Endocrine System Practice Test 1
Endocrine System NCLEX Practice Test
Endocrine System, within the NCLEX test plan under Nursing Science → Clinical Foundations, reflects the core knowledge domains and conceptual competencies directly related to what the exam evaluates. The targeted number of questions is 50; designed with realistic clinical scenarios and conceptual variety to help you identify both your strengths and improvement areas.
This test is the 1st part of the Endocrine System section. To explore all practice tests under this topic, use the “Back to Main Topic” button at the end of the page.
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In the Endocrine System Study Cards section, shared by real NCLEX candidates, you’ll find concise summaries and high-yield insights related to the most tested concepts. It’s a perfect space to reinforce challenging topics and sharpen your recall through quick, focused repetitions. Short, powerful, and repeatable!
Endocrine System Practice Test 1
The hormone which increase blood glucose level is?
- Insulin
- Glucagon
- Aldesterone
- testosterone
Explanation: Answer reason: Glucagon increases blood glucose via glycogenolysis and gluconeogenesis; insulin lowers glucose, and aldosterone/testosterone do not raise blood glucose.
The nurse is caring for a client with an endemic goiter. The nurse recognizes that the client's condition is related to?
- Living in an area where the soil is depleted of iodine.
- Eating foods that decrease thyroxine levels
- Using aluminum cookware to prepare the family's meals.
- Taking medications that decrease the thyroxine level.
Explanation: Answer reason: Endemic goiter occurs in regions with iodine-deficient soil and water, leading to a low iodine intake, reduced thyroid hormone synthesis, and compensatory thyroid enlargement.
Which hormone is released only in pregnancy?
- HCG
- HPL
- Relaxin
- All of these.
Explanation: Answer reason: hCG and hPL are placental hormones unique to pregnancy, and relaxin is produced during pregnancy to relax the pelvic ligaments and soften the cervix—thus all listed are considered pregnancy-associated hormones.
Is the love hormone also known as?
- Estrogen
- Testosterone
- Oxytocin
- Progesterone
Explanation: Answer reason: Oxytocin is commonly called the “love hormone” because it promotes bonding, trust, and social attachment, and is released during childbirth and breastfeeding.
Low blood glucose causes the alpha cells of the pancreas to release _______, which triggers the release of glucose by the liver?
- Glucagon
- Insulin
- Somatostatin
- Progesterone
Explanation: Answer reason: Alpha cells secrete glucagon in response to hypoglycemia. Glucagon stimulates hepatic glycogenolysis and gluconeogenesis to raise blood glucose.
The posterior pituitary gland secretes?
- Catecholamines
- Oxytocin
- Follicle-stimulating hormone
- Serotonin
Explanation: Answer reason: The posterior pituitary (neurohypophysis) stores and releases oxytocin and ADH. Catecholamines come from the adrenal medulla; FSH comes from the anterior pituitary, and serotonin is a neurotransmitter.
Graves' disease is classified as which of the following conditions?
- Hyperthyroidism
- Hypopituitarism
- Hypoparathyroidism
- Hypothyroidism
Explanation: Answer reason: Graves' disease is an autoimmune condition in which thyroid-stimulating immunoglobulins activate TSH receptors, causing excess thyroid hormone production—hyperthyroidism.
Secretion of which hormone aids sodium reabsorption in the distal convoluted tubule (DCT) and the collecting duct?
- ADH
- Renin
- Erythropoietin
- Aldosterone
Explanation: Answer reason: Aldosterone from the adrenal cortex increases sodium reabsorption in the DCT and the collecting duct by upregulating ENaC channels and the Na+/K+-ATPase.
Which gland secretes thyroid-stimulating hormone?
- Pituitary gland
- Adrenal gland
- Parathyroid gland
- Thyroid gland
Explanation: Answer reason: Thyroid-stimulating hormone (TSH), produced by the anterior pituitary, stimulates the thyroid to release T3 and T4.
Which gland releases antidiuretic hormone and oxytocin?
