Title COMPRE - POST TEST - ENDO (Mr. Benigno) SC ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | 1 COMPREHENSIVE PHASE POST TEST ENDOCRINE Prepared By: Mr. Neil Benigno, RN NOVEMBER 2025 Philippine Nurse Licensure Examination Review 1. The nurse knows that all of the following are true about the hormone insulin except: A. It is produced by the beta cells of the pancreatic islets B. promotes entry of glucose into the cell C. It stimulates gluconeogenesis and glycogenolysis D. facilitates potassium co-transport 2. Which cell in the islets of Langerhans produce insulin? A. delta cells B. beta cells C. alpha cells 3. In the administration of insulin, the nurse should give which instruction to the client? A. “Shake the vials before withdrawing the insulin." B. "Follow the prescribed order when drawing the different insulins into the syringe." C. "Discard the intermediate-acting insulin if it appears cloudy.” D. "Store unopened vials of insulin in the freezer at temperatures well below freezing." 4. Osmotic diuresis occurs when the kidneys fail to reabsorb all the filtered glucose and glucose appears in the urine. This leads to the glucosuria seen in DM. how much blood glucose level is required to reach the normal kidney glucose threshold that leads to? A. 140 mg/dl B. 180 mg/dl C. 70 mg/dl D. 200 mg/dl 5. Insulin forces which of the following electrolytes out of the plasma and into the cells via transport mechanism? A. Potassium B. Calcium C. Phosphorus D. Magnesium 6. The primary treatment in clients with Type 1 DM is: A. Balanced diet B. Insulin C. OHA D. Exercise 7. While in Type 2 DM, the primary treatment is: A. Exercise B. Sulfonylurea C. Insulin D. OHA 8. The client with type 1 DM is taught to take isophane insulin NPH (humulin N) at 5pm each day. The client should be instructed that the greatest risk for hypoglycemia will occur at what time? A. 1pm, shortly after lunch B. 11 am, shortly before lunch C. 1 am, while sleeping D. 6 pm, shortly after dinner 9. A client is experiencing hypoglycemia several hours after receiving insulin. Which of the following medications is used in treating insulin-induced hypoglycemia? A. Metformin (Glucophage) B. Glucagon C. Glipizide (Glucotrol) D. Glyburide (Diabeta) 10. A client is admitted with Diabetic Ketoacidosis (DKA). The physician orders intravenous fluids of 0.9 % NaCl and 10 units of intravenous regular insulin IV bolus and then to start an insulin drip per protocol. The client’s labs include pH 7.25, glucose 455 mg/dl, and potassium of 2.5 mEq/L. Which of the following is the most appropriate nursing intervention to perform next? A. hold IV fluids and administer insulin as ordered B. start the IV fluids and administer the insulin bolus and drip as ordered C. recheck blood glucose level D. hold the insulin and notify the doctor of the client’s potassium level 11. In mixing two insulins, one Humulin R and the other is Humulin N, the nurse should: A. Draw the insulin first from the Humulin R vial then the insulin from the Humulin N vial B. Inject air to the insulin first from the Humulin R vial then the insulin from the Humulin N vial C. They are both intermediate insulin therefore, order is not necessary. D. They are both cloudy insulin therefore order is not necessary * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH

TOP RANK REVIEW ACADEMY, INC. Page 3 | 1 28. Nurse Dina is performing an admission assessment to a client diagnosed with pheochromocytoma. In assessing the major sign/symptom associated with pheochromocytoma, the nurse will: A. palpate the skin for its temperature B. take client’s blood pressure C. obtain patient’s weight D. test urine for glucose 29. The nurse would anticipate that the medication to be prescribed for patients with hypertensive crisis due to pheochromocytoma is: A. Prazocin hydrochloride (Minipress) B. Phenoxybenzamine hydrochloride (Dibenzyline) C. Propranolol (Inderal) D. Phentolamine mesylate (Regitine) 30. A new client admitted in the medical facility is scheduled for adrenalectomy. The nurse formulates his plan of care because the client is at risk for developing: A. Cushing’s B. SIADH C. Addisonian crisis D. tetany 31. The nurse is assessing a client post-thyroidectomy. The nurse notes the presence of muscle twitching and tingling sensation, along with numbness in the fingers, toes, and mouth area. The nurse should suspect which complication? A. Presence of Thyroid storm. B. Development of Tetany C. Damage to Laryngeal nerve D. Hemorrhage 32. The client with hyperthyroidism is prescribed with Propylthiouracil (PTU). After 2 weeks of treatment, she complains of pharyngitis and fever. The best nursing action is to: A. decrease the dose of the drug B. increase intake of fluids to prevent dehydration C. allay her anxiety since these are normal response to the drug D. tell her to stop taking the drug and refer client to physician 33. A client with a large goiter is scheduled for a subtotal thyroidectomy to treat thyrotoxicosis. Saturated solution of potassium iodide (SSKI) is prescribed preoperatively for the client. The primary reason for using this drug is that it helps: A. decrease the body’s ability to store thyroxine B. increase the body’s ability to excrete thyronine C. reduce the vascularity of the thyroid gland D. slow progression of exophthalmos 34. Which of the following should be prepared at bedside post thyroidectomy? A. calcium gluconate B. hot beverages C. hard candies D. heparin 35. This hormone stimulates the osteoclasts that break the bony matrix and cause the release of calcium into the bloodstream: A. calcitonin B. parathyroid hormone C. oxytocin D. aldosterone 36. Calcitonin, a hormone necessary for calcium regulation, is secreted in the: A. thyroid gland B. parathyroid gland C. Anterior pituitary gland D. hypothalamus 37. Hyperparathyroidism is characterized by: A. hypercalcemia and hyperphosphatemia B. hypercalcemia and hyponatremia C. hypocalcemia and hypophosphatemia D. hypercalcemia and hypophosphatemia 38. Which is not an appropriate management for hyperparathyroidism? A. administer calcitonin as ordered B. administer calcium supplements C. administer normal saline solution as ordered D. administer phosphates as ordered 39. Dilutional hyponatremia can be exhibited by which of the following disorders of the endocrine system? A. Addison's disease B. Diabetes insipidus C. Cushing's syndrome D. Syndrome of Inappropriate ADH 40. Randel, a male client with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client's hypertension is caused by excessive hormone secretion from which of the following glands? A. Adrenal medulla B. Parathyroid C. Adrenal cortex D. Pancreas