Free Printable REVIEW TEST 2

1.

🔹 1. A patient presents with an enlarged jaw, hands, and forehead. What is the most likely diagnosis?

a)

Gigantism

b)

Acromegaly

c)

Cushing's syndrome

d)

Hyperthyroidism

2.

🔹 2. Which of the following is a serious complication of hypoparathyroidism?

a)

Weight gain

b)

Hyperglycemia

c)

Tetany

d)

Increased heart rate

3.

🔹 3. A patient is suspected to have diabetes insipidus. Which of the following findings would support this diagnosis?

a)

Bradycardia and low urine output

b)

Polyuria and polydipsia

c)

High blood sugar and ketonuria

d)

Weight gain and dry skin

4.

🔹 4. A patient with Type 1 diabetes is losing weight. What is the reason for this weight loss?

a)

Increased insulin production

b)

Excessive protein in the diet

c)

Loss of fluid and fat metabolism

d)

Overactive thyroid

5.

🔹 5. What lab value would you expect to be elevated in a patient with diabetic ketoacidosis (DKA)?

a)

TSH

b)

BUN

c)

T4

d)

Sodium

6.

🔹 6. Which of the following is true about levothyroxine therapy?

a)

It is taken with food to prevent nausea.

b)

It can be stopped once symptoms improve.

c)

It may take several weeks to show effects.

d)

It works best when taken with calcium supplements.

7.

🔹 7. Which sign indicates a positive Chvostek sign?

a)

Spasm of the hand after BP cuff inflation

b)

Facial muscle twitching when tapped

c)

Numbness in the fingers

d)

Hyperactive reflexes in the knees

8.

🔹 8. Which hormone is directly responsible for ovulation in females?

a)

FSH

b)

Estrogen

c)

LH

d)

Progesterone

9.

🔹 9. What dietary teaching is appropriate for a patient prescribed iodine solution for a goiter?

a)

Take with milk to prevent GI upset

b)

Use a straw to avoid teeth staining

c)

Avoid high protein foods

d)

Avoid liquids 1 hour after taking the drug

10.

🔹 10. A patient with Graves’ disease is taking Tapazole. What is important to teach?

a)

Skip doses when symptoms improve

b)

Take on an empty stomach only every other day

c)

Take at the same time each day for effectiveness

d)

It is safe to take for several years

11.

What hormone is primarily associated with the "fight or flight" response?

a)

Cortisol

b)

Insulin

c)

Estrogen

d)

TSH

12.

Which endocrine gland is responsible for the development of acromegaly?

a)

Adrenal gland

b)

Pituitary gland

c)

Parathyroid gland

d)

Thyroid gland

13.

Which condition is characterized by abnormal overgrowth due to excess growth hormone in childhood?

a)

Acromegaly

b)

Hypothyroidism

c)

Gigantism

d)

Cushing syndrome

14.

🔹 4. What is the function of LH (Luteinizing Hormone)?

a)

Stimulates milk production

b)

Stimulates ovulation and testosterone production

c)

Controls calcium levels

d)

Regulates sleep cycles

15.

What is secreted by the adrenal medulla?

a)

Insulin and glucagon

b)

Cortisol and aldosterone

c)

Epinephrine and norepinephrine

d)

T3 and T4

16.

Hyperplasia of an endocrine gland is most likely to result in which of the following?

a)

Hyposecretion

b)

Hypocalcemia

c)

Hypersecretion

d)

Hyponatremia

17.

What is necessary for proper parathyroid hormone function?

a)

Potassium

b)

Iodine

c)

Vitamin D

d)

Iron

18.

Which of the following contributes to endocrine disorders?

a)

Trauma

b)

Medications

c)

Tumors

d)

All of the above

19.

Which gland produces T3, T4, and calcitonin?

a)

Adrenal

b)

Pituitary

c)

Thyroid

d)

Parathyroid

20.

What nutrients are essential for normal thyroid hormone production?

a)

Calcium and potassium

b)

Iodine and protein

c)

Sodium and glucose

d)

Iron and zinc

21.

What lab value is elevated in a patient with hyperthyroidism?

a)

TSH

b)

T3 only

c)

T4

d)

PTH

22.

What is the earliest symptom of hyperthyroidism?

a)

Cold intolerance

b)

Weight loss despite good appetite

c)

Constipation

d)

Puffy face

23.

A patient with hypothyroidism is gaining weight. What is the cause?

a)

Increased appetite

b)

Increased metabolic rate

c)

Slowed metabolism

d)

Excess thyroid hormone

24.

What are signs of myxedema in hypothyroidism?

(Select the most accurate)

a)

Warm skin and hyperactivity

b)

Thin eyebrows and slow speech

c)

High energy and insomnia

d)

Weight loss and tremors

25.

What is the appropriate treatment for a goiter caused by iodine deficiency?

a)

Diuretics

b)

Antacids

c)

Elemental iodine

d)

Glucocorticoids

26.

Which thyroid treatment requires strict daily timing and is only taken for one year due to liver risks?

a)

Levothyroxine

b)

Tapazole (Methimazole)

c)

Radioactive iodine

d)

Synthroid

27.

Which instruction should be given to a patient taking iodine solution for thyroid treatment?

a)

Take with antacids

b)

Use a straw to avoid staining teeth

c)

Chew tablets before swallowing

d)

Take with milk to improve absorption

28.

Which substance interferes with the absorption of levothyroxine?

a)

Acetaminophen

b)

Vitamin C

c)

Calcium-containing antacids

d)

Protein

29.

How long does it take for levothyroxine to show noticeable improvement?

a)

1–2 days

b)

1–2 weeks

c)

6–8 weeks

d)

6 months

30.

Why should aspirin be avoided before a thyroid test?

a)

It raises blood glucose

b)

It interferes with iodine uptake

c)

It causes sedation

d)

It blocks thyroid hormone absorption

31.

What is a hallmark sign of diabetes insipidus (DI)?

a)

Hyperglycemia

b)

Hypertension

c)

Excessive urination and thirst

d)

Weight gain and edema

32.

A client with Type 1 diabetes has fruity-smelling breath and deep breathing. What is the likely cause?

a)

Hypoglycemia

b)

Hyperthyroidism

c)

Ketoacidosis

d)

Addison’s crisis

33.

What lab value is typically elevated in diabetic ketoacidosis (DKA)?

a)

A1c

b)

BUN

c)

TSH

d)

Hemoglobin

34.

Why do Type 1 diabetics often lose weight before diagnosis?

a)

Lack of appetite

b)

Increased calorie intake

c)

Fat and muscle breakdown due to lack of insulin

d)

Overproduction of insulin

35.

What is the cause of ketosis in Type 1 diabetes?

a)

High protein intake

b)

Exercise

c)

Fat metabolism due to insulin deficiency

d)

Liver disease

36.

What A1c value is considered excellent control for a diabetic patient?

a)

8%

b)

7%

c)

6.5%

d)

5%

37.

What is the most important patient teaching for managing Type 2 diabetes?

a)

Avoid all sugar

b)

Strict insulin timing

c)

Diet and exercise

d)

Increase fluid intake

38.

Which insulin is long-acting and given once daily?

a)

Humalog

b)

Lantus

c)

Regular

d)

NPH

39.

What are some genetic risk factors for developing Type 2 diabetes?

a)

Vitamin D deficiency

b)

Autoimmune diseases

c)

Race and family history

d)

Obesity only

40.

Why don’t wounds heal well in diabetic patients?

a)

Elevated thyroid hormone

b)

Poor protein intake

c)

Inadequate blood flow

d)

Autoimmune damage

41.

What is the primary cause of Type 1 diabetes?

a)

Obesity

b)

Poor diet

c)

Autoimmune destruction of beta cells

d)

Sedentary lifestyle

42.

What is a sign of gestational diabetes that requires follow-up after birth?

a)

It always resolves after delivery

b)

It can persist after delivery

c)

It causes only short-term symptoms

d)

It leads to hyperthyroidism

43.

How do you treat hypoglycemia in a conscious diabetic patient?

a)

Call 911 immediately

b)

Give 15g of simple carbohydrates

c)

Administer long-acting insulin

d)

Give glucagon IM

44.

What are early symptoms of hypoparathyroidism?

a)

Tachycardia and sweating

b)

Tingling, numbness, and muscle cramps

c)

Fever and chills

d)

Weight gain and constipation

45.

What is a positive Trousseau's sign?

a)

Eye twitching when exposed to light

b)

Facial muscle twitching when tapped

c)

Carpal spasm with inflated BP cuff

d)

Leg cramp with flexion

46.

What is a dangerous complication of worsening hypocalcemia?

a)

Bradycardia

b)

Tetany leading to laryngeal spasm

c)

Polyuria

d)

Cold intolerance

47.

What is the most life-threatening sign of Addisonian crisis?

a)

Edema

b)

Hypertension

c)

Hypotension

d)

Increased appetite

48.

What do the adrenal glands secrete to help with stress?

a)

TSH and T3

b)

Epinephrine and norepinephrine

c)

Oxytocin and ADH

d)

Glucagon and insulin

49.

What condition is associated with hardening of the arteries?

a)

Aneurysm

b)

Atherosclerosis

c)

Hyperthyroidism

d)

Diabetic retinopathy

50.

What major complication can be caused by trauma or tumors in endocrine glands?

a)

Hyperpigmentation

b)

Endocrine dysfunction (hormone imbalance)

c)

Bone deformities

d)

Migraine headaches

51.

Which of the following medications must be taken at the same time every day and only used for 1 year?

a)

Levothyroxine

b)

Tapazole (Methimazole)

c)

Prednisone

d)

Iodine supplement

52.

Why is levothyroxine a lifelong therapy?

a)

It has addictive potential

b)

The thyroid can regenerate

c)

Thyroid hormone needs to be maintained consistently

d)

It prevents diabetes

53.

What are signs of hyperthyroidism that may be misdiagnosed as heart disease?

a)

Cold hands and feet

b)

Tachycardia, palpitations, and dyspnea

c)

Slowed reflexes and facial puffiness

d)

Memory loss and hair thinning

54.

Which foods or substances should you avoid when taking levothyroxine?

(Select the best answer)

a)

Carbohydrates

b)

Iron, calcium, soy, and fiber

c)

Vitamin D and E

d)

Simple sugars

55.

Which organ system is affected when ketones and glucose are excessively present in the blood and urine?

a)

Muscular

b)

Renal

c)

Respiratory

d)

Nervous

56.

What should a patient do if they experience chest pain, palpitations, or shortness of breath while on levothyroxine?

a)

Stop taking the medication

b)

Take two doses

c)

Contact their healthcare provider

d)

Eat high-iodine foods

57.

Which of the following symptoms should be reported as a possible sign of myxedema or hyperthyroidism while on levothyroxine?

a)

Insomnia and diarrhea

b)

Lethargy and hypothermia

c)

Both A and B

d)

Neither A nor B

58.

Which of the following are valid treatments for goiter? (Select all that apply)

a)

Elemental iodine supplementation

b)

Levothyroxine if thyroid hormone is low

c)

Surgical removal if large or causing pressure

d)

Radioiodine to destroy overactive tissue

e)

Insulin injections

59.

What is the cause of acromegaly in adults?

a)

Thyroid gland dysfunction

b)

Adrenal medulla hyperplasia

c)

Pituitary gland overproduction of growth hormone

d)

Hypothalamic underactivity

60.

What two key nutrients are required by the thyroid to produce hormones?

a)

Calcium and Vitamin D

b)

Iodine and protein

c)

Iron and glucose

d)

Potassium and cholesterol

61.

Which hormone is primarily responsible for ovulation?

a)

Progesterone

b)

Luteinizing hormone (LH

c)

Estrogen

d)

Follicle-stimulating hormone (FSH)

62.

In endocrine glands, hyperplasia most often leads to which condition?

a)

Hyposecretion

b)

Hypersecretion

c)

Hypocalcemia

d)

Gland atrophy

63.

The parathyroid gland’s activity is dependent on which vitamin?

a)

Vitamin A

b)

Vitamin B12

c)

Vitamin C

d)

Vitamin D

64.

An Addisonian crisis typically results in which hemodynamic change?

a)

Hypertension

b)

Bradycardia

c)

Hypotension

d)

Hypernatremia

65.

A nurse is preparing a client for a thyroid function test. Which client statement indicates a need for further teaching?

a)

“I stopped taking aspirin a few days before the test.”

b)

“I have avoided aspirin because it can affect my results.”

c)

“I can continue taking aspirin right up until the test.”

d)

“Certain medications must be stopped before thyroid tests.”

66.

Why do people with diabetes tend to heal wounds more slowly?

a)

They have decreased pain sensation

b)

They have impaired blood flow and circulation

c)

They have increased blood flow to tissues

d)

They have increased clotting factors

67.

A client with diabetes becomes shaky, pale, and diaphoretic. Which action should the nurse take first?

a)

Give a glass of orange juice or a glucose tablet

b)

Administer a long-acting insulin dose

c)

Restrict fluids

d)

Call the health care provider immediately without intervening

68.

Which of the following are early signs and symptoms of hyperthyroidism?

a)

Weight gain, cold intolerance, constipation

b)

Weight loss despite good appetite, nervousness, tremors

c)

Severe bradycardia, slurred speech, bagginess under eyes

d)

Husky voice, thinning eyebrows, dry skin

69.

Which hormone stimulates metabolism?

a)

thyroxine/triiodothyronine

b)

thymosin

c)

thyroid stimulating hormone

d)

antidiuretic hormone

70.

This gland releases the male sex hormone testosterone.

a)

ovaries

b)

pancreas

c)

testes

d)

adrenal

71.

What hormone is responsible for the "fight or flight" response?

a)

Testosterone

b)

Cortisol

c)

Adrenaline

d)

Parathyroid Hormone

REVIEW TEST 2

Total questions: 71

Worksheet time: 35mins

Similar Resources on Wayground