- Thyroid gland
- Pineal gland
- Adrenal cortex
- Posterior pituitary gland
Explanation: Answer reason: ADH (vasopressin) and oxytocin are synthesized in the hypothalamus and are stored and released by the posterior pituitary.
... is responsible for lowering the glucose level?
- Insulin
- Glucagon
- Amylase
- Protease
Explanation: Answer reason: Insulin from pancreatic beta cells lowers blood glucose by promoting cellular uptake and storage of glucose; glucagon raises it.
Which of the following is a symptom of hypothyroidism?
- BMI increase
- Loose motions
- Weight increase
- Appetite is good.
Explanation: Answer reason: Hypothyroidism lowers the basal metabolic rate, commonly causing weight gain. Diarrhea and increased appetite are more typical of hyperthyroidism, and an increased BMI is nonspecific.
At what gestational age does the human fetus begin to secrete the hormone thyroxine?
- The 12th week of gestation.
- 24th week of gestation
- 6th week of gestation.
- 32nd week of gestation
Explanation: Answer reason: The fetal thyroid begins to function and secrete thyroxine around 10–12 weeks’ gestation; by approximately the 12th week, endogenous T4 production starts.
What is the approximate length of the pineal gland in the human body?
- 5–8 millimeters
- 8-10 millimeters
- 1–2 millimeters
Explanation: Answer reason: Standard anatomical references describe the pineal gland as a small endocrine organ approximately 5–8 mm long.
The Emergency Hormone ________?
- Insulin
- Adrenaline
- Progesterone
- Thyroxine
Explanation: Answer reason: Adrenaline (epinephrine) is released from the adrenal medulla during acute stress to trigger the fight-or-flight response and is hence called the emergency hormone.
Hypoglycemia is seen in (LQ).?
- Acromegaly
- Cushing's syndrome
- Hyperthyroidism
- Hypopituitarism
Explanation: Answer reason: Pituitary hormone deficiency (low ACTH and GH) leads to cortisol deficiency and reduced gluconeogenesis, which causes fasting hypoglycemia. The others are typically associated with hyperglycemia.
Which symptoms does hypothyroidism cause?
- BMI increase
- Loose motions
- Wait, increase.
- Appetite is good.
Explanation: Answer reason: Hypothyroidism slows metabolism and commonly causes weight gain; diarrhea and increased appetite are more typical of hyperthyroidism.
Which hormone is called the pregnancy-maintaining hormone?
- Testosterone
- Progesterone
- Thyroid
- Insulin
Explanation: Answer reason: Progesterone maintains the endometrium and suppresses uterine contractions, supporting implantation and the continuation of pregnancy.
The largest endocrine gland is...?
- Thyroid
- Parathyroid
- Ductless
- None of the above
Explanation: Answer reason: The thyroid is the largest pure endocrine gland; parathyroids are small and 'ductless' is a property, not a gland.
A pregnancy test is based on the estimation of which hormone?
- FSH
- LH
- Progesterone
- hCG
Explanation: Answer reason: Pregnancy tests detect human chorionic gonadotropin (hCG) produced by trophoblastic cells after implantation; option D "hCG" is clearly intended to be hCG.
Which hormone is known as the love hormone?
- Androgen
- Progesterone
- Oxytocin
- Estrogen
Explanation: Answer reason: Oxytocin is commonly called the love hormone due to its role in social bonding, trust, and maternal behaviors, as well as during labor and lactation.
Which of the following hormones is not secreted by the anterior pituitary?
- GH
- TSH
- FSH
- GRH
Explanation: Answer reason: GH, TSH, and FSH are anterior pituitary hormones; GRH (a hypothalamic releasing hormone such as GnRH/GHRH) is not secreted by the anterior pituitary.
Which of the following hormones is the love hormone?
- Adrenaline
- Oxytocin
- Thyroxine
- Somatotropin
Explanation: Answer reason: Oxytocin is commonly called the love hormone due to its role in social bonding, attachment, and affectionate behaviors; the other options do not mediate bonding.
Which is called the "master gland" of the body?
- Thyroid
- Pituitary
- Thymus
- Adrenal
Explanation: Answer reason: The pituitary is termed the master gland because its trophic hormones regulate other endocrine glands (thyroid, adrenals, gonads).
The hypothalamus is connected to the pituitary gland via?
- Nerves
- Infundibulum
- Blood
- No connection.
Explanation: Answer reason: The hypothalamus is structurally connected to the pituitary by the infundibulum (pituitary stalk), which carries both neural tracts and portal vessels. Options 'Nerves' or 'Blood' describe components but not the actual connecting structure.
Insulin is produced by _______?
- Pituitary Gland
- Thyroid gland
- Pancreas
- None of these
Explanation: Answer reason: Insulin is synthesized and secreted by beta cells of the pancreatic islets (Islets of Langerhans).
The cause of hypoglycemia in neonates is?
- Immature liver.
- Immature lung
- Immature kidney
- None of the above
Explanation: Answer reason: Neonatal hypoglycemia commonly results from immature hepatic glycogenolysis and gluconeogenesis with limited glycogen stores, making the immature liver the primary cause.
What occurs in diabetes mellitus?
- Anuria
- Polyuria
- Oliguria
- Nocturia
Explanation: Answer reason: Diabetes mellitus causes hyperglycemia that exceeds the renal threshold, leading to osmotic diuresis and increased urine output—polyuria.
Insulin controls the metabolism of what?
- Fats
- Carbohydrates
- Proteins
- Sugars
Explanation: Answer reason: Insulin primarily regulates carbohydrate metabolism by promoting cellular glucose uptake and storage as glycogen, thereby controlling blood glucose levels.
Love hormone is known as?
- Prolactin
- Oxytocin
- Progesterone
- Estrogen
Explanation: Answer reason: Oxytocin is commonly called the love or bonding hormone due to its role in social bonding, childbirth, and lactation.
Which hormone controls the level of water?
- LH
- TSH
- ADH
- FSH
Explanation: Answer reason: ADH (antidiuretic hormone, vasopressin) increases water reabsorption in the kidneys, regulating body water balance. LH, FSH, and TSH do not control water levels.
Which hormone is responsible for the let-down reflex?
- Prolactin
- Oxytocin
- Progesterone
- Estrogen
Explanation: Answer reason: Oxytocin triggers the milk ejection (let-down) reflex by contracting myoepithelial cells in the mammary glands; prolactin produces milk.
The neonate of a diabetic mother is at risk for all of the following EXCEPT?
- Hypoglycemia
- Hypocalcemia
- Hyperglycemia
- Hyperbilirubinemia
Explanation: Answer reason: Infants of diabetic mothers develop fetal hyperinsulinemia from maternal hyperglycemia, leading after birth to hypoglycemia. They are also prone to hypocalcemia and hyperbilirubinemia. Hyperglycemia is not a typical postnatal risk.
By what is the erythropoietin hormone produced and secreted?
- Liver
- Heart
- Kidney
- Lungs
Explanation: Answer reason: Erythropoietin is mainly produced by peritubular interstitial cells of the kidney in response to hypoxia.
Which of the following is a female sex hormone?
- Stilbestrol
- Testosterone
- Estrogen
- Benzesterol
Explanation: Answer reason: Estrogen is the principal female sex hormone; testosterone is primarily male and the other options are not normal physiologic female hormones.
All of the following are functions of estrogen except?
- Cause breast growth.
- Increase follicle development.
- Causes inhibition of FSH.
- Lowers transport protein
Explanation: Answer reason: Estrogen promotes breast development, supports follicular growth, and exerts negative feedback that suppresses FSH. It increases hepatic synthesis of transport proteins (e.g., TBG, SHBG), not lowers them; thus option D is the exception.
The initiation of milk secretion is promoted by?
- Luteinizing hormone
- Follicle-stimulating hormone
- Prolactin hormone
- Somatotropic hormone
Explanation: Answer reason: Prolactin from the anterior pituitary initiates and maintains milk production; oxytocin causes milk ejection, while LH, FSH, and growth hormone do not initiate lactation.
Onset of puberty before the age of 8 years in girls is called?
