Page 1 of 53
ATI Medical-Surgical Practice Test: Endocrine 2026 Latest
Exam Solved Questions & Answers Verified 100% Graded
A+
The nurse is reviewing information with a patient about the normal anatomy
and physiology
of the endocrine system. Which factor is inaccurate?
1. All endocrine glands are anatomically separate in location.
2. All endocrine glands function independently of each other.
3. Most hormone levels are regulated by a negative feedback system.
4. Each hormone is secreted in response to a specific stimulus.
2. All endocrine glands function independently of each other.
he nurse is researching information for a patient newly diagnosed with
diabetes mellitus. The nurse wants to present the responses by hormones
other than insulin. Which information does the nurse avoid?
1. Growth hormones (GHs) secreted by the anterior pituitary play a part in
glucose regulation.
2. Growth hormone-releasing hormone (GHRH) is secreted during
hypoglycemia or when there is a high blood level of amino acids.
3. GH and growth hormone-inhibiting hormone (GHIH) are secreted to maintain
blood glucose levels and metabolism rates are normal.
4. GHIH is secreted during hyperglycemia when carbohydrates are available
for energy production.
3. GH and growth hormone-inhibiting hormone (GHIH) are secreted to maintain
blood glucose levels and metabolism rates are normal.
An older adult patient is experiencing a reduction in energy. Which comment
by the nurse is most appropriate?
1. "Mild diabetes often develops with age; I'll see about checking your blood
sugar."
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2. "Your tiredness is because your body increases the release of growth
hormone as
you age."
3. "Aging causes the basal metabolic rate to change, and it's often normal to
have
less energy."
4. "A decrease in parathyroid hormone secretion occurs with age, and that can
make
you feel tired."
3. "Aging causes the basal metabolic rate to change, and it's often normal to have
less energy."
After reviewing the patient's medical record, the nurse plans to perform a
physical examination. Which finding will change the usual process of physical
examination?
1. The patient had surgery for a goiter.
2. The patient is being treated for diabetes mellitus.
3. The patient has elevated thyroid hormones.
4. The patient is diagnosed with a posterior pituitary tumor
3. The patient has elevated thyroid hormones.
The HCP prescribes a 24-hour urine specimen for cortisol. The patient is
incontinent. Which
method will the nurse use to collect the specimen?
1. Place the patient on a bedpan every half hour during the test.
2. Obtain an order for an indwelling catheter for the duration of the test.
3. Review the use of the nurse call light and have the patient indicate a need to
void.
4. Place a bedside commode in a position to enable the patient to make a safe
transfer.
2. Obtain an order for an indwelling catheter for the duration of the test.
The nurse is providing care for a patient diagnosed with posterior pituitary
tumor resulting in oversecretion of hormones. Which manifestation of this
disorder will the nurse expect?
1. Significant increase in urinary output
2. Notable increase in blood pressure
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3. Physical indications of dehydration
4. Severe blood loss associated with injury
2. Notable increase in blood pressure
The nurse is providing care for a patient diagnosed with type 2 diabetes
mellitus. Which information will the nurse give the patient about the response
of the pancreas to hypoglycemia?
1. Pancreatic alpha cells are stimulated to inhibit insulin.
2. Pancreatic beta cells are stimulated to move glucose from cells.
3. Pancreatic alpha cells are stimulated to release glucagon.
4. Pancreatic beta cells are stimulated to decrease insulin.
3. Pancreatic alpha cells are stimulated to release glucagon.
The nurse is assisting with care to a patient who underwent surgery for
removal of the thyroid gland. Which symptom contradicts a possible
complication of the surgery?
1. Decreased calcium in blood
2. Prolonged clotting time
3. Decreased calcitonin levels
4. Hyperactive bowel sounds
4. Hyperactive bowel sounds
The licensed practical nurse/licensed vocational nurse (LPN/LVN) is assisting
with the physical examination of a patient in the HCP's office. Which physical
examination does the LPN/LVN perform?
1. Observe for abnormal physical characteristics.
2. Palpation of the flank for adrenal gland disorders.
3. Gently palpate the thyroid gland for enlargement.
4. Percuss the abdomen to validate normal pancreas size.
1. Observe for abnormal physical characteristics.
A client is identified with a thyroid disorder resulting in hormone deficiency.
The HCP prescribes a stimulation test. Which process does the nurse expect
for the test?
1. The patient will drink a contrast medium.
2. Hormone measurements will occur after a meal.
3. A substance will be injected into the patient.
4. The patient is evaluated after monitored exercise.
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3. A substance will be injected into the patient.
