Cushings_Addison's Practice Exam 2026 Questions and Answers
After a bilateral adrenalectomy for Cushing's disease, the 3
client will receive periodic testosterone injections. The
expected outcome of these injections is: Testosterone is an androgen hormone that is responsible for protein metabolism
1.Balanced reproductive cycle. as well as maintenance of secondary sexual characteristics; therefore, it is needed
2.Restored sodium and potassium balance. by both males and females. Removal of both adrenal glands necessitates
3.Stimulated protein metabolism. replacement of glucocorticoids and androgens. Testosterone does not balance
4.Stabilized mood swings. the reproductive cycle, stabilize mood swings, or restore sodium and potassium
balance.
After stabilization of Addison's disease, the nurse teaches 2
the client about stress management. The nurse should
instruct the client to: Finding alternative methods of dealing with stress, such as relaxation techniques,
1.Remove all sources of stress from daily life. is a cornerstone of stress management. Removing all sources of stress from one's
2.Use relaxation techniques such as music. life is not possible. Antianxiety drugs are prescribed for temporary management
3.Take antianxiety drugs daily. during periods of major stress, and they are not an intervention in stress
4.Avoid discussing stressful experiences. management classes. Avoiding discussion of stressful situations will not
necessarily reduce stress.
2/4/2026
, Cushings_Addison's Practice Exam 2026 Questions and Answers
After surgery for bilateral adrenalectomy, the client is 4
kept on bed rest for several days to stabilize the body's
need for steroids postoperatively. Which of the following Alternately flexing and relaxing the quadriceps femoris muscles helps prepare
exercises will be most effective for preparing a client for the client for ambulation. This exercise helps maintain the strength in the
ambulation after a period of bed rest? quadriceps, which is the major muscle group used when walking. The other
1.Alternately flexing and extending the knees. exercises listed do not increase a client's readiness for walking
2.Alternately abducting and adducting the legs.
3.Alternately stretching the Achilles tendons.
4.Alternately flexing and relaxing the quadriceps femoris
muscles.
Because of steroid excess after a bilateral 2
adrenalectomy, the nurse should assess the client for:
1.Postoperative confusion. Persistent cortisol excess undermines the collagen matrix of the skin, impairing
2.Delayed wound healing. wound healing. It also carries an increased risk of infection and of bleeding. The
3.Emboli. wound should be observed and documentation performed regarding the status
4.Malnutrition. of healing. Confusion and emboli are not expected complications after
adrenalectomy. Malnutrition also is not an expected complication after
adrenalectomy. Nutritional status should be regained postoperatively.
2/4/2026
, Cushings_Addison's Practice Exam 2026 Questions and Answers
Bone resorption is a possible complication of Cushing's 2
disease. Which of the following interventions should the
nurse recommend to help the client prevent this Osteoporosis is a serious outcome of prolonged cortisol excess because calcium
complication? is resorbed out of the bone. Regular daily weight-bearing exercise (eg, brisk
1.Increase the amount of potassium in the diet. walking) is an effective way to drive calcium back into the bones. The client
2.Maintain a regular program of weight-bearing exercise. should also be instructed to have a dietary or supplemental intake of calcium of
3.Limit dietary vitamin D intake. 1,500 mg daily. Potassium levels are not relevant to prevention of bone
4.Perform isometric exercises. resorption. Vitamin D is needed to aid in the absorption of calcium. Isometric
exercises condition muscle tone but do not build bones.
The client diagnosed with Addison's disease is admitted 1
to the emergency department after a day at the lake. The
client is lethargic, forgetful, and weak. Which intervention The client was exposed to wind and
should the nurse implement? sun at the lake during the hours prior to being admitted to the emergency
1. Start an IV with an 18-gauge needle and infuse NS department. This predisposes the client to dehydration and an addisonian crisis.
rapidly. Rapid IV fluid replacement is necessary.
2. Have the client wait in the waiting room until a bed is
available.
3. Obtain a permit for the client to receive a blood
transfusion.
4. Collect urinalysis and blood samples for a CBC and
calcium level.