- Thelarche
- Menarche
- Delayed puberty
- Precocious puberty
Explanation: Answer reason: Pubertal onset before age 8 in girls is defined as precocious puberty. Thelarche is breast development, menarche is first menstruation, and delayed puberty refers to late onset.
Baby of a diabetic mother shows all except?
- Hyaline membrane disease
- Large baby
- Hyperglycaemia
- Macrosomia
Explanation: Answer reason: Infants of diabetic mothers are typically large for gestational age/macrosomic and are at increased risk of respiratory distress syndrome. Post-delivery they develop hypoglycemia due to fetal hyperinsulinemia, not hyperglycemia.
A nurse is caring for a client with the clinical manifestation of hypotension associated with a diagnosis of Addison disease. Which hormone is impaired in its production as a result of this disease?
- Estrogens
- Androgens
- Glucocorticoids
- Mineralocorticoids
Explanation: Answer reason: Addison disease (primary adrenal insufficiency) leads to deficient aldosterone production. Mineralocorticoid loss causes sodium and water loss with hypotension, making mineralocorticoids the key impaired hormone related to the hypotension.
A term baby which have hypoglycemia, blood glucose level will be?
- Less than 70 mg/dl
- Less than 20 mg/dl
- Less than 30 mg/dl
- Less than 50 mg/dl
Explanation: Answer reason: Neonatal hypoglycemia is typically defined with an operational threshold around <45 mg/dL after the immediate newborn period; among the options, the best matching cutoff for a term newborn is <50 mg/dL.
The emergency hormone is ______?
- Thyroxine
- Insulin
- Progesterone
- Adrenalin
Explanation: Answer reason: Adrenalin (epinephrine) is secreted by the adrenal medulla during acute stress and mediates the fight-or-flight response, hence called the emergency hormone.
Iodine deficiency can cause__________?
- Goitre
- Thyroid cancer
- Thyroiditis
- Solitary thyroid nodules
Explanation: Answer reason: Iodine deficiency impairs thyroid hormone synthesis, causing compensatory TSH elevation and thyroid hyperplasia, which presents as goiter—not thyroid cancer, thyroiditis, or a solitary nodule.
The risk factors for type 1 diabetes include all of the following except?
- Diet
- Genetic
- Autoimmune
- Environmental
Explanation: Answer reason: Type 1 diabetes is characterized by autoimmune beta-cell destruction with genetic susceptibility and environmental triggers (e.g., viral infections). Diet is not an established risk factor for type 1 diabetes.
TSH hormone biochemically is a?
- Carbohydrate
- Fat
- Glycoprotein
- Protein
Explanation: Answer reason: TSH (thyroid-stimulating hormone) is an anterior pituitary glycoprotein hormone composed of protein with carbohydrate side chains.
Insulin production and release are controlled by?
- Pancreas
- Liver
Explanation: Answer reason: Insulin is synthesized and secreted by pancreatic beta cells in the islets of Langerhans; the liver does not produce insulin.
Thyroid is effective only in the presence of?
- Sodium Chloride
- Potassium
- Calcium
- Iodine
Explanation: Answer reason: Iodine is essential for synthesis of thyroid hormones (T3, T4); without iodine the thyroid cannot produce effective hormone.
The function of oxytocin is to help in?
- Lactation
- Gametogenesis
- Childbirth
- Growth
Explanation: Answer reason: Oxytocin from the posterior pituitary stimulates uterine smooth muscle contractions during labor, facilitating childbirth. Prolactin governs milk production while oxytocin mediates milk ejection.
Gestational diabetes is diagnosed by measuring what?
- Blood pressure
- Blood sugar
- Cholesterol
- Body mass
Explanation: Answer reason: Gestational diabetes is identified through elevated blood glucose levels, typically via glucose screening/tolerance tests.
Which hormones is responsible for puberty in body?
- Testosterone
- Insulin
- Estrogen
- Progesterone
Explanation: Answer reason: Testosterone is the primary sex steroid driving the pubertal changes, especially in males; insulin and progesterone are not responsible for initiating puberty, and estrogen is mainly for female development.
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