NCLEX QUESTIONS (Medical Surgical Nursing)
Endocrine
What effect on circulating levels of sodium and glucose does the nurse expect in a
client who has been taking an oral cortisol preparation for 2 years because of a
respiratory problem? (pg 1259)
A. Decreased sodium; decreased glucose
B. Decreased sodium; increased glucose
C. Increased sodium; decreased glucose
D. Increased sodium; increased glucose
Which hormone levels should the nurse expect to change in response to a client
receiving a continuous cortisol infusion over a 24-hour period when the endocrine
negative feedback mechanism is functioning properly? (7th edition pg 1364)
A. Lower-than-normal serum cortisol levels; lower-than-normal serum ACTH levels
B. Lower-than-normal serum cortisol levels; higher-than-normal serum ACTH levels
C. Higher-than-normal serum cortisol levels; lower-than-normal serum ACTH levels
D. Higher-than-normal serum cortisol levels; higher-than-normal serum ACTH levels
Which precaution or action is most important for the nurse to teach the client who is to
collect a 24-hour-urine specimen for endocrine testing? (pg 1264)
A. Eat a normal diet during the collection period
B. Wear gloves when you urinate to prevent contamination of the specimen
C. Urinate at the end of the 24 hours and add that sample to the collection
container
D. Avoid walking, running, dancing, or any vigorous exercise during the collection
period.
Which client assessment finding indicates to the nurse the need to assess further for a
possible endocrine problem? (7th edition pg 1367)
A. A history of taking oral contraceptives for more than 2 years
B. A weight loss of 5 lbs in the past 6 weeks without dieting
C. The client’s father’s diagnosis of prostate cancer
D. A recent need for corrective lenses
For which client does the nurse question the prescription for androgen replacement
therapy? (pg 1268)
A. 35-year-old man who has had a vasectomy
B. 48-year-old man who takes prednisone for severe asthma
C. 62-year-old man with a history of prostate cancer
D. 70-year-old man who has hypertension and type 2 diabetes
Which precaution is most important for the nurse to teach the female client
undergoing drug therapy with estrogen and progesterone for hypopituitarism? (7th
edition pg 1373)
A. “Use a nonhormonal form of contraception to prevent an unplanned pregnancy.”
B. “Wear a hat with a brim and use sunscreen when outdoors.”
This study source was downloaded by 100000830919685 from CourseHero.com on 04-15-2022 18:05:39 GMT -05:00
https://www.coursehero.com/file/16513463/NCLEX-QUESTIONS-Endocrine/
, C. “Do not smoke or use nicotine in any form.”
D. “Avoid drinking alcoholic beverages.”
The nurse notes that the mustache dressing of a client who is 12 hours postoperative
from a transsphenoidal hypophysectomy is wet. What is the nurse’s best action? (7th
edition pg 1378)
A. Reapply a dry dressing and document this expected response
B. Ask the client whether other symptoms of a cold are present
C. Notify the surgeon or the Rapid Response Team
D. Test the drainage for the presence of glucose
Which urine properties indicate to the nurse that the client with syndrome of
inappropriate antidiuretic hormone (SIADH) is responding to interventions? (pg 1273)
A. Urine output volume increased; urine specific gravity increased
B. Urine output volume increased; urine specific gravity decreased
C. Urine output volume decreased; urine specific gravity increased
D. Urine output volume decreased; urine specific gravity decreased
Which response in a client with diabetes insipidus indicates to the nurse that another
dose of desmopressin acetate (DDAVP) is needed? (7th edition pg 1380)
A. Urine output and specific gravity are increased
B. Urine output is increased and urine specific gravity is decreased
C. Urine output and specific gravity are decreased
D. Urine output is decreased and urine specific gravity is increased
The serum electrolyte values for a client with syndrome of inappropriate antidiuretic
hormone being treated with tolvaptan (Samsca) indicate the following changes within
the past 12 hours. Which change does the nurse report immediately to the health
care provider? (7th edition pg 1381)
A. Serum potassium decrease from 4.2 mEq/L to 3.8 mEq/L
B. Serum sodium increase from 122 mEq/L to 140 mEq/L
C. Serum calcium increase from 9.5 mg/dL to 10.2 mg/dL
D. Serum chloride decrease from 109 mEq/L to 99 mEq/L
The client who is about to have a unilateral adrenalectomy for an adenoma that is
causing hypercortisolism asks the nurse if she will have to continue the severe sodium
restriction after surgery. What is the nurse’s best response? (pg 1280)
A. “No, once the tumor has been removed and your cortisol levels have normalized,
you will not retain excess sodium anymore.”
B. “No, after surgery you will have to take oral cortisol, which can be easily
controlled so that your sodium levels do not rise.”
C. “Yes, the fact that you are retaining sodium and have high blood pressure is
related to your age and lifestyle, not the tumor.”
D. “Yes, sodium is very bad for people and everyone need to eliminate sodium
completely from their diets for the rest of their lives.”
