NCLEX Practice Test for Endocrine Disorders
1. Nurse Ronn is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s syndrome, the
nurse would expect to find:
A. Deposits of adipose tissue in the trunk and B. Thick, coarse skin.
dorsocervical area.
C. Weight gain in arms and legs. D. Hypotension.
2. When instructing the female client diagnosed with hyperparathyroidism about diet, nurse Gina should stress
the importance of which of the following?
A. Forcing fluids potassium D. Restricting fluids
B. Restricting C. Restricting sodium
3. During a class on exercise for diabetic clients, a female client asks the nurse educator how often to exercise.
The nurse educator advises the clients to exercise how often to meet the goals of planned exercise?
A. At least once a B. At least five times a C. At least three times a D. Every day
week week week
4. The nurse is aware that the following is the most common cause of hyperaldosteronism?
A. Excessive sodium intake C. An adrenal adenoma
B. A pituitary adenoma D. Deficient potassium intake
5. A 67-year-old male client has been complaining of sleeping more, increased urination, anorexia, weakness,
irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment
findings, nurse Richard would suspect which of the following disorders?
A. Diabetes mellitus B. Diabetes insipidus C. Hyperparathyroidism D. Hypoparathyroidism
6. When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive
catecholamine, nurse April is most likely to detect:
A. bradycardia. C. a blood pressure of 130/70 mm Hg.
B. a blood pressure of 176/88 mm D. a blood glucose level of 130 mg/dl.
Hg.
7. Nurse Louie is developing a teaching plan for a male client diagnosed with diabetes insipidus. The nurse should
include information about which hormone lacking in clients with diabetes insipidus?
A. thyroid-stimulating hormone (TSH). C. antidiuretic hormone (ADH).
B. luteinizing hormone (LH). D. follicle-stimulating hormone (FSH).
8. Which outcome indicates that treatment of a male client with diabetes insipidus has been effective?
A. Blood pressure is 90/50 mm Hg. C. Urine output measures more than 200 ml/hour.
B. The heart rate is 126 beats/minute. D. Fluid intake is less than 2,500 ml/day.
9. Nurse Wayne is aware that a positive Chvostek’s sign indicate?
A. Hypermagnesemia B. Hypocalcemia C. Hypokalemia D. Hyponatremia
10. In a 29-year-old female client who is being successfully treated for Cushing’s syndrome, nurse Lyzette would
expect a decline in:
A. Menstrual flow. mineralization. level.
B. Bone C. Serum glucose D. Hair loss.
11. A female client with a history of pheochromocytoma is admitted to the hospital in an acute hypertensive crisis.
To reverse hypertensive crisis caused by pheochromocytoma, nurse Lyka expects to administer:
A. phentolamine B. mannitol C. methyldopa D. felodipine (Plendil).
(Regitine). (Osmitrol). (Aldomet).
12. Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed with diabetic
ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2 p.m., the
client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin. Nurse Vince should
expect the dose’s:
A. Onset to be at 2:30 p.m. and its peak to be C. Onset to be at 2 p.m. and its peak to be at 3
at 4 p.m. p.m.
B. Onset to be at 4 p.m. and its peak to be at 6 D. Onset to be at 2:15 p.m. and its peak to be at 3
p.m. p.m.
13. Nurse Kate is providing dietary instructions to a male client with hypoglycemia. To control hypoglycemic
This study source was downloaded by 100000830919685 from CourseHero.com on 04-15-2022 18:35:16 GMT -05:00
https://www.coursehero.com/file/47916870/NCLEX-Practice-Test-for-Endocrine-Disordersdocx/
, episodes, the nurse should recommend:
A. Consuming a low-carbohydrate, high-protein diet and avoiding fasting.
B. Increasing intake of vitamins B and D and taking iron supplements.
C. Increasing saturated fat intake and fasting in the afternoon.
D. Eating a candy bar if lightheadedness occurs.
14. Which instruction about insulin administration should nurse Kate give to a client?
A. “Always follow the same order when drawing the different insulins into the syringe.”
B. “Discard the intermediate-acting insulin if it appears cloudy.”
C. “Shake the vials before withdrawing the insulin.”
D. “Store unopened vials of insulin in the freezer at temperatures well below freezing.”
15. Nurse Troy is aware that the most appropriate for a client with Addison’s disease?
A. Risk for infection C. Excessive fluid D. Hypothermia
B. Urinary retention volume
16. Which nursing diagnosis takes highest priority for a female client with hyperthyroidism?
A. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
B. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess
C. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing
D. Body image disturbance related to weight gain and edema
17. During preoperative teaching for a female client who will undergo subtotal thyroidectomy, the nurse should
include which statement?
