NCLEX Adrenal Disorders Practice Test

These questions are part of the practice quiz. Start practicing

• Which hormone stimulates the adrenal cortex to produce cortisol?
• Which sign is a typical feature of Cushing's syndrome that a nurse should monitor?
• Which symptom is NOT commonly associated with Addison's disease?
• Which endocrine gland secretes epinephrine and norepinephrine?
• Which nursing measure would be effective in preventing complications in a client with Addison's disease?
• Pheochromocytoma disturbs the secretion of which hormones?
• A lab pattern indicating a corticotropin-secreting pituitary adenoma would show which combination?
• Excess cortisol in Cushing's syndrome leads to which effect on the immune system?
• Which finding would a nurse expect in a client with Cushing's syndrome related to fat distribution?
• The discharge teaching for a client with Cushing's disease includes which statement demonstrating understanding?
• A nurse assessing for Cushing's syndrome would expect which of the following fat distribution patterns?
• Which clinical manifestation should the nurse expect to note when assessing a client with Addison's disease?
• Which nursing diagnosis is most appropriate for a client with Addison's disease?
• The primary treatment for pheochromocytoma is surgical removal of one or both adrenal glands depending on unilateral or bilateral.
• What is the most conclusive test for the diagnosis of pheochromocytoma?
• Which test is commonly ordered to confirm pheochromocytoma by measuring metabolites?
• Which drug classes should be avoided in a patient taking hydrocortisone?
• The adrenal medulla secretes which substances?
• Which statement about the metabolic actions of glucocorticoids is accurate?
• The nurse should question a prescription for aminoglutethimide (Cytadren) in a patient with which condition?
• Addison's disease commonly presents with which electrolyte disturbance guiding fluid therapy?
• After unilateral adrenalectomy for Cushing's disease, which discharge instruction is most appropriate?
• In caring for a postoperative adrenalectomy client, which finding should the nurse specifically monitor?
• Which statement best describes corticosteroid therapy for Addison's disease?
• Why is abrupt cessation of long-term high-dose corticosteroid therapy risky?
• Which clinical feature is most characteristic of Cushing's syndrome?
• A client was on high-dose corticosteroid therapy for one month. The patient asks when they can stop taking the medication. Which response by the nurse is correct?
• In Addison's disease crisis, what should be the emergency department nurse's first action?
• Which statement about hydrocortisone therapy in Addison's disease is true?
• Under secretion of the adrenocortical hormones leads to which condition?
• The hypothalamic-pituitary-adrenal axis is suppressed by high-dose corticosteroids. What is the primary reason for tapering off rather than stopping abruptly?
• A client with Addison's disease asks how florinef will help. Which action should the nurse cite?
• Pantoprazole is prescribed for a patient with Addison's disease to achieve what pharmacologic effect?
• Which symptom is not typically expected in pheochromocytoma?
• Which nursing action is most appropriate to prevent dehydration in a client with Addison's disease?
• When teaching a client with Cushing's syndrome about dietary changes, the nurse should instruct to increase intake of which foods?
• Which lab pattern would indicate a corticotropin-secreting pituitary adenoma?
• In Cushing's syndrome, how do calcium levels typically present?
• In a client with Cushing's disease who laughs inappropriately, which explanation best supports family understanding?
• In a client with Cushing's disease, daily weighing is part of assessment to monitor what?
• Which statement about pheochromocytoma is incorrect?
• Which nursing activity is best delegated to an experienced nursing assistant when caring for a client with suspected adrenal cortex disorder?
• During times of stress or infection, what should be done regarding glucocorticoid therapy in Addison's disease?
• A client with primary hyperaldosteronism has hypertension due to excessive secretion from which gland?
• Pheochromocytoma is a catecholamine-producing tumor. During attacks, what metabolic change occurs?
• Which is a potential side effect of glucocorticoid therapy in young children?
• Which statement indicates a need for further discharge teaching for a client with Addison's disease?
• A preoperative client is scheduled for adrenalectomy to remove a pheochromocytoma. The nurse would most closely monitor which item in the preoperative period?
