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Endocrine NCLEX Test Bank (Latest 2025) Complete
Solution 100% Correct
The nurse is caring for a group of older patients in a long-term
care setting. Which physical changes in the patients should the
nurse investigate as signs of possible endocrine dysfunction?
A. Absent reflexes, diarrhea, and hearing loss
B. Hypoglycemia, delirium, and incontinence
C. Fatigue, constipation, and mental impairment
D. Hypotension, heat intolerance, and bradycardia
.....ANSWER.....C.
Changes of aging often mimic clinical manifestations of endocrine
disorders. Clinical manifestations of endocrine dysfunction such as
fatigue, constipation, or mental impairment in the older adult are
often missed because they are attributed solely to aging.
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The nurse interviews a 50-year-old man with a history of type 2
diabetes mellitus, chronic bronchitis, and osteoarthritis who has a
fasting blood glucose of 154 mg/dL. Which medications, if taken
by the patient, may raise blood glucose levels?
A. Glargine (Lantus)
B. Prednisone (Deltasone)
C. Metformin (Glucophage)
D. Acetaminophen (Tylenol)
.....ANSWER.....B.
Prednisone is a corticosteroid that may cause glucose intolerance
in susceptible patients by increasing gluconeogenesis and insulin
resistance. Insulin (e.g., glargine) and metformin (an oral
hypoglycemic agent) decrease blood glucose levels.
Acetaminophen has a glucose-lowering effect.
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The nurse is caring for a 36-year-old woman with possible
hypoparathyroidism after a thyroidectomy. It is most
appropriate for the nurse to assess for which clinical
manifestations?
A. Polyuria, polydipsia, and weight loss
B. Cardiac dysrhythmias and hypertension
C. Muscle spasms and hyperactive deep tendon reflexes
D. Hyperpigmentation, skin ulcers, and peripheral edema
.....ANSWER.....C.
Common assessment abnormalities associated with
hypoparathyroidism include tetany (muscle spasms) and
increased deep tendon reflexes. Hyperpigmentation is
associated with Addison's disease. Skin ulcers occur in patient
with diabetes. Edema is associated with hypothyroidism. Polyuria
and polydipsia occur in patients with diabetes mellitus or
diabetes insipidus. Weight loss occurs in hyperthyroidism or
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diabetic ketoacidosis. Hypertension and cardiac dysrhythmias
may be caused by hyperthyroidism, hyperparathyroidism, or
pheochromocytoma.
An 18-year-old male patient is undergoing a growth hormone
stimulation test. The nurse should monitor the patient for
A. hypothermia.
B. hypertension.
C. hyperreflexia.
D. hypoglycemia. .....ANSWER.....D.
Insulin or arginine (agent that stimulates insulin secretion) is
administered for a growth hormone stimulation test. The nurse
should monitor the patient closely for hypoglycemia.
Hypothermia and hypertension are not expected in response to
insulin or arginine. Hyperreflexia is an autonomic complication of
spinal cord injury.
Endocrine NCLEX Test Bank (Latest 2025) Complete
Solution 100% Correct
The nurse is caring for a group of older patients in a long-term
care setting. Which physical changes in the patients should the
nurse investigate as signs of possible endocrine dysfunction?
A. Absent reflexes, diarrhea, and hearing loss
B. Hypoglycemia, delirium, and incontinence
C. Fatigue, constipation, and mental impairment
D. Hypotension, heat intolerance, and bradycardia
.....ANSWER.....C.
Changes of aging often mimic clinical manifestations of endocrine
disorders. Clinical manifestations of endocrine dysfunction such as
fatigue, constipation, or mental impairment in the older adult are
often missed because they are attributed solely to aging.
,Page 2 of 192
The nurse interviews a 50-year-old man with a history of type 2
diabetes mellitus, chronic bronchitis, and osteoarthritis who has a
fasting blood glucose of 154 mg/dL. Which medications, if taken
by the patient, may raise blood glucose levels?
A. Glargine (Lantus)
B. Prednisone (Deltasone)
C. Metformin (Glucophage)
D. Acetaminophen (Tylenol)
.....ANSWER.....B.
Prednisone is a corticosteroid that may cause glucose intolerance
in susceptible patients by increasing gluconeogenesis and insulin
resistance. Insulin (e.g., glargine) and metformin (an oral
hypoglycemic agent) decrease blood glucose levels.
Acetaminophen has a glucose-lowering effect.
,Page 3 of 192
The nurse is caring for a 36-year-old woman with possible
hypoparathyroidism after a thyroidectomy. It is most
appropriate for the nurse to assess for which clinical
manifestations?
A. Polyuria, polydipsia, and weight loss
B. Cardiac dysrhythmias and hypertension
C. Muscle spasms and hyperactive deep tendon reflexes
D. Hyperpigmentation, skin ulcers, and peripheral edema
.....ANSWER.....C.
Common assessment abnormalities associated with
hypoparathyroidism include tetany (muscle spasms) and
increased deep tendon reflexes. Hyperpigmentation is
associated with Addison's disease. Skin ulcers occur in patient
with diabetes. Edema is associated with hypothyroidism. Polyuria
and polydipsia occur in patients with diabetes mellitus or
diabetes insipidus. Weight loss occurs in hyperthyroidism or
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diabetic ketoacidosis. Hypertension and cardiac dysrhythmias
may be caused by hyperthyroidism, hyperparathyroidism, or
pheochromocytoma.
An 18-year-old male patient is undergoing a growth hormone
stimulation test. The nurse should monitor the patient for
A. hypothermia.
B. hypertension.
C. hyperreflexia.
D. hypoglycemia. .....ANSWER.....D.
Insulin or arginine (agent that stimulates insulin secretion) is
administered for a growth hormone stimulation test. The nurse
should monitor the patient closely for hypoglycemia.
Hypothermia and hypertension are not expected in response to
insulin or arginine. Hyperreflexia is an autonomic complication of
spinal cord injury.
