NCLEX-RN Endocrine Disorders Exam Pack | 75 Questions with
Rationales | DKA, HHS & Thyroid Disorders | HESI ATI Nursing
Exit Exam Study Guide
Nursing Exit Exam Topics (HESI / NCLEX) 5 quiz
Showing 75 questions (same pool and cap as a student attempt). Correct options are pre-
selected and highlighted as on the results page.
Bank category: Nursing Exit Exam Topics (HESI / NCLEX) 5
Question pool uses the same RN / PN selector as the tutor dashboard (Manage quizzes). Set it to mirror a
student's nursing track.
,1 Question 1
Which medication is commonly used to treat hypothyroidism?
☐ A. Methimazole
☑ B. Levothyroxine
☐ C. Propranolol
☐ D. Insulin
RATIONALE
Levothyroxine is synthetic thyroid hormone used to replace deficient hormone levels in
hypothyroidism.
KEY TERMS EXPLAINED
Levothyroxine = synthetic thyroid hormone replacement
Hormone replacement = supplying missing hormone
Hypothyroidism = low thyroid hormone condition
TSH = hormone used to monitor thyroid treatment
,2 Question 2
A client with Addison’s disease has hyperkalemia. This occurs mainly because of
low levels of:
☑ A. Aldosterone
☐ B. Insulin
☐ C. Thyroxine
☐ D. Estrogen
RATIONALE
Aldosterone helps the kidneys remove potassium and retain sodium. In Addison’s disease, low
aldosterone causes potassium retention and sodium loss.
KEY TERMS EXPLAINED
Aldosterone = adrenal hormone that regulates sodium and potassium
Hyperkalemia = high potassium level
Adrenal insufficiency = reduced adrenal hormone production
Electrolyte imbalance = abnormal mineral levels in blood
, 3 Question 3
A client with Cushing’s syndrome is taught to avoid crowds because of increased
risk for:
☑ A. Infection
☐ B. Hypoglycemia
☐ C. Bleeding
☐ D. Dehydration
RATIONALE
Excess cortisol weakens the immune system, making clients more susceptible to infections.
Avoiding crowds helps reduce exposure to illness.
KEY TERMS EXPLAINED
Immune suppression = weakened defense against infection
Cushing’s syndrome = excess cortisol disorder
Infection prevention = reducing exposure to illness
Crowd avoidance = limiting infection exposure
Rationales | DKA, HHS & Thyroid Disorders | HESI ATI Nursing
Exit Exam Study Guide
Nursing Exit Exam Topics (HESI / NCLEX) 5 quiz
Showing 75 questions (same pool and cap as a student attempt). Correct options are pre-
selected and highlighted as on the results page.
Bank category: Nursing Exit Exam Topics (HESI / NCLEX) 5
Question pool uses the same RN / PN selector as the tutor dashboard (Manage quizzes). Set it to mirror a
student's nursing track.
,1 Question 1
Which medication is commonly used to treat hypothyroidism?
☐ A. Methimazole
☑ B. Levothyroxine
☐ C. Propranolol
☐ D. Insulin
RATIONALE
Levothyroxine is synthetic thyroid hormone used to replace deficient hormone levels in
hypothyroidism.
KEY TERMS EXPLAINED
Levothyroxine = synthetic thyroid hormone replacement
Hormone replacement = supplying missing hormone
Hypothyroidism = low thyroid hormone condition
TSH = hormone used to monitor thyroid treatment
,2 Question 2
A client with Addison’s disease has hyperkalemia. This occurs mainly because of
low levels of:
☑ A. Aldosterone
☐ B. Insulin
☐ C. Thyroxine
☐ D. Estrogen
RATIONALE
Aldosterone helps the kidneys remove potassium and retain sodium. In Addison’s disease, low
aldosterone causes potassium retention and sodium loss.
KEY TERMS EXPLAINED
Aldosterone = adrenal hormone that regulates sodium and potassium
Hyperkalemia = high potassium level
Adrenal insufficiency = reduced adrenal hormone production
Electrolyte imbalance = abnormal mineral levels in blood
, 3 Question 3
A client with Cushing’s syndrome is taught to avoid crowds because of increased
risk for:
☑ A. Infection
☐ B. Hypoglycemia
☐ C. Bleeding
☐ D. Dehydration
RATIONALE
Excess cortisol weakens the immune system, making clients more susceptible to infections.
Avoiding crowds helps reduce exposure to illness.
KEY TERMS EXPLAINED
Immune suppression = weakened defense against infection
Cushing’s syndrome = excess cortisol disorder
Infection prevention = reducing exposure to illness
Crowd avoidance = limiting infection exposure
