Endocrine Disorder Practice Test

These questions are part of the practice quiz. Start practicing

• Which hormone primarily stimulates osteoclast activity to increase blood calcium?
• Which statement about myxedema is accurate with ongoing therapy?
• According to Rotterdam criteria, PCOS is diagnosed when at least two of the following are present: which combination?
• In Graves' disease, thyrotoxic crisis can be indicated by which symptom?
• Which of the following is a sign of thyrotoxic crisis in Graves' disease?
• In children suspected of growth hormone deficiency, what is typically used as the initial screening test?
• A client has been diagnosed with hypoparathyroidism. Which dietary pattern should be included in the diet?
• The nurse caring for a client scheduled for a transsphenoidal hypophysectomy to remove a tumor in the pituitary gland assists in developing a plan of care for the client. The nurse suggests including which specific information in the preoperative teaching plan?
• What is the initial management step for myxedema coma?
• Which autoantibody is NOT commonly associated with autoimmune type 1 diabetes?
• During data collection for diabetes education, which behavior indicates a client is not ready to learn?
• During data collection for primary hyperparathyroidism, which complaint would be characteristic?
• A client with type 1 diabetes shows lipodystrophy at injection sites. Which action should the nurse plan to obtain from the patient?
• Which antibody is most specific for Hashimoto's thyroiditis?
• In Graves' disease, what is the typical pattern of TSH and free T4?
• Which combination would most strongly suggest a benign thyroid nodule on ultrasound?
• Following hypophysectomy, a client reports being very thirsty and urinating frequently. What is the initial nursing action?
• Which nursing action would be appropriate to implement when a client has a diagnosis of pheochromocytoma?
• The nurse enters the room of a client with type 1 diabetes mellitus and finds the client difficult to arouse. The skin is warm and flushed, and the pulse and respirations are elevated. Which action should the nurse implement?
• In MEN2A, what two additional endocrinopathies co-occur with medullary thyroid carcinoma?
• Which behavior is likely related to hypothyroidism based on history?
• What HbA1c value defines diabetes according to current guidelines?
• A client is brought to the emergency department with suspected diabetic ketoacidosis (DKA). Which finding should the nurse note as being consistent with this diagnosis?
• Which action best reduces the risk of lipodystrophy in insulin therapy?
• What is the confirmatory test for suspected adrenal insufficiency?
• A client with Cushing's syndrome has a buffalo hump. Which statement about this symptom is most accurate?
• Which client complaint would indicate a hypoglycemic reaction?
• The nurse has reinforced home care measures to a client diagnosed with diabetes mellitus regarding exercise and insulin administration. Which statement by the client indicates a need for further teaching?
• A client with diabetic ketoacidosis presents with metabolic acidosis. Which medication is the primary treatment?
• Which diet would be appropriate for a client managing diabetes mellitus to avoid hyperinsulinism?
• Following adrenalectomy, which sign would indicate possible wound infection requiring assessment?
• In diabetes education after a DKA episode, which practice is essential to prevent recurrence?
• In vitamin D deficiency, what lab pattern is typical and what is a common treatment?
• Which pattern distinguishes central from peripheral precocious puberty?
• A client who has had thyroidectomy asks about the course of hoarseness. Which statement accurately describes its course?
• Which of the following is a sign of thyrotoxic crisis in Graves' disease?
• Which intervention would NOT be recommended for a Graves' disease patient with photophobia?
• Which statement best explains the rationale for careful eye care in Graves' disease with exophthalmos?
• When evaluating growth hormone deficiency, what test is used to confirm the diagnosis after an initial screening test?
• Which agent exemplifies an alpha-adrenergic blocker used preoperatively for pheochromocytoma?
• After desmopressin administration, which pattern distinguishes central diabetes insipidus from nephrogenic DI?
• Which insulin type has the fastest onset after subcutaneous administration?
• Which of the following is a sign of thyrotoxic crisis in Graves' disease?
• In myxedema coma, which additional therapy should be considered due to potential adrenal insufficiency?
• A client with diabetes experiences hyperglycemia. Which problem should the nurse anticipate as a primary concern?
• In panhypopituitarism, which pituitary hormone deficiency is most directly responsible for secondary adrenal insufficiency?
• Following furosemide for chest pain with edema, a patient is suspected of SIADH. Which finding would support this diagnosis?
• Which teaching information should be reinforced for a patient with diabetes who uses daily insulin injections upon discharge?
• The nurse is collecting data on a client admitted with myxedema. Which data collection technique would best support the admitting diagnosis?
• Which ultrasound features most strongly suggest a benign thyroid nodule?
• A client with type 1 diabetes begins an exercise program. Which instruction should the nurse include?
• Buffalo hump is best described as which of the following?
• The nurse notes orthostatic hypotension in a client with Addison's disease. This finding most directly reflects a deficiency in which hormone?
• In primary adrenal insufficiency, which electrolytes are commonly disturbed?
• A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperglycemic hyperosmolar state (HHS) is made. The nurse who is assisting with care for the client obtains which item in preparation for the treatment of this syndrome?
• What is a recommended daily fluid intake to help prevent dehydration in Addison's disease?
• How can you differentiate Cushing disease from other causes of Cushing syndrome?
• Postoperative care after thyroidectomy should include which nursing intervention to reduce the risk of breathing difficulty?
• Home care for Type 1 diabetes: vomiting and diarrhea; which statement indicates a need for further teaching?
• A client who has recently undergone thyroidectomy is being monitored for thyroid storm. Which sign indicates a thyroid storm may be occurring?
• The nurse is caring for a client with a diagnosis of myasthenia gravis. The health care provider plans to perform an edrophonium (Enlon) test on the client to determine the presence of cholinergic crisis. In addition to planning care for the client during this testing, which equipment will the nurse ensure is at the bedside?
• A client with myxedema has changes in intellectual function such as impaired memory, decreased attention span, and lethargy. Which nurse statement is helpful to the client's husband?
• A client recovering from diabetic ketoacidosis is being taught to prevent recurrence. Which instruction is most important?
• In Graves' disease, thyrotoxic crisis can be suggested by which symptom?
• Which intervention is NOT part of preventing dehydration in Addison's disease?
• Which statement about insulin management is NOT appropriate?
• A child diagnosed with diabetes insipidus is typically treated with which medication?
• When reinforcing discharge teaching for a client with Cushing's syndrome, which statement indicates understanding of dietary management regarding potassium?
• During a health screening, a random blood glucose is 200 mg/dL. What is the next appropriate step?
• Which symptom best indicates thyroid storm in the post-thyroidectomy setting?
• Which treatment is used to manage hypothyroidism?
• Which autoantibodies are most commonly associated with autoimmune type 1 diabetes mellitus?
• In a client with Cushing's syndrome experiencing fluid overload, which sign is most directly indicative?
• Which statement best differentiates DKA from HHS?
• What are the Rotterdam criteria for diagnosing PCOS?
• A client who has just undergone a thyroidectomy develops hoarseness and a weak voice. Which nursing action is most appropriate?
• When discharging a client after parathyroidectomy, which instruction about oral calcium supplementation should be included?
• A client newly diagnosed with diabetes mellitus takes NPH insulin at 7:00 am. The client should watch for late-afternoon signs of hypoglycemia. Which signs indicate this in the late afternoon?
• A client says, “I am so scared to get cut in my neck.” This statement indicates which problem is being experienced?
• An older client with a history of hyperparathyroidism and severe osteoporosis is hospitalized. The nurse should address which problem first?
• What constitutes the initial coordinated treatment for thyroid storm?
• Which sign is most characteristic of hypothyroidism?
• Which statement best describes a feature that is not typical of diabetes insipidus?
• The nurse is caring for a client with hypothyroidism who is overweight. Which food items should the nurse suggest to include in the plan?
• Which assessment finding is most characteristic of diabetes insipidus?
• Which data are indicative of a potential complication in a client with pheochromocytoma?
• Which finding would most strongly suggest diabetes insipidus following hypophysectomy?
• DXA assessment for osteoporosis uses T-scores measured at which sites?
• A client with diabetes mellitus who is newly diagnosed and learning to self-inject NPH should be aware of the peak action timing. The time window to watch is between which two times?
• In acromegaly, which hormone is produced in excess?
• The nurse is providing instructions to a client newly diagnosed with diabetes mellitus. The nurse lists the signs of hyperglycemia. Which specific signs of this complication should be included on the list?
• A client with type 1 diabetes mellitus who is hyperglycemic: which problem should the nurse consider first when planning care?
• Which class of medications commonly causes hyperprolactinemia by blocking dopamine D2 receptors?
• According to IADPSG criteria, gestational diabetes is diagnosed if any value on a 75-g OGTT meets or exceeds which thresholds?
• Which statement by a client with newly diagnosed type 1 diabetes mellitus indicates effective teaching?
• A client with type 2 diabetes mellitus asks about their medication regimen. Which statement shows understanding of the medication's role?
• The nurse is reinforcing dietary instructions to a client newly diagnosed with diabetes mellitus. The nurse accurately instructs the client with which statement?
• Which foot care instruction is inappropriate for a client with diabetes?
• Which antibody is commonly present in Hashimoto's along with anti-TPO?
• Which data from a patient with pheochromocytoma would most strongly indicate a potential pulmonary complication?
• A client with Cushing's disease is being admitted to the hospital after a stab wound to the abdomen. The nurse plans care and places highest priority on which potential problem?
• A patient with enlarged hands and facial features, fatigue, and glucose intolerance has elevated IGF-1. What condition is most likely?
• Which step is performed first when preparing a mixed insulin dose?
• In SIADH, what is typically observed regarding urine sodium and urine osmolality?
• In planning care for a patient with hyperparathyroidism, which concept is correct?
• Central diabetes insipidus is due to deficiency of which hormone?
• Which tumor marker is elevated in medullary thyroid carcinoma?
• A client with hyperparathyroidism is prescribed furosemide (Lasix). Which dietary instruction is appropriate?
• A client with Graves' disease has exophthalmos and is experiencing photophobia. Which intervention would best assist the client with this problem?
• Preoperative teaching for a patient undergoing transsphenoidal hypophysectomy should reinforce which information?
• Postoperative hypophysectomy: thirst and polyuria; which parameter should be checked next to assess for the expected complication?
• What is the immediate management for an adrenal crisis?
• In SIADH, which of the following laboratory findings is characteristic?
• In Graves' disease, thyrotoxic crisis can be indicated by which symptom?
• A client with type 1 diabetes mellitus takes NPH insulin every morning and checks the blood glucose level four times per day. The client tells the nurse that yesterday the late afternoon blood glucose was 60 mg/dL and that she 'felt funny.' Which statement by the client indicates an understanding of this occurrence?
• In a client with hyperglycemia, which problem is most likely to develop if not managed?
• Which statement indicates a need for further teaching about medication safety in a client with Cushing's syndrome?
• Which action is not appropriate immediately post-transsphenoidal hypophysectomy?
• Which metabolic abnormality is commonly observed in acromegaly?
• Which nursing measure is effective in preventing complications for a client with Addison's disease?
• Which is an appropriate component of the care plan for a client with hypothyroidism?
• In primary gonadal failure, which hormone pattern is typically observed?
• A nursing student notes a client with Cushing's syndrome. Which intervention indicates the need for additional education about body image changes?
• Which of the following is a sign of thyrotoxic crisis in Graves' disease?
• A client is prepped for an adrenalectomy and has a temperature of 100.8 F. How should the nurse interpret this finding?
• Which dietary recommendation is appropriate for a client with hypoparathyroidism?
• How do FSH/LH levels differentiate primary gonadal failure from secondary hypogonadism?
• In diabetic ketoacidosis, which arterial blood gas finding supports the diagnosis?
• Before pheochromocytoma resection, which preoperative management is essential?
• In pheochromocytoma management, which sequencing of adrenergic blockade is recommended?
• A client with Cushing's syndrome asks about the buffalo hump that has developed. Which response by the nurse is most appropriate?
• What is the name of the acute pituitary emergency caused by hemorrhage or infarction within a pituitary tumor?
• Which statement best describes the pathophysiology of Cushing disease?
• Which signs/symptoms are indicative of diabetes insipidus?
• In a patient with Cushing's disease admitted after stab wound to the abdomen, which problem has the highest priority to prevent postoperative complications?
• In primary hyperparathyroidism, which radiographic bone changes are classic?
• When preparing a mixed insulin dose containing NPH and regular insulin, which is the first preparatory step the nurse should perform?
• In assessing a client with diabetes mellitus, which finding would be of concern?
• DXA T-score defining osteoporosis?
• Which finding would be expected if cortisol fails to rise after cosyntropin stimulation?
• How is symptomatic hypoglycemia managed in a patient with diabetes?
• Which action should a patient take if they experience chest pain while being treated for hypothyroidism?
• A client newly diagnosed with diabetes mellitus is having difficulty learning the technique of blood glucose measurement. The nurse should teach the client to do which action to perform the procedure properly?
• A client demonstrates acute anxiety in the hospital while being treated for hyperglycemia. Which intervention would best decrease anxiety?
• In thyroid storm, which statement correctly reflects the timing for iodide therapy relative to PTU?
• Immediately after subtotal thyroidectomy, which finding requires the most urgent attention?
• In DKA management, bicarbonate therapy should be considered when the arterial pH falls below:
• During initial stabilization of a patient with myxedema coma, which action is the highest priority?
• Which dietary instruction best reflects a long-term meal planning strategy for a client with diabetes mellitus?
• Which statement by the client indicates a need for further teaching?
• In men, which symptom commonly accompanies hyperprolactinemia?
• Which sign indicates hypocalcemia after thyroidectomy?
• A client who returned to the nursing unit 8 hours ago after hypophysectomy has clear drainage saturating the nasal dressing. The nurse should take which action?
• Which test is used as a confirmatory test after an initial positive screen for pheochromocytoma?
• A patient with diabetes mellitus who was previously well controlled on glyburide now has fasting glucose levels around 180-200 mg/dL. Which medication may contribute to this hyperglycemia?
• Glucagon hydrochloride would most likely be prescribed for which disorder?
• A female patient with galactorrhea and amenorrhea; MRI shows a pituitary microadenoma. What is the most likely diagnosis?
• During initial diabetes education, which action indicates readiness to learn?
• Which of the following is a sign of thyrotoxic crisis in Graves' disease?
• In Graves' disease, thyrotoxic crisis can present with which sign?
• In hypoparathyroidism with severely low calcium, which sign is expected?
• A client with type 1 diabetes mellitus calls after exercising. Which statement indicates correct understanding regarding Humulin N insulin and exercise?
• What is the classic laboratory pattern for primary hypothyroidism?
• In the acute phase of diabetic ketoacidosis, what is the priority nursing action?
• Which statement by a client using an insulin pump indicates a need for teaching regarding insulin pump therapy?
• Which diagnostic test helps distinguish cerebrospinal fluid drainage from nasal mucus after transsphenoidal hypophysectomy?
• In SIADH, which urine findings are typical?
• Which laboratory value in a patient with diabetic ketoacidosis on an insulin infusion needs to be reported promptly?
• Which statement best reflects safety considerations for a diabetes patient engaging in physical activity?
• What is the mechanism of metformin in type 2 diabetes management?
• The nurse is caring for a client following an adrenalectomy and is monitoring for signs of adrenal insufficiency. Which of the following are signs and symptoms related to adrenal insufficiency?
• In a diabetic patient, which foot-care instruction is correct?
• Which is a priority concern for a client experiencing thyroid storm?
• Which finding would most strongly indicate a pituitary source of ACTH in suspected Cushing syndrome?
• Which of the following is a sign of thyrotoxic crisis in Graves' disease?
• In primary hyperparathyroidism, what is the expected relationship between serum calcium and PTH?
• A client with pheochromocytoma is scheduled for surgery and says to the nurse, 'I’m not sure that surgery is the best thing to do.' Which response by the nurse is appropriate?
• Which statement demonstrates correct understanding of OTC medication safety for a client with Cushing's syndrome?
• A client has had a unilateral adrenalectomy and is being reinforced with discharge instructions. Which information should be included?
• Which statement about insulin administration and insulin types helps prevent lipodystrophy?
• Which practice best reduces the risk of lipodystrophy in insulin therapy?
• In a client with hypoparathyroidism, which dietary pattern is most appropriate?
• Glucagon carried for emergency use by a family for a client with diabetes should be used to treat which condition?
• In the management of diabetic ketoacidosis during insulin therapy, which statement is incorrect?
• Which biomarker is most sensitive for initial screening of pheochromocytoma?
• Which of the following is a sign of thyrotoxic crisis in Graves' disease?
• What is the first-line pharmacologic therapy for type 2 diabetes?
• In Cushing's syndrome, which hemodynamic pattern is commonly observed?
• A patient has clear drainage from the nares after transsphenoidal hypophysectomy. Which action is essential?
• A client has just been admitted with a diagnosis of myxedema coma. If all of the following interventions were prescribed, the nurse should place highest priority on completing which action first?
• The nurse caring for a patient who has had a subtotal thyroidectomy reviews the plan of care and determines which problem is the priority for this client in the immediate postoperative period?
• A client with type 1 diabetes who is difficult to arouse has warm flushed skin and tachycardia. What is the priority action for the nurse?
• A newly diagnosed diabetes mellitus client self-injected NPH insulin at 7:30 am. The nurse reviews the time frames for peak insulin action. The client should be especially watchful for hypoglycemia between which time frame?
• For diabetes mellitus foot care teaching, which instruction should be included in the plan of care?
• Which preoperative assessment is prioritized when preparing a patient for pheochromocytoma surgery?
• Postoperative prescriptions after transsphenoidal hypophysectomy: which note would require clarification?
• In managing thyroid storm, which medication class is used to rapidly control adrenergic symptoms?
• A client with newly diagnosed diabetes mellitus reports symptoms suggesting hyperglycemia. Which statement warrants health care provider notification?
• Which hormone is deficient in central diabetes insipidus?
• Which measure should be anticipated in the plan of care for a client with Graves' disease?
• What is the preferred initial screening test for acromegaly?
• In mixing insulin with NPH, which step is correct to perform first?
• In suspected adrenal insufficiency, a morning cortisol level above which value makes the diagnosis unlikely?
• Which finding best supports the diagnosis of diabetic ketoacidosis?
• A client with Cushing's disease is being admitted to the hospital after a stab wound to the abdomen. The nurse plans care and places highest priority on which potential problem?
• Which statement is not correct regarding diabetic foot care?
• For a client with Addison's disease at risk for dehydration, which nursing intervention is appropriate to prevent dehydration?
• Which of the following is a sign of thyrotoxic crisis in Graves' disease?
• Which signs should the nurse expect in a client with Addison's disease during data collection?
• Postoperative adrenalectomy: which finding should the nurse monitor for?
• In planning nutrition for a client with hypoparathyroidism, which diet would be appropriate?
• Which measure should the nurse anticipate being included in the plan of care for a client who has been diagnosed with Graves' disease?
• What is the earliest sign of diabetic nephropathy?
• Which clinical finding would most support a diagnosis of myxedema in a patient?
• Which laboratory finding is most indicative of diabetic ketoacidosis due to ketone production?
• Which preoperative instruction is most characteristic of care planning for a transsphenoidal hypophysectomy?
• Which of the following is a sign of thyrotoxic crisis in Graves' disease?
• Which antibodies are most characteristic of Hashimoto's thyroiditis?
• A preoperative client is scheduled for adrenalectomy to remove a pheochromocytoma. Which assessment should the nurse monitor most closely in the preoperative period?
• A patient with fatigue, cold intolerance, and constipation has a low free T4 and elevated TSH. What is the diagnosis?
• Which of the following is a sign of thyrotoxic crisis in Graves' disease?
• Which statement about desmopressin acetate (DDAVP) is true?
• After thyroidectomy, which statement best describes the expected course of hoarseness?
• The wife of a client with diabetes mellitus who uses insulin reports the patient is sleepy with warm, flushed skin, faster breathing, and a rapid pulse. What action should the nurse tell the wife to do first?
• A hospitalized client is newly diagnosed with diabetes mellitus. The client must take both NPH and Regular insulin for glucose control. The nurse develops a teaching plan to help the client meet which outcome as a first step in managing the disease?
• Which condition is a common postoperative complication after hypophysectomy?
• In men with hyperprolactinemia, which of the following physical findings may occur?
• Which action should be taken when nasal drainage is suspected after transsphenoidal hypophysectomy?
• What is the most sensitive initial screening test for Cushing syndrome?
• Which clinical feature is most associated with hypocalcemia due to hypoparathyroidism?
• A client with hyperglycemic hyperosmolar state is discharged after treatment. The client says, 'I will call the doctor next time I can't eat for more than a day or so.' Which statement reflects the client's knowledge?
• How is subclinical hypothyroidism defined clinically?
• What is the mechanism of action of thiazolidinediones in diabetes management?
• Which symptom is commonly seen in hypothyroidism?
• During thyroid storm management, which supportive measure is recommended to address metabolic heat and temperature?
• After an elevated IGF-1 level suggests acromegaly, which test is used to confirm GH excess?
• Post-surgical hypoparathyroidism typically presents with which electrolyte disturbance and symptoms?
• Which of the following is a sign of thyrotoxic crisis in Graves' disease?
• Which combination would best indicate primary adrenal insufficiency?
• Which hormone overproduction characterizes Cushing disease?