• Which dietary pattern would be prescribed for a client with Addison's disease?
• Which sign is NOT typically seen with hyperkalemia due to hypoaldosteronism after adrenalectomy?
• Which condition is commonly associated with overproduction of adrenocortical hormones?
• A rehabilitation client with a history of Cushing's syndrome (hypercortisolism) and COPD is being cared for post-stroke. Which nursing diagnosis is most consistent with Cushing's syndrome?
• Which medication used to treat hyperaldosteronism may cause menstrual disorders in women?
• Postoperative care after bilateral adrenalectomy: which statement shows understanding?
• Which finding is consistent with hyperaldosteronism?
• Which action is not indicated for a client with chronic hypercortisolism?
• Which condition is NOT a risk factor for adrenal insufficiency?
• Which statement best describes aldosterone's effect on sodium and potassium?
• In Addison's disease during intercurrent illness, which statement is incorrect?
• Which electrolyte imbalance is most likely to be seen with fludrocortisone (Florinef) therapy?
• Before discharge, what should a client with Addison's disease be instructed to do when exposed to periods of stress?
• Which statement indicates understanding of dietary management for Cushing's syndrome?
• Addison's disease is characterized by failure to produce adrenocortical hormones. Which option best reflects this description?
• Intraoperatively, why is tumor manipulation avoided or minimized?
• Admitting a client to rule out aldosteronism. Which assessment data support the client's diagnosis?
• A client with pheochromocytoma asks for a snack and something warm to drink. The appropriate choice to meet nutritional needs would be which of the following?
• During the first 24 hours after a client is diagnosed with Addisonian crisis, which intervention should the nurse perform frequently?
• Corticosteroids may cause sodium retention; which condition requires close monitoring?
• Which laboratory change is an adverse effect associated with corticosteroids such as dexamethasone?
• Which is the most common symptom related to pheochromocytoma?
• In Addison's disease, which electrolyte changes are expected?
• Which symptom is the major manifestation of pheochromocytoma?
• Why is the mineralocorticoid fludrocortisone given to a patient with Addison's disease?
• A nurse plans care for a client with Cushing's disease. Which action should the nurse include in the plan of care to prevent injury?
• In the preoperative holding area for an adrenalectomy, the client is prescribed intravenous cortisol. What is the nurse's best action?
• In an acute adrenal crisis, which drug is the treatment of choice after establishing IV access?
• During an Addisonian crisis, which medication is contraindicated because it can worsen hyperkalemia?
• A nurse is caring for a client with Addison's disease and monitors for signs of Addisonian crisis. Which manifestation would be most associated with this crisis?
• Catecholamine excess has what effect on glucose metabolism?
• Urine specific gravity monitoring is most relevant to which of the following conditions?
• A client with Cushing's disease is being discharged after treatment. Which statement demonstrates understanding of discharge instructions?
• What is the primary treatment for pheochromocytoma?
• Which statement accurately describes the pathophysiology of Cushing's disease?
• Which statement is not typically associated with Cushing's syndrome?
• In suspected pheochromocytoma with hypertensive crisis, which prescription should the nurse implement first?
• Which instruction is appropriate when taking alendronate to prevent osteoporosis complications?
• Which patient should be assigned to the most experienced intensive care nurse?
• After bilateral adrenalectomy, what lifelong hormone replacement is required?
• Which symptom is most characteristic of pheochromocytoma and would be expected to be present preoperatively?
• Which medication acts as a mineralocorticoid replacement in Addison's disease?
• Which corticosteroid therapy teaching should be prioritized for a client with Addison's disease?
• Elevated catecholamines in urine typically cause all of the following symptoms except which one?
• After surgical removal of a pheochromocytoma, which complication is most likely in the immediate postoperative period?
• A patient taking prednisolone and fludrocortisone should follow which dietary recommendation?
• In Addisonian crisis, which fluid is indicated for replacement?
• Which of the following describes the typical prednisone dosing pattern for starting therapy?
• The adrenal cortex is responsible for producing which substances?
• A client with Addisonian crisis is given IV infusion. Which medication would be administered by IV infusion?
