of receptor blocking.
d. The beta blocker can mask the symptoms of hypoglycemia.
D
Which statement is correct about the contrast between acarbose and miglitol?
a. Miglitol has not been associated with hepatic dysfunction.
b. With miglitol, sucrose can be used to treat hypoglycemia.
c. Miglitol is less effective in African Americans.
d. Miglitol has no gastrointestinal side effects.
, Page 3 of 42
A
An elderly patient who has type 2 diabetes has a history of severe
hypoglycemia. The patient's spouse asks the nurse what the optimum A1c
level is for the patient. Which is correct?
a. Between 6.5 and 7.0
b. Below 7.0
c. Below 8.0
d. Between 7.0 and 8.5
C
A patient who has type 2 diabetes will begin taking glipizide [Glucotrol]. Which
statement by the patient is concerning to the nurse?
a. "I will begin by taking this once daily with breakfast."
b. "It is safe to drink grapefruit juice while taking this drug."
c. "I may continue to have a glass of wine with dinner."
d. "I will need to check my blood sugar once daily or more."
C
A patient newly diagnosed with diabetes expresses concern about losing her
vision. Which interventions should be included in the plan of care to reduce
this risk? (Select all that apply.)
a. Initiation of reliable contraception to prevent pregnancy
b. Ways to reduce hyperglycemic episodes
c. Use of a prokinetic drug (eg, metoclopramide)
d. Smoking cessation
e. Emphasis on the importance of taking antihypertensive drugs consistently
BDE
A nurse counsels a patient with diabetes who is starting therapy with an alpha-
glucosidase inhibitor. The patient should be educated about the potential for
which adverse reactions? (Select all that apply.)
a. Hypoglycemia
b. Flatulence
c. Elevated iron levels in the blood
d. Fluid retention
e. Diarrhea
, Page 4 of 42
A patient has a free T4 level of 0.6 ng/dL and a free T3 of 220 pg/dL. The patient
asks the nurse what these laboratory values mean. How will the nurse
respond?
a. "These laboratory values indicate that you may have Graves' disease."
b. "These results suggest you may have hyperthyroidism."
c. "We will need to obtain a total T4 and a total T3 to tell for sure."
d. "We will need to obtain a TSH level to better evaluate your diagnosis."
D
A nurse obtaining an admission history on an adult patient notes that the
patient has a heart rate of 62 beats per minute, a blood pressure of 105/62 mm
Hg, and a temperature of 96.2°F. The patient appears pale and complains of
always feeling cold and tired. The nurse will contact the provider to discuss
tests for which condition?
a. Cretinism
b. Graves' disease
c. Hypothyroidism
d. Plummer's disease
C
The nurse is caring for a pregnant patient recently diagnosed with
hypothyroidism. The patient tells the nurse she does not want to take
medications while she is pregnant. What will the nurse explain to this patient?
a. Hypothyroidism is a normal effect of pregnancy and usually is of no
consequence.
b. Neuropsychologic deficits in the fetus can occur if the condition is not
treated.
c. No danger to the fetus exists until the third trimester.
d. Treatment is required only if the patient is experiencing symptoms.
B
A nurse caring for a patient notes that the patient has a temperature of 104°F
and a heart rate of 110 beats per minute. The patient's skin is warm and moist,
and the patient complains that the room is too warm. The patient appears
nervous and has protuberant eyes. The nurse will contact the provider to
discuss:
a. cretinism.