A. “You should avoid deep breathing and coughing after surgery.”
B. “You won’t be able to swallow for the first day or two.”
C. “You must avoid hyperextending your neck after surgery.”
D. “The head of your bed must remain flat for 24 hours after surgery.”
18. A male client with primary diabetes insipidus is ready for discharge on desmopressin (DDAVP). Which
instruction should nurse Lina provide?
A. “Your condition isn’t chronic, so you won’t need to wear a medical identification bracelet.”
B. “You won’t need to monitor your fluid intake and output after you start taking desmopressin.”
C. “Administer desmopressin while the suspension is cold.”
D. “You may not be able to use desmopressin nasally if you have nasal discharge or blockage.”
19. Nurse Oliver should expect a client with hypothyroidism to report which health concerns?
A. Increased appetite and weight loss C. Puffiness of the face and hands
B. Nervousness and tremors D. Thyroid gland swelling
20. Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone
(SIADH) secretion is experiencing complications?
A. Tetanic contractions C. Weight loss distention
B. Polyuria D. Neck vein
21. For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client for Chvostek’s
sign and Trousseau’s sign because they indicate which of the following?
A. Hypocalcemia B. Hypercalcemia C. Hypokalemia D. Hyperkalemia
22. After taking glipizide (Glucotrol) for 9 months, a male client experiences secondary failure. Which of the
following would the nurse expect the physician to do?
A. Restrict carbohydrate intake to less than 30% of the total caloric intake.
B. Switch the client to a different oral antidiabetic agent.
C. Initiate insulin therapy.
D. Prescribe an additional oral antidiabetic agent.
23. A male client with type 1 diabetes mellitus has a highly elevated glycosylated hemoglobin (Hb) test result. In
discussing the result with the client, nurse Sharmaine would be most accurate in stating:
A. “Your insulin regimen needs to be altered significantly.”
B. “It tells us about your sugar control for the last 3 months.”
C. “It looks like you aren’t following the prescribed diabetic diet.”
This study source was downloaded by 100000830919685 from CourseHero.com on 04-15-2022 18:35:16 GMT -05:00
https://www.coursehero.com/file/47916870/NCLEX-Practice-Test-for-Endocrine-Disordersdocx/
1. Nurse Ronn is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s syndrome, the
nurse would expect to find:
A. Deposits of adipose tissue in the trunk and B. Thick, coarse skin.
dorsocervical area.
C. Weight gain in arms and legs. D. Hypotension.
2. When instructing the female client diagnosed with hyperparathyroidism about diet, nurse Gina should stress
the importance of which of the following?
A. Forcing fluids potassium D. Restricting fluids
B. Restricting C. Restricting sodium
3. During a class on exercise for diabetic clients, a female client asks the nurse educator how often to exercise.
The nurse educator advises the clients to exercise how often to meet the goals of planned exercise?
A. At least once a B. At least five times a C. At least three times a D. Every day
week week week
4. The nurse is aware that the following is the most common cause of hyperaldosteronism?
A. Excessive sodium intake C. An adrenal adenoma
B. A pituitary adenoma D. Deficient potassium intake
5. A 67-year-old male client has been complaining of sleeping more, increased urination, anorexia, weakness,
irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment
findings, nurse Richard would suspect which of the following disorders?
A. Diabetes mellitus B. Diabetes insipidus C. Hyperparathyroidism D. Hypoparathyroidism
6. When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive
catecholamine, nurse April is most likely to detect:
A. bradycardia. C. a blood pressure of 130/70 mm Hg.
B. a blood pressure of 176/88 mm D. a blood glucose level of 130 mg/dl.
Hg.
7. Nurse Louie is developing a teaching plan for a male client diagnosed with diabetes insipidus. The nurse should
include information about which hormone lacking in clients with diabetes insipidus?
A. thyroid-stimulating hormone (TSH). C. antidiuretic hormone (ADH).
B. luteinizing hormone (LH). D. follicle-stimulating hormone (FSH).
8. Which outcome indicates that treatment of a male client with diabetes insipidus has been effective?
A. Blood pressure is 90/50 mm Hg. C. Urine output measures more than 200 ml/hour.
B. The heart rate is 126 beats/minute. D. Fluid intake is less than 2,500 ml/day.
9. Nurse Wayne is aware that a positive Chvostek’s sign indicate?
A. Hypermagnesemia B. Hypocalcemia C. Hypokalemia D. Hyponatremia
10. In a 29-year-old female client who is being successfully treated for Cushing’s syndrome, nurse Lyzette would
expect a decline in:
A. Menstrual flow. mineralization. level.
B. Bone C. Serum glucose D. Hair loss.
11. A female client with a history of pheochromocytoma is admitted to the hospital in an acute hypertensive crisis.
To reverse hypertensive crisis caused by pheochromocytoma, nurse Lyka expects to administer:
A. phentolamine B. mannitol C. methyldopa D. felodipine (Plendil).
(Regitine). (Osmitrol). (Aldomet).
12. Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed with diabetic
ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2 p.m., the
client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin. Nurse Vince should
expect the dose’s:
A. Onset to be at 2:30 p.m. and its peak to be C. Onset to be at 2 p.m. and its peak to be at 3
at 4 p.m. p.m.
B. Onset to be at 4 p.m. and its peak to be at 6 D. Onset to be at 2:15 p.m. and its peak to be at 3
p.m. p.m.
13. Nurse Kate is providing dietary instructions to a male client with hypoglycemia. To control hypoglycemic
This study source was downloaded by 100000830919685 from CourseHero.com on 04-15-2022 18:35:16 GMT -05:00
https://www.coursehero.com/file/47916870/NCLEX-Practice-Test-for-Endocrine-Disordersdocx/
, episodes, the nurse should recommend:
A. Consuming a low-carbohydrate, high-protein diet and avoiding fasting.
B. Increasing intake of vitamins B and D and taking iron supplements.
C. Increasing saturated fat intake and fasting in the afternoon.
D. Eating a candy bar if lightheadedness occurs.
14. Which instruction about insulin administration should nurse Kate give to a client?
A. “Always follow the same order when drawing the different insulins into the syringe.”
B. “Discard the intermediate-acting insulin if it appears cloudy.”
C. “Shake the vials before withdrawing the insulin.”
D. “Store unopened vials of insulin in the freezer at temperatures well below freezing.”
15. Nurse Troy is aware that the most appropriate for a client with Addison’s disease?
A. Risk for infection C. Excessive fluid D. Hypothermia
B. Urinary retention volume
16. Which nursing diagnosis takes highest priority for a female client with hyperthyroidism?
A. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
B. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess
C. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing
D. Body image disturbance related to weight gain and edema
17. During preoperative teaching for a female client who will undergo subtotal thyroidectomy, the nurse should
include which statement?
A. “You should avoid deep breathing and coughing after surgery.”
B. “You won’t be able to swallow for the first day or two.”
C. “You must avoid hyperextending your neck after surgery.”
D. “The head of your bed must remain flat for 24 hours after surgery.”
18. A male client with primary diabetes insipidus is ready for discharge on desmopressin (DDAVP). Which
instruction should nurse Lina provide?
A. “Your condition isn’t chronic, so you won’t need to wear a medical identification bracelet.”
B. “You won’t need to monitor your fluid intake and output after you start taking desmopressin.”
C. “Administer desmopressin while the suspension is cold.”
D. “You may not be able to use desmopressin nasally if you have nasal discharge or blockage.”
19. Nurse Oliver should expect a client with hypothyroidism to report which health concerns?
A. Increased appetite and weight loss C. Puffiness of the face and hands
B. Nervousness and tremors D. Thyroid gland swelling
20. Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone
(SIADH) secretion is experiencing complications?
A. Tetanic contractions C. Weight loss distention
B. Polyuria D. Neck vein
21. For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client for Chvostek’s
sign and Trousseau’s sign because they indicate which of the following?
A. Hypocalcemia B. Hypercalcemia C. Hypokalemia D. Hyperkalemia
22. After taking glipizide (Glucotrol) for 9 months, a male client experiences secondary failure. Which of the
following would the nurse expect the physician to do?
A. Restrict carbohydrate intake to less than 30% of the total caloric intake.
B. Switch the client to a different oral antidiabetic agent.
C. Initiate insulin therapy.
D. Prescribe an additional oral antidiabetic agent.
23. A male client with type 1 diabetes mellitus has a highly elevated glycosylated hemoglobin (Hb) test result. In
discussing the result with the client, nurse Sharmaine would be most accurate in stating:
A. “Your insulin regimen needs to be altered significantly.”
B. “It tells us about your sugar control for the last 3 months.”
C. “It looks like you aren’t following the prescribed diabetic diet.”
This study source was downloaded by 100000830919685 from CourseHero.com on 04-15-2022 18:35:16 GMT -05:00
https://www.coursehero.com/file/47916870/NCLEX-Practice-Test-for-Endocrine-Disordersdocx/