2/4/2026
After a bilateral adrenalectomy for Cushing's disease, the 3
client will receive periodic testosterone injections. The
expected outcome of these injections is: Testosterone is an androgen hormone that is responsible for protein metabolism
1.Balanced reproductive cycle. as well as maintenance of secondary sexual characteristics; therefore, it is needed
2.Restored sodium and potassium balance. by both males and females. Removal of both adrenal glands necessitates
3.Stimulated protein metabolism. replacement of glucocorticoids and androgens. Testosterone does not balance
4.Stabilized mood swings. the reproductive cycle, stabilize mood swings, or restore sodium and potassium
balance.
After stabilization of Addison's disease, the nurse teaches 2
the client about stress management. The nurse should
instruct the client to: Finding alternative methods of dealing with stress, such as relaxation techniques,
1.Remove all sources of stress from daily life. is a cornerstone of stress management. Removing all sources of stress from one's
2.Use relaxation techniques such as music. life is not possible. Antianxiety drugs are prescribed for temporary management
3.Take antianxiety drugs daily. during periods of major stress, and they are not an intervention in stress
4.Avoid discussing stressful experiences. management classes. Avoiding discussion of stressful situations will not
necessarily reduce stress.
2/4/2026
, Cushings_Addison's Practice Exam 2026 Questions and Answers
After surgery for bilateral adrenalectomy, the client is 4
kept on bed rest for several days to stabilize the body's
need for steroids postoperatively. Which of the following Alternately flexing and relaxing the quadriceps femoris muscles helps prepare
exercises will be most effective for preparing a client for the client for ambulation. This exercise helps maintain the strength in the
ambulation after a period of bed rest? quadriceps, which is the major muscle group used when walking. The other
1.Alternately flexing and extending the knees. exercises listed do not increase a client's readiness for walking
2.Alternately abducting and adducting the legs.
3.Alternately stretching the Achilles tendons.
4.Alternately flexing and relaxing the quadriceps femoris
muscles.
Because of steroid excess after a bilateral 2
adrenalectomy, the nurse should assess the client for:
1.Postoperative confusion. Persistent cortisol excess undermines the collagen matrix of the skin, impairing
2.Delayed wound healing. wound healing. It also carries an increased risk of infection and of bleeding. The
3.Emboli. wound should be observed and documentation performed regarding the status
4.Malnutrition. of healing. Confusion and emboli are not expected complications after
adrenalectomy. Malnutrition also is not an expected complication after
adrenalectomy. Nutritional status should be regained postoperatively.
2/4/2026
, Cushings_Addison's Practice Exam 2026 Questions and Answers
Bone resorption is a possible complication of Cushing's 2
disease. Which of the following interventions should the
nurse recommend to help the client prevent this Osteoporosis is a serious outcome of prolonged cortisol excess because calcium
complication? is resorbed out of the bone. Regular daily weight-bearing exercise (eg, brisk
1.Increase the amount of potassium in the diet. walking) is an effective way to drive calcium back into the bones. The client
2.Maintain a regular program of weight-bearing exercise. should also be instructed to have a dietary or supplemental intake of calcium of
3.Limit dietary vitamin D intake. 1,500 mg daily. Potassium levels are not relevant to prevention of bone
4.Perform isometric exercises. resorption. Vitamin D is needed to aid in the absorption of calcium. Isometric
exercises condition muscle tone but do not build bones.
The client diagnosed with Addison's disease is admitted 1
to the emergency department after a day at the lake. The
client is lethargic, forgetful, and weak. Which intervention The client was exposed to wind and
should the nurse implement? sun at the lake during the hours prior to being admitted to the emergency
1. Start an IV with an 18-gauge needle and infuse NS department. This predisposes the client to dehydration and an addisonian crisis.
rapidly. Rapid IV fluid replacement is necessary.
2. Have the client wait in the waiting room until a bed is
available.
3. Obtain a permit for the client to receive a blood
transfusion.
4. Collect urinalysis and blood samples for a CBC and
calcium level.
2/4/2026