This study source was downloaded by 100000830919685 from CourseHero.com on 04-15-2022 18:05:39 GMT -05:00
https://www.coursehero.com/file/16513463/NCLEX-QUESTIONS-Endocrine/
Endocrine
What effect on circulating levels of sodium and glucose does the nurse expect in a
client who has been taking an oral cortisol preparation for 2 years because of a
respiratory problem? (pg 1259)
A. Decreased sodium; decreased glucose
B. Decreased sodium; increased glucose
C. Increased sodium; decreased glucose
D. Increased sodium; increased glucose
Which hormone levels should the nurse expect to change in response to a client
receiving a continuous cortisol infusion over a 24-hour period when the endocrine
negative feedback mechanism is functioning properly? (7th edition pg 1364)
A. Lower-than-normal serum cortisol levels; lower-than-normal serum ACTH levels
B. Lower-than-normal serum cortisol levels; higher-than-normal serum ACTH levels
C. Higher-than-normal serum cortisol levels; lower-than-normal serum ACTH levels
D. Higher-than-normal serum cortisol levels; higher-than-normal serum ACTH levels
Which precaution or action is most important for the nurse to teach the client who is to
collect a 24-hour-urine specimen for endocrine testing? (pg 1264)
A. Eat a normal diet during the collection period
B. Wear gloves when you urinate to prevent contamination of the specimen
C. Urinate at the end of the 24 hours and add that sample to the collection
container
D. Avoid walking, running, dancing, or any vigorous exercise during the collection
period.
Which client assessment finding indicates to the nurse the need to assess further for a
possible endocrine problem? (7th edition pg 1367)
A. A history of taking oral contraceptives for more than 2 years
B. A weight loss of 5 lbs in the past 6 weeks without dieting
C. The client’s father’s diagnosis of prostate cancer
D. A recent need for corrective lenses
For which client does the nurse question the prescription for androgen replacement
therapy? (pg 1268)
A. 35-year-old man who has had a vasectomy
B. 48-year-old man who takes prednisone for severe asthma
C. 62-year-old man with a history of prostate cancer
D. 70-year-old man who has hypertension and type 2 diabetes
Which precaution is most important for the nurse to teach the female client
undergoing drug therapy with estrogen and progesterone for hypopituitarism? (7th
edition pg 1373)
A. “Use a nonhormonal form of contraception to prevent an unplanned pregnancy.”
B. “Wear a hat with a brim and use sunscreen when outdoors.”
This study source was downloaded by 100000830919685 from CourseHero.com on 04-15-2022 18:05:39 GMT -05:00
https://www.coursehero.com/file/16513463/NCLEX-QUESTIONS-Endocrine/
, C. “Do not smoke or use nicotine in any form.”
D. “Avoid drinking alcoholic beverages.”
The nurse notes that the mustache dressing of a client who is 12 hours postoperative
from a transsphenoidal hypophysectomy is wet. What is the nurse’s best action? (7th
edition pg 1378)
A. Reapply a dry dressing and document this expected response
B. Ask the client whether other symptoms of a cold are present
C. Notify the surgeon or the Rapid Response Team
D. Test the drainage for the presence of glucose
Which urine properties indicate to the nurse that the client with syndrome of
inappropriate antidiuretic hormone (SIADH) is responding to interventions? (pg 1273)
A. Urine output volume increased; urine specific gravity increased
B. Urine output volume increased; urine specific gravity decreased
C. Urine output volume decreased; urine specific gravity increased
D. Urine output volume decreased; urine specific gravity decreased
Which response in a client with diabetes insipidus indicates to the nurse that another
dose of desmopressin acetate (DDAVP) is needed? (7th edition pg 1380)
A. Urine output and specific gravity are increased
B. Urine output is increased and urine specific gravity is decreased
C. Urine output and specific gravity are decreased
D. Urine output is decreased and urine specific gravity is increased
The serum electrolyte values for a client with syndrome of inappropriate antidiuretic
hormone being treated with tolvaptan (Samsca) indicate the following changes within
the past 12 hours. Which change does the nurse report immediately to the health
care provider? (7th edition pg 1381)
A. Serum potassium decrease from 4.2 mEq/L to 3.8 mEq/L
B. Serum sodium increase from 122 mEq/L to 140 mEq/L
C. Serum calcium increase from 9.5 mg/dL to 10.2 mg/dL
D. Serum chloride decrease from 109 mEq/L to 99 mEq/L
The client who is about to have a unilateral adrenalectomy for an adenoma that is
causing hypercortisolism asks the nurse if she will have to continue the severe sodium
restriction after surgery. What is the nurse’s best response? (pg 1280)
A. “No, once the tumor has been removed and your cortisol levels have normalized,
you will not retain excess sodium anymore.”
B. “No, after surgery you will have to take oral cortisol, which can be easily
controlled so that your sodium levels do not rise.”
C. “Yes, the fact that you are retaining sodium and have high blood pressure is
related to your age and lifestyle, not the tumor.”
D. “Yes, sodium is very bad for people and everyone need to eliminate sodium
completely from their diets for the rest of their lives.”
This study source was downloaded by 100000830919685 from CourseHero.com on 04-15-2022 18:05:39 GMT -05:00
https://www.coursehero.com/file/16513463/NCLEX-QUESTIONS-Endocrine/
