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Exam 1 ATI Practice
Endocrine
1. A nurse is caring for a client who has diabetes insidious. For which of the following
findings should the nurse monitor?
a. Polyuria
i. Rationale: DI is characterized by increased thirst and increased
urination.
2. A nurse is monitoring a client who has Graves' disease for the development of thyroid
storm. the nurse should report which of the following findings to the provider?
a. Hypertension
i. Rationale: Thyroid storm patients will have an exaggerated condition
ofhyperthyroidism, associated with the development of afever
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, hypertension, abdominal pain, and tachycardia.
3. A nurse is preparing a 24-hour urine specimen for a client who is suspected to have
pheochromocytoma. Which of the following laboratory tests from the 24-hour urine
specimen should the nurse use to determine the client's condition?
a. Vanillylmandelic acid (VMA)
4. A nurse is caring for a client who is postoperative following a bilateral adrenalectomy.
the nurse should expect to administer glucocorticoids following the procedure to enhance
which of the following therapeutic effects?
a. Compensate for decrease in cortisol levels
i. Rationale: glucocorticoids are used to prevent an adrenal crisis caused
by a sudden drop in cortisol levels.
5. A nurse is assessing a client who has Graves' disease. Which of the following findings
should the nurse expect the client to display?
a. Difficulty sleeping
i. Rationale: a client who has graves’ disease has difficulty sleeping and
anxiety due to the overproduction of thyroid hormone.
6. A nurse is providing teaching to a client who has type 1 diabetes mellitus about
hypoglycemia. Which of the following manifestations should the nurse include in the
teaching?
a. Shakiness
i. Rationale: an early manifestation of hypoglycemia is shakiness.
7. A nurse is assessing a client who has manifestations of acromegaly. Which of the
following findings should the nurse expect?
a. Increased head size
i. Rationale: enlarged head size due to excessive production of growth
hormones after the closing of the epiphyses.
8. A nurse is providing teaching to a client who has type 2 diabetes mellitus about
pathophysiology of the disease. Which of the following statements by the client indicates
an understanding of the teaching?
a. "My cells are resistant to effects of insulin."
i. Rationale: the client who has type 2 diabetes mellitus will have a
resistance to insulin and a decrease in the secretion of insulin by the
pancreatic beta cells.
9. A nurse is planning a community health screening for a group of clients who are at risk
for type 2 diabetes mellitus. Which of the following clients should the nurse include in
the screening?
a. Men and women who are obese
i. Rationale: There is a high correlation between obesity and type 2 DM.
10. A nurse is monitoring a client who has syndrome of inappropriate antidiuretic secretion
(SIADH). Which of the following findings should the nurse expect?
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