A patient is diagnosed with adrenal gland dysfunction and is scheduled for a
24-hour urine test. Which action by the nurse in regard to the test is incorrect?
1. The test is complete when the last voiding is collected.
2. The first morning urine sample is retained for testing.
3. The test will need to be restarted if a urine sample is missed.
4. Urine samples are collected immediately after voiding.
The nurse is preparing a patient to undergo a suppression test to verify
adrenal cortex dysfunction. Which reply will the nurse make when the client
asks about the expected test procedure?
1. "You will be injected with an adrenal stimulant to see how the adrenal
glands work."
2. "You will be injected with a steroid hormone that should suppress cortisol
release."
3. "A failure of adrenal cortex function is indicated by a low blood cortisol
level."
4. "You will be injected with epinephrine to stimulate your metabolic
functions."
2. "You will be injected with a steroid hormone that should suppress cortisol release."
The nurse is preparing a patient for a thyroid scan to rule out thyroid cancer.
Which instruction does the nurse give the patient prior to the testing?
1. Do not leave the area after the radioactive material is injected.
2. Collect all urine for 4 hours so it can be evaluated for radiation.
3. Use the bathroom before the scanning part of the test is performed.
4. Multiple series of x-rays will be taken over a period of 2 hours.
3. Use the bathroom before the scanning part of the test is performed.
The nurse receives information that an assigned patient is scheduled for an
ultrasound of an endocrine gland. Which instruction does the nurse give the
patient?
1. Wear clothing with an elastic waistband.
Remain NPO for 12 hours prior to testing.
Do not wear a tight or high-necked shirt.
Wash hair with antimicrobial shampoo.
1. Wear clothing with an elastic waistband.
ATI Medical-Surgical Practice Test: Endocrine 2026 Latest
Exam Solved Questions & Answers Verified 100% Graded
A+
The nurse is reviewing information with a patient about the normal anatomy
and physiology
of the endocrine system. Which factor is inaccurate?
1. All endocrine glands are anatomically separate in location.
2. All endocrine glands function independently of each other.
3. Most hormone levels are regulated by a negative feedback system.
4. Each hormone is secreted in response to a specific stimulus.
2. All endocrine glands function independently of each other.
he nurse is researching information for a patient newly diagnosed with
diabetes mellitus. The nurse wants to present the responses by hormones
other than insulin. Which information does the nurse avoid?
1. Growth hormones (GHs) secreted by the anterior pituitary play a part in
glucose regulation.
2. Growth hormone-releasing hormone (GHRH) is secreted during
hypoglycemia or when there is a high blood level of amino acids.
3. GH and growth hormone-inhibiting hormone (GHIH) are secreted to maintain
blood glucose levels and metabolism rates are normal.
4. GHIH is secreted during hyperglycemia when carbohydrates are available
for energy production.
3. GH and growth hormone-inhibiting hormone (GHIH) are secreted to maintain
blood glucose levels and metabolism rates are normal.
An older adult patient is experiencing a reduction in energy. Which comment
by the nurse is most appropriate?
1. "Mild diabetes often develops with age; I'll see about checking your blood
sugar."
, Page 2 of 53
2. "Your tiredness is because your body increases the release of growth
hormone as
you age."
3. "Aging causes the basal metabolic rate to change, and it's often normal to
have
less energy."
4. "A decrease in parathyroid hormone secretion occurs with age, and that can
make
you feel tired."
3. "Aging causes the basal metabolic rate to change, and it's often normal to have
less energy."
After reviewing the patient's medical record, the nurse plans to perform a
physical examination. Which finding will change the usual process of physical
examination?
1. The patient had surgery for a goiter.
2. The patient is being treated for diabetes mellitus.
3. The patient has elevated thyroid hormones.
4. The patient is diagnosed with a posterior pituitary tumor
3. The patient has elevated thyroid hormones.
The HCP prescribes a 24-hour urine specimen for cortisol. The patient is
incontinent. Which
method will the nurse use to collect the specimen?
1. Place the patient on a bedpan every half hour during the test.
2. Obtain an order for an indwelling catheter for the duration of the test.
3. Review the use of the nurse call light and have the patient indicate a need to
void.
4. Place a bedside commode in a position to enable the patient to make a safe
transfer.
2. Obtain an order for an indwelling catheter for the duration of the test.
The nurse is providing care for a patient diagnosed with posterior pituitary
tumor resulting in oversecretion of hormones. Which manifestation of this
disorder will the nurse expect?
1. Significant increase in urinary output
2. Notable increase in blood pressure
, Page 3 of 53
3. Physical indications of dehydration
4. Severe blood loