NCLEX Practice Exam for Endocrine Disorders 1

Practice Mode

Welcome to your NCLEX Practice Exam for Endocrine Disorders 1! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Consider which adverse effect relates to an increase in metabolic activity.

1 / 25

1. Nurse Hans is monitoring a female patient with hypothyroidism (myxedema) who is on a daily dose of 25 mcg of levothyroxine (Synthroid). Which symptom should he identify as a potential adverse reaction to the medication?

💡 Hint

Focus on the complications of hyperparathyroidism that increase the risk of injury.

2 / 25

2. Nurse Julia is assessing a female adult patient with a history of chronic hyperparathyroidism who has been noncompliant with her treatment. Based on the initial assessment, Nurse Julia identifies the nursing diagnosis of Risk for injury. To complete this diagnosis statement, which "related-to" phrase should Nurse Julia include?

💡 Hint

Think about which symptom is directly related to elevated potassium levels in the body.

3 / 25

3. Nurse Betty is monitoring Sarah, a 50-year-old patient who recently had a unilateral adrenalectomy. Nurse Betty is vigilant for signs of hyperkalemia. Which symptom should Nurse Betty look for to indicate hyperkalemia?

💡 Hint

Focus on the intervention that helps manage fluid balance in a condition where the body retains too much water.

4 / 25

4. Nurse Clark is caring for a male patient admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is most appropriate for managing this condition?

💡 Hint

Think about the symptoms that align with a slowed metabolic rate.

5 / 25

5. Nurse Ellen is assessing a patient who has been diagnosed with hypothyroidism. What health concerns should she expect the patient to report?

💡 Hint

Think about foods that release energy gradually rather than those that provide a quick spike.

6 / 25

6. Nurse Foster is giving dietary advice to a male patient with hypoglycemia. To help manage episodes of low blood sugar, which recommendation should the nurse make?

💡 Hint

Consider which adjustment is typically made when an initial oral medication becomes ineffective over time.

7 / 25

7. After 9 months on glipizide (Glucotrol), a male patient experiences secondary failure. What action would the nurse expect the physician to take next?

💡 Hint

Focus on the assessment finding that reflects the body’s concentration of urine, which is often elevated when fluid volume is deficient.

8 / 25

8. Nurse Lee is assessing a male patient with hyperglycemia. To support a nursing diagnosis of Deficient fluid volume, which finding would be most indicative?

💡 Hint

Consider which condition is a serious complication related to recent thyroid surgery, characterized by fever, tachycardia, and restlessness.

9 / 25

9. Nurse Tina is evaluating a female patient who underwent a subtotal thyroidectomy earlier in the day. During the evening, the patient exhibits nausea, a high fever of 105°F (40.5°C), rapid heart rate, and severe restlessness. What is the most likely cause of these symptoms?

💡 Hint

Focus on the hormone that regulates water balance in the body.

10 / 25

10. Nurse Louie is creating an educational plan for Mark, a male patient diagnosed with diabetes insipidus. Which hormone deficiency should Nurse Louie explain to Mark as being central to his condition?

💡 Hint

Consider which clinical sign is typically associated with low calcium levels and is assessed during a physical exam.

11 / 25

11. Nurse Noah is evaluating a female patient with a serum calcium level of 7.2 mg/dl. During the physical exam, which sign should the nurse anticipate observing?

💡 Hint

Consider which vital sign is typically elevated in patients with a tumor causing excessive catecholamine release.

12 / 25

12. Nurse Wilson is assessing a male patient diagnosed with pheochromocytoma, a tumor of the adrenal medulla that results in excessive catecholamine secretion. Which finding is most likely to be detected in this patient?

💡 Hint

Think about which disorder could explain both the bone pain and the increased urination.

13 / 25

13. Nurse Sam is evaluating a 66-year-old male patient who reports increased sleep, frequent urination, loss of appetite, weakness, irritability, depression, and bone pain that limits outdoor activities. Based on these symptoms, which disorder should Nurse Sam suspect?

💡 Hint

Think about which statement accurately describes what the glycosylated hemoglobin test measures.

14 / 25

14. Nurse Sharmaine is reviewing the lab results of John, a 45-year-old patient with type 1 diabetes mellitus, who has a significantly elevated HbA1c level. In discussing these results, which statement by Nurse Sharmaine would be most accurate?

💡 Hint

Consider an intervention that addresses the specialized nature of the concern and provides expert support.

15 / 25

15. Nurse Alex is assigned to care for Mr. Johnson, a postoperative patient with diabetes mellitus. During the assessment, Mr. Johnson expresses concern about his impotence and its impact on his marriage. What is the most appropriate intervention for Nurse Alex to plan?

💡 Hint

Consider which condition is characterized by abnormal growth of body tissues and can be linked to symptoms like large hands and a hoarse voice.

16 / 25

16. Nurse Green is assessing a patient who weighs 210 lb (95 kg) and presents with hyperglycemia. The patient reports that her husband sleeps in a separate room due to her loud snoring. Additionally, the nurse observes that she has enlarged hands and a hoarse voice. Which condition might be contributing to the patient's hyperglycemia?

💡 Hint

Consider the recommended amount of simple carbohydrates needed to effectively raise blood glucose levels in a hypoglycemic episode.

17 / 25

17. Nurse Lily is caring for an agitated and confused female patient in the emergency department. The patient has a history of type 1 diabetes mellitus, hypertension, and angina pectoris. Upon assessment, the patient exhibits pallor, diaphoresis, headache, and intense hunger. A stat blood glucose test shows a level of 42 mg/dL, leading to treatment for acute hypoglycemia. After the patient's condition stabilizes, Nurse Lily instructs her on how to manage hypoglycemia by ingesting:

💡 Hint

Think about which outcome reflects effective management of fluid balance in a condition characterized by excessive urination.

18 / 25

18. Nurse Patel is monitoring a male patient undergoing treatment for diabetes insipidus. Which outcome best indicates that the treatment has been effective?

💡 Hint

Focus on the severe, life-threatening complication associated with untreated or advanced hypothyroidism that involves significant metabolic slowdown.

19 / 25

19. Nurse Libby is preparing to address the urgent needs of a female patient with a history of hypothyroidism who presents with incoherence, hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and facial and pretibial nonpitting edema. Given these severe hypothyroidism symptoms, what complication should the nurse be most concerned about?

💡 Hint

Consider the treatment aimed at reducing excessive urine output in diabetes insipidus.

20 / 25

20. Nurse Juliet is caring for a male patient diagnosed with diabetes insipidus. Which medication should she anticipate administering?

💡 Hint

Think about the precaution that helps prevent complications related to the surgical site and supports proper healing.

21 / 25

21. During preoperative teaching for a female patient scheduled for a subtotal thyroidectomy, which instruction should the nurse include?

💡 Hint

Think about which drug can enhance the risk of low blood sugar, particularly in patients with a history of hypoglycemia.

22 / 25

22. Nurse Ruby is managing a female patient with a history of hypoglycemia. To prevent exacerbating her condition, which medication should she be cautious about administering due to its potential to worsen hypoglycemia?

💡 Hint

Consider the frequency that balances regular physical activity with realistic goals for most individuals.

23 / 25

23. During an educational session on exercise for diabetic patients, a female participant inquires about the recommended frequency of exercise. How often should the nurse educator advise the clients to exercise to achieve the desired health benefits?

💡 Hint

Think about which gland directly affects aldosterone production.

24 / 25

24. Nurse Clara knows the primary cause of hyperaldosteronism. What is the most common cause?

💡 Hint

Think about the underlying problem in type 1 diabetes mellitus that differentiates it from type 2 diabetes.

25 / 25

25. Nurse Jack is explaining to a male patient with type 1 diabetes mellitus why oral antidiabetic agents might not be suitable for him. What key point should Nurse Jack include in his explanation?

Exam Mode

Welcome to your NCLEX Practice Exam for Endocrine Disorders 1! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 37 minutes & 30 seconds.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 37 minutes & 30 seconds in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 25

1. Nurse Clark is caring for a male patient admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is most appropriate for managing this condition?

2 / 25

2. Nurse Tina is evaluating a female patient who underwent a subtotal thyroidectomy earlier in the day. During the evening, the patient exhibits nausea, a high fever of 105°F (40.5°C), rapid heart rate, and severe restlessness. What is the most likely cause of these symptoms?

3 / 25

3. Nurse Jack is explaining to a male patient with type 1 diabetes mellitus why oral antidiabetic agents might not be suitable for him. What key point should Nurse Jack include in his explanation?

4 / 25

4. Nurse Patel is monitoring a male patient undergoing treatment for diabetes insipidus. Which outcome best indicates that the treatment has been effective?

5 / 25

5. Nurse Sharmaine is reviewing the lab results of John, a 45-year-old patient with type 1 diabetes mellitus, who has a significantly elevated HbA1c level. In discussing these results, which statement by Nurse Sharmaine would be most accurate?

6 / 25

6. Nurse Ruby is managing a female patient with a history of hypoglycemia. To prevent exacerbating her condition, which medication should she be cautious about administering due to its potential to worsen hypoglycemia?

7 / 25

7. Nurse Lee is assessing a male patient with hyperglycemia. To support a nursing diagnosis of Deficient fluid volume, which finding would be most indicative?

8 / 25

8. Nurse Sam is evaluating a 66-year-old male patient who reports increased sleep, frequent urination, loss of appetite, weakness, irritability, depression, and bone pain that limits outdoor activities. Based on these symptoms, which disorder should Nurse Sam suspect?

9 / 25

9. Nurse Noah is evaluating a female patient with a serum calcium level of 7.2 mg/dl. During the physical exam, which sign should the nurse anticipate observing?

10 / 25

10. Nurse Hans is monitoring a female patient with hypothyroidism (myxedema) who is on a daily dose of 25 mcg of levothyroxine (Synthroid). Which symptom should he identify as a potential adverse reaction to the medication?

11 / 25

11. Nurse Lily is caring for an agitated and confused female patient in the emergency department. The patient has a history of type 1 diabetes mellitus, hypertension, and angina pectoris. Upon assessment, the patient exhibits pallor, diaphoresis, headache, and intense hunger. A stat blood glucose test shows a level of 42 mg/dL, leading to treatment for acute hypoglycemia. After the patient's condition stabilizes, Nurse Lily instructs her on how to manage hypoglycemia by ingesting:

12 / 25

12. After 9 months on glipizide (Glucotrol), a male patient experiences secondary failure. What action would the nurse expect the physician to take next?

13 / 25

13. Nurse Clara knows the primary cause of hyperaldosteronism. What is the most common cause?

14 / 25

14. During preoperative teaching for a female patient scheduled for a subtotal thyroidectomy, which instruction should the nurse include?

15 / 25

15. Nurse Alex is assigned to care for Mr. Johnson, a postoperative patient with diabetes mellitus. During the assessment, Mr. Johnson expresses concern about his impotence and its impact on his marriage. What is the most appropriate intervention for Nurse Alex to plan?

16 / 25

16. During an educational session on exercise for diabetic patients, a female participant inquires about the recommended frequency of exercise. How often should the nurse educator advise the clients to exercise to achieve the desired health benefits?

17 / 25

17. Nurse Wilson is assessing a male patient diagnosed with pheochromocytoma, a tumor of the adrenal medulla that results in excessive catecholamine secretion. Which finding is most likely to be detected in this patient?

18 / 25

18. Nurse Green is assessing a patient who weighs 210 lb (95 kg) and presents with hyperglycemia. The patient reports that her husband sleeps in a separate room due to her loud snoring. Additionally, the nurse observes that she has enlarged hands and a hoarse voice. Which condition might be contributing to the patient's hyperglycemia?

19 / 25

19. Nurse Julia is assessing a female adult patient with a history of chronic hyperparathyroidism who has been noncompliant with her treatment. Based on the initial assessment, Nurse Julia identifies the nursing diagnosis of Risk for injury. To complete this diagnosis statement, which "related-to" phrase should Nurse Julia include?

20 / 25

20. Nurse Betty is monitoring Sarah, a 50-year-old patient who recently had a unilateral adrenalectomy. Nurse Betty is vigilant for signs of hyperkalemia. Which symptom should Nurse Betty look for to indicate hyperkalemia?

21 / 25

21. Nurse Juliet is caring for a male patient diagnosed with diabetes insipidus. Which medication should she anticipate administering?

22 / 25

22. Nurse Ellen is assessing a patient who has been diagnosed with hypothyroidism. What health concerns should she expect the patient to report?

23 / 25

23. Nurse Libby is preparing to address the urgent needs of a female patient with a history of hypothyroidism who presents with incoherence, hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and facial and pretibial nonpitting edema. Given these severe hypothyroidism symptoms, what complication should the nurse be most concerned about?

24 / 25

24. Nurse Foster is giving dietary advice to a male patient with hypoglycemia. To help manage episodes of low blood sugar, which recommendation should the nurse make?

25 / 25

25. Nurse Louie is creating an educational plan for Mark, a male patient diagnosed with diabetes insipidus. Which hormone deficiency should Nurse Louie explain to Mark as being central to his condition?