RN TARGETED ENDOCRINE NEWEST 2025-2026 ACTUAL
EXAM 120 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A
✅ Key Features
Newest 2025–2026 version
Complete set of 120 exam-style questions
Correct, verified answers with detailed rationales
Covers essential endocrine topics, including:
o Endocrine anatomy and physiology
o Common endocrine disorders (e.g., diabetes, thyroid, adrenal disorders)
o Diagnostic tests, hormone regulation, and treatment interventions
o Patient education and safety considerations
o Medications and hormone therapy management
Mirrors the difficulty and format of the actual RN Targeted exam
Builds critical thinking, clinical reasoning, and test-taking confidence
🎯 Who This Resource Is For
Nursing students preparing for Targeted Medical-Surgical Exams
Learners seeking detailed rationales to strengthen clinical understanding
Students aiming to excel in endocrine nursing topics
Healthcare professionals needing a refresher in endocrine-focused patient care
🩺 RN Targeted Medical-Surgical: Endocrine Exam 2025–2026 | 120 Verified Questions +
Detailed Answers with Rationales | Already Graded A
A nurse is teaching a client who has diabetes mellitus about insulin injections. The client's prescription
includes evening doses of insulin glargine and regular insulin. Which of the following instructions should
the nurse include?
a. Inject the insulins intramuscularly.
b. Shake the insulins vigorously prior to administration.
c. Draw up the insulins into separate syringes.
d. Expect the insulins to appear cloudy. - answer-Draw up the insulins into separate syringes.
,The nurse should instruct the client to draw up the insulins into separate syringes because insulin
glargine is not compatible with other insulins.
A nurse is planning teaching for a client who has type 1 diabetes mellitus. Which of the following
instructions should the nurse include?
a. Consume no more than three servings of alcohol per day.
b. Ingest food with alcohol to reduce alcohol-induced hypoglycemia.
c. Increase insulin dosage before planned exercise.
d. Rest for 3 days between periods of vigorous exercise. - answer-Ingest food with alcohol to reduce
alcohol-induced hypoglycemia.
Alcohol inhibits the liver from producing glucose. Consuming carbohydrates while drinking alcoholic
beverages helps prevent hypoglycemia.
A nurse is caring for a client who has a pheochromocytoma. Which of the following actions should the
nurse take?
a. Elevate the head of the client's bed.
b. Palpate the client's abdomen.
c. Monitor the client for hypotension.
d. Check the client's urine specific gravity. - answer-Elevate the head of the client's bed.
The nurse should elevate the head of the client's bed to reduce blood pressure and abdominal pressure.
A nurse has administered propranolol by IV bolus to a client who is having a thyroid storm. Which of the
following findings indicates that the client is having a therapeutic response?
a. Reduction of the effects of thyroid hormone on the heart
b. Blockage of the release of thyroid hormone from the thyroid gland
c. Increase in the heart's sensitivity to thyroid hormone
d. Increase in the uptake of thyroid hormone by the thyroid gland - answer-Reduction of the effects of
thyroid hormone on the heart
Propranolol is a beta2-adrenergic blocking agent that decreases the rapid heart rate that excessive
thyroid stimulation causes.
A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Which of the following
findings should the nurse report to the provider?
, a. Laryngeal stridor
b. Productive cough
c. Pain with hyperextension of the neck
d. Hoarse, weak voice - answer-Laryngeal stridor
Laryngeal stridor is a harsh, high-pitched sound with inspiration that indicates respiratory obstruction.
The nurse should take immediate action to preserve the client's airway.
A nurse is teaching a client who has an autoimmune disease about the adverse effects of long-term
corticosteroid therapy. Which of the following effects should the nurse include? (select all that apply) a.
Osteoporosis
b. Moon-shaped face
c. Increased risk of infection
d. Hearing loss
e. Weight loss - answer--Osteoporosis
-Moon-shaped face
-Increased risk of infection
Osteoporosis is correct. Osteoporosis is an adverse effect of long-term corticosteroid therapy due to the
suppression of bone formation and the acceleration of bone resorption that corticosteroid therapy can
cause.
Moon-shaped face is correct. Long-term corticosteroid therapy causes characteristics of iatrogenic
Cushing's syndrome, including a moon-shaped face, a potbelly, and a buffalo hump.
Increased risk of infection is correct. Increased risk of infection is an adverse effect of long-term
corticosteroid therapy due to suppression of the immune system. It reduces the phagocytic actions of
macrophages and neutrophils, thus increasing the risk of infection.
Hearing loss is incorrect. Long-term corticosteroid therapy can cause cataracts and glaucoma, but it does
not cause hearing loss.
Weight loss is incorrect. Long-term corticosteroid therapy is more likely to cause weight gain due to the
fluid and sodium retention these medications cause.
A nurse is caring for a client who has type 2 diabetes melliltus and has hyperglycemic-hyperosmolar
state (HHS). Which of the following laboratory findings should the nurse expect? a. Serum pH 7.32
b. Blood glucose 250 mg/dL
EXAM 120 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A
✅ Key Features
Newest 2025–2026 version
Complete set of 120 exam-style questions
Correct, verified answers with detailed rationales
Covers essential endocrine topics, including:
o Endocrine anatomy and physiology
o Common endocrine disorders (e.g., diabetes, thyroid, adrenal disorders)
o Diagnostic tests, hormone regulation, and treatment interventions
o Patient education and safety considerations
o Medications and hormone therapy management
Mirrors the difficulty and format of the actual RN Targeted exam
Builds critical thinking, clinical reasoning, and test-taking confidence
🎯 Who This Resource Is For
Nursing students preparing for Targeted Medical-Surgical Exams
Learners seeking detailed rationales to strengthen clinical understanding
Students aiming to excel in endocrine nursing topics
Healthcare professionals needing a refresher in endocrine-focused patient care
🩺 RN Targeted Medical-Surgical: Endocrine Exam 2025–2026 | 120 Verified Questions +
Detailed Answers with Rationales | Already Graded A
A nurse is teaching a client who has diabetes mellitus about insulin injections. The client's prescription
includes evening doses of insulin glargine and regular insulin. Which of the following instructions should
the nurse include?
a. Inject the insulins intramuscularly.
b. Shake the insulins vigorously prior to administration.
c. Draw up the insulins into separate syringes.
d. Expect the insulins to appear cloudy. - answer-Draw up the insulins into separate syringes.
,The nurse should instruct the client to draw up the insulins into separate syringes because insulin
glargine is not compatible with other insulins.
A nurse is planning teaching for a client who has type 1 diabetes mellitus. Which of the following
instructions should the nurse include?
a. Consume no more than three servings of alcohol per day.
b. Ingest food with alcohol to reduce alcohol-induced hypoglycemia.
c. Increase insulin dosage before planned exercise.
d. Rest for 3 days between periods of vigorous exercise. - answer-Ingest food with alcohol to reduce
alcohol-induced hypoglycemia.
Alcohol inhibits the liver from producing glucose. Consuming carbohydrates while drinking alcoholic
beverages helps prevent hypoglycemia.
A nurse is caring for a client who has a pheochromocytoma. Which of the following actions should the
nurse take?
a. Elevate the head of the client's bed.
b. Palpate the client's abdomen.
c. Monitor the client for hypotension.
d. Check the client's urine specific gravity. - answer-Elevate the head of the client's bed.
The nurse should elevate the head of the client's bed to reduce blood pressure and abdominal pressure.
A nurse has administered propranolol by IV bolus to a client who is having a thyroid storm. Which of the
following findings indicates that the client is having a therapeutic response?
a. Reduction of the effects of thyroid hormone on the heart
b. Blockage of the release of thyroid hormone from the thyroid gland
c. Increase in the heart's sensitivity to thyroid hormone
d. Increase in the uptake of thyroid hormone by the thyroid gland - answer-Reduction of the effects of
thyroid hormone on the heart
Propranolol is a beta2-adrenergic blocking agent that decreases the rapid heart rate that excessive
thyroid stimulation causes.
A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Which of the following
findings should the nurse report to the provider?
, a. Laryngeal stridor
b. Productive cough
c. Pain with hyperextension of the neck
d. Hoarse, weak voice - answer-Laryngeal stridor
Laryngeal stridor is a harsh, high-pitched sound with inspiration that indicates respiratory obstruction.
The nurse should take immediate action to preserve the client's airway.
A nurse is teaching a client who has an autoimmune disease about the adverse effects of long-term
corticosteroid therapy. Which of the following effects should the nurse include? (select all that apply) a.
Osteoporosis
b. Moon-shaped face
c. Increased risk of infection
d. Hearing loss
e. Weight loss - answer--Osteoporosis
-Moon-shaped face
-Increased risk of infection
Osteoporosis is correct. Osteoporosis is an adverse effect of long-term corticosteroid therapy due to the
suppression of bone formation and the acceleration of bone resorption that corticosteroid therapy can
cause.
Moon-shaped face is correct. Long-term corticosteroid therapy causes characteristics of iatrogenic
Cushing's syndrome, including a moon-shaped face, a potbelly, and a buffalo hump.
Increased risk of infection is correct. Increased risk of infection is an adverse effect of long-term
corticosteroid therapy due to suppression of the immune system. It reduces the phagocytic actions of
macrophages and neutrophils, thus increasing the risk of infection.
Hearing loss is incorrect. Long-term corticosteroid therapy can cause cataracts and glaucoma, but it does
not cause hearing loss.
Weight loss is incorrect. Long-term corticosteroid therapy is more likely to cause weight gain due to the
fluid and sodium retention these medications cause.
A nurse is caring for a client who has type 2 diabetes melliltus and has hyperglycemic-hyperosmolar
state (HHS). Which of the following laboratory findings should the nurse expect? a. Serum pH 7.32
b. Blood glucose 250 mg/dL