• Glucocorticoids may cause which metabolic effect requiring monitoring?
• Why must caffeine-containing foods be restricted in pheochromocytoma?
• Abrupt withdrawal of endogenous cortisol after brain surgery may lead to which condition?
• What is the correct sequence for pharmacologic blockade before pheochromocytoma surgery?
• The nurse is planning care for a client with AIDS who has developed an infection in the adrenal gland. Which problem would have the highest priority?
• The nurse assesses the client's blood pressure frequently. This is based on the knowledge that pheochromocytoma of the adrenal medulla releases excessive amounts of
• The nursing care for the client in addisonian crisis should include which intervention?
• Which analgesic is preferred for a patient taking glucocorticoids for pain management?
• Which clinical manifestation is most indicative of pheochromocytoma?
• A nurse assessing a client with Cushing's syndrome should report which observation immediately?
• Which dietary modification is most appropriate to help manage hyperglycemia in a client with Cushings disease?
• The nurse is caring for a client in acute addisonian crisis. Which laboratory data would the nurse expect to find?
• During hot weather or illness, a client with Addison's disease should increase their intake of what?
• During admission assessment for pheochromocytoma, which action best assesses the major sign?
• Which clinical scenario places a client at risk for adrenal insufficiency due to corticosteroid therapy?
• A client with chronic hypercortisolism: which action should the nurse take to monitor infection risk?
• Which nursing action is contraindicated in pheochromocytoma because it can trigger a catecholamine surge?
• Which gland secretes ACTH in the body's stress response?
• Which statement reflects a need for further client education when reinforcing home care instructions for a client with Cushing's syndrome?
• Fludrocortisone is classified as which type of corticosteroid?
• Following unilateral adrenalectomy, the nurse would assess for hyperkalemia as indicated by which symptom?
• Which description best characterizes Addisonian crisis manifestations?
• A nurse is caring for a client with pheochromocytoma. Which action should be taken to reduce blood pressure and abdominal pressure?
• The nurse is planning the care of a client diagnosed with Addison's disease. Which interventions should be included?
• Which of the following is a primary cause of adrenal insufficiency?
• Which intervention should the nurse include in the care plan for a client with Addison's disease?
• For a client with a suspected adrenal gland tumor, which action is appropriate for delegation to the nursing assistant?
• A patient on corticosteroids develops a moon face, facial redness, and multiple bruises; which nursing diagnosis is most appropriate?
• A client is three days postoperative unilateral adrenalectomy. Which discharge instruction should the nurse teach?
• Aminoglutethimide is used to treat Cushing's syndrome. Which option correctly identifies this use?
• In Cushing's syndrome with aldosterone overproduction, which finding is expected?
• In planning care for Addison's disease, which nursing intervention best prevents deficient fluid volume?
• Which condition is commonly associated with underproduction of adrenocortical hormones?
• A client with pheochromocytoma is admitted for surgery. What does the nurse do for the admitting assessment?
• Which substance is elevated in Cushing's syndrome?
• What is the hallmark symptom cluster of pheochromocytoma?
• What is a primary nursing priority when caring for a patient with pheochromocytoma pre- and intraoperatively?
• Complications of pheochromocytoma can include which of the following?
• In Addison's disease, which replacement is primarily required to maintain sodium balance?
• Which of the following should be avoided because it contains caffeine in a patient with pheochromocytoma?
• Which medication class is used preoperatively to control blood pressure in pheochromocytoma?
• In Addison's disease, which laboratory findings would most support the diagnosis?
• Which statement best describes aldosterone's role in fluid and electrolyte balance?
• In an Addisonian crisis, which intervention should the nurse implement first?
• The client is taking fludrocortisone (Florinef) for adrenal hypofunction. The nurse instructs the client to report which symptom while taking this drug?
• Which metabolic effect is most commonly associated with corticosteroid therapy?
• A client with Cushing's syndrome is being counseled on follow-up care. Which statement indicates a need for further instruction?
• Which data would indicate a potential complication associated with pheochromocytoma?
• A patient receiving corticotropin should contact the provider if which condition occurs?
• A client scheduled for surgery says, 'I'm not sure that surgery is the best thing to do.' What is an appropriate response by the nurse?
• Which symptom cluster is classically associated with pheochromocytoma?
• When teaching a patient about glucocorticoids, which instruction is correct?
• When assessing for adverse effects of fludrocortisone (Florinef), the nurse would monitor for signs of which condition?
• A client with iatrogenic Cushing's syndrome is a resident in a long-term care facility. Which nursing action included in the client's care would be best to delegate to unlicensed assistive personnel (UAP)?
• Which finding is consistent with an Addisonian crisis?
• What is the rationale for tapering prednisone doses?
• Which action should the nurse take for a patient treated with high-dose aspirin during an acute prednisone flare to reduce gastric irritation?
• A client is admitted to rule out Cushing's syndrome. Which laboratory tests should be anticipated?
• Which statement best describes the action of glucocorticoids?
• In pheochromocytoma, which statement about blood pressure is most accurate?
• In suspected pheochromocytoma, which mechanism explains water retention related to the tumor?
• A patient with aldosterone deficiency is likely to exhibit which assessment finding?
• Hydrocortisone replacement in Addison's disease provides which type of hormonal activity?
• Which diet would likely be prescribed for the client with Addison's disease?
• A client on high-dose corticosteroid therapy for a severe inflammatory condition is finishing treatment. Which statement reflects proper guidance about stopping the medication?
• Which cells are responsible for secreting catecholamines?
• A client returns from the operating room after adrenalectomy. Which assessment is most concerning?
• When monitoring a patient on corticosteroids, which adverse effect is most commonly observed?
• A nurse would question a prescription for steroids in a patient with which condition?
• A client with Addison's disease develops orthostatic hypotension. The nurse attributes this finding to which hormonal change?
• Which instruction is correct regarding alendronate administration to prevent esophagitis?
• Regarding Addison's disease and prevention of Addisonian crisis, which statement reflects correct guidance?
• Why are patients with Cushing's syndrome more prone to infections?
• After adrenalectomy, which symptom is not typically associated with adrenal insufficiency?
• What best explains iatrogenic Cushing's syndrome?
• For pheochromocytoma, which test is commonly completed on admission to help determine the diagnosis?
• A client with Cushing's disease says that she has lost 1 pound. What does the nurse do next?
• Which nursing instruction should the nurse discuss with the client who is receiving glucocorticoids for Addison's disease?
• Preoperative alpha-adrenergic blocker for bilateral adrenalectomy may cause which side effect?
• The nurse is caring for a client with hypercortisolism. The nurse begins to feel the onset of a cold but still has 4 hours left in the shift. What does the nurse do?
• Which assessment finding is typical of Cushing's syndrome?
• Following a transsphenoidal hypophysectomy, the nurse should assess for which condition?
• Which statement best describes the action of aldosterone in fluid and electrolyte balance?
• The client has developed iatrogenic Cushing's disease. Which statement explains the development?
• The nurse has a prescription for prednisone to treat contact dermatitis. The nurse would question this prescription for a patient with which condition?
• A client with Cushing's syndrome verbalizes concern about the buffalo hump. Which response is appropriate?
• Over secretion of the adrenocortical hormones leads to which condition?
• A pheochromocytoma originates from which gland's medullary tissue?
• A client with hyperaldosteronism is being treated with spironolactone before surgery. Which precaution does the nurse teach this client?
• A nurse is providing discharge instructions to a client who had a unilateral adrenalectomy. Which statement should be included?
• A client with suspected adrenal venography mentions the position for the procedure. Which statement indicates a need for further instruction?
• Which laboratory finding would be consistent with adrenocortical insufficiency?
• A client is diagnosed with Addison's disease. Which clinical manifestations would you expect?
• Discharge teaching for a patient receiving glucocorticoids would include the use of which medication for pain management?
• For suspected Cushing's syndrome, which laboratory tests are most appropriate?
• In the described labs Na 130 mEq/L, K 5.6 mEq/L, and glucose 72 mg/dL, which electrolyte abnormality requires immediate attention?
• Which adverse effect is associated with aminoglutethimide therapy?
• Which client is most appropriate to assign to an LPN/LVN?
• Which statement best indicates effective patient teaching for Addison's disease after recovery from an adrenal crisis?
• Which factor is a risk in developing pheochromocytoma?
• Which manifestation is expected in a client with Cushing's syndrome?
• During the preoperative period for adrenalectomy due to pheochromocytoma, the priority nursing action would be to monitor:
• Which intervention is NOT appropriate for a client with Cushing's syndrome experiencing fluid overload?
• A lab pattern suggesting a corticotropin-secreting pituitary adenoma is which of the following?
• Which nursing action is appropriate when a client has a diagnosis of pheochromocytoma?
• A client with Cushing's disease is admitted after a stab wound to the abdomen. The nurse plans care and places highest priority on which potential problem?
• A cortisol deficiency who is prescribed prednisone should be advised regarding work in hot outdoor conditions. Which statement is correct?
• In an emergency with a client experiencing an acute adrenal crisis, which action should the nurse take first?
• Why is prednisone tapered when stopping long-term therapy?
• Which drug is used to inhibit adrenal cortex function in the treatment of Cushing's syndrome?
• During a hypertensive crisis in pheochromocytoma, which medication is commonly used to acutely lower blood pressure?
• Which laboratory value should be closely monitored in a patient being treated with spironolactone for hyperaldosteronism?
• Which dietary modification should be included to help prevent bone density loss in a client with Cushing's disease?
• A client admitted with a diagnosis of pheochromocytoma. The nurse would monitor which of the following to detect the most common sign of pheochromocytoma?
• What is the primary goal of therapy in an Addisonian crisis?
• In Addison's disease, which electrolyte changes are expected?
• A client who underwent unilateral adrenalectomy is being discharged. Which instruction should the nurse include?
• The nurse is admitting a client diagnosed with primary adrenal cortex insufficiency (Addison's disease). Which clinical manifestations would the nurse expect to find?
• Which statement about prednisone after adrenalectomy for Cushing's disease is incorrect?
• Which condition is characterized by sodium retention leading to water retention and hypertension?
• Which nursing intervention is the highest priority for a client with acute adrenal insufficiency presenting with hypotension and dehydration?
• Which electrolyte disturbance is commonly associated with Cushings disease due to sodium retention?
• In Addison's disease with dehydration, which electrolyte abnormality is a concern?
• A client presents to the emergency department with a history of adrenal insufficiency. The following laboratory values are obtained: Na+ 130 mEq/L, K+ 5.6 mEq/L, and glucose 72 mg/dL. Which is the first request that the nurse anticipates?
• Which acid-base disturbance is associated with hyperaldosteronism?
• What drug class is used preoperatively to prevent catecholamine surge during pheochromocytoma surgery?
• During assessment for pheochromocytoma, which finding is most likely?
• After a unilateral adrenalectomy, corticosteroids are tapered in the postoperative period to prevent what condition?
• Which adrenal gland region secretes catecholamines?
• Pheochromocytoma tumor secretion involves which hormones?
• A client taking fludrocortisone should be monitored for which statement as a potential side effect requiring action?
• Which dietary item is high in tyramine and may trigger pheochromocytoma symptoms?
• Which serum electrolyte abnormality is most characteristic of hyperaldosteronism?
• The hypertension in pheochromocytoma results from the tumor's secretion of what?
• Which dietary modification is recommended to help prevent hyperglycemia in a client with Cushing's disease?
• A nurse notes an altered body image problem for a client with Cushing's disease. Which intervention best supports this client?
• If a client with Addison's disease shows signs of hypoglycemia, what is an appropriate nursing action?
• Which statement best describes the rationale for alpha blockade before beta blockade in pheochromocytoma management?
• A priority expected outcome for a client with a pheochromocytoma is for the client to:
• Which nursing intervention is inappropriate when addressing body image disturbances in a client with Cushing's syndrome?
• A client with adrenal hyperfunction screams at her husband, bursts into tears, and throws a water pitcher against the wall, saying, 'I feel like I am going crazy.' How should the nurse respond?