Title EVAL EXAM - ENDO (KEY) ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | REFRESHER PHASE EVALUATIVE EXAMINATION ENDOCRINE SYSTEM FEB 2026 Philippine Nurse Licensure Examination Review 1. Which of the following is not allowed after thyroidectomy? A. Swallowing B. Reading C. hyperextending the neck D. going to the bathroom Situation 1: Linda a 65-year-old widow was rushed to the emergency for severe headache and hypertension. Endocrinologist diagnosed Linda with Cushing’s disease. The following questions refers to this situation: 2. Which of the following is the primary cause of hyperaldosteronism?  A. Excessive sodium intake B. A pituitary adenoma C. Deficient potassium intake D. An adrenal tumor 3. Linda asks the nurse what food she should eat to prevent complications brought by her disease. The nurse would be correct by suggesting that Linda should consume the following except: A. apple and avoid potato chips B. eggplant and avoid salted fish paste C. grapes and avoid dried fish D. canned goods and avoid raw foods 4. Which of the following manifestation should the nurse expect in client with Cushing’s disease just like with Linda except? A. buffalo hump B. moonface C. truncal obesity  D. weight gain of the extremities 5. Linda is schedule for surgical incision of the tumor that causes her overproduction of steroids. The nurse should that the surgical procedure that should be done to Linda could be: A. Frontal boring hypophysectomy B. hypophysectomy  C. Adrenalectomy  D. Transsphenoidal hypophysectomy 6. The nurse should closely observe for common complications after the surgical incision of the tumor except: A. increase intracranial pressure B. diabetes insipidus  C. tracheal compression  D. rhinorrhea 7. To prevent complication post-op the nurse should position Linda to: A. Semi fowler’s B. High fowler’s C. flat in bed D. Supine 8. The nurse is caring for a client with type 1 diabetes mellitus who exhibits confusion, light-headedness, and aberrant behavior. The client is still conscious. The nurse should first administer:  A. 15 to 20 g of a fast-acting carbohydrate such as orange juice. B. I.V. bolus of dextrose 50%.  C. I.M. or subcutaneous glucagon.  D. 10 U of fast-acting insulin. Situation 2: Lando a 44 male teacher, was admitted to Hospital ng Dumangas with anxiety, insomnia, weight loss, the inability to concentrate, and eyes feeling "gritty". Thyroid function tests reveal the following: thyroid-stimulating hormone (TSH) 0.02 U/ml, thyroxine 20 g/dl, and triiodothyronine 253 ng/dl. A 6- hr radioactive iodine uptake test showed a diffuse uptake of 85%. Based on these assessment findings, the nurse would suspect that Lando’s case could be hyperthyroidism. The following questions refer to this situation: 9. Autoimmune type of hyperthyroidism is also known as: A. Thyroiditis B. Hashimoto's thyroiditis C. Graves' disease D. Multinodular goiter 10. Hyperthyroidism is caused by increased levels of thyroid hormones in blood plasma which causes: A. Increase oxygenation of cells and organs B. Increase hydration of cells and organs C. Decrease oxygenation of cells and organs  D. Decrease hydration of cells and organs 11. The nurse explains to Lando with thyroid disease that the thyroid gland normally produces except? A. Tri-iodotyronine B. Thytroid releasing hormone C. Calcitonin D. Thyroxine 12. The nurse is assessing Lando. What findings should the nurse expect? SATA: A. Weight gain B. Constipation  C. Lethargy  D. Diarrhea E. Fine tremors F. Irritability G. Heat intolerance H. Hypertension  I. Exophthalmos J. Cold intolerance  K. tachycardia A. ABCD B. GHIJ C. ALL OF THE ABOVE D. DEFGHIK 13. in assessing the the condition of the thyroid gland, which of the following is not included? A. Inspection B. Percussion  C. Auscultation  D. Palpation 14. Based on history and physical findings, examination of Lando reveals exophthalmos, a classic sign of Graves' disease. To prevent complications caused by exopthalmus the nurse is aware that: A. Patching both eyes during day time is necessary to protect them from UV rays  B.  Sunglasses should be worn with day time activities C. Applying topical steroids to prevent inflammation D.  Providing day time naps will help lessen eye irritation and itching 15. For a client with Hyperthyroidism, which nursing intervention promotes comfort?  A. Restricting intake of oral fluids and encouraging a caloric diet for weight loss B. Placing extra blankets on the client's bed to provide comfort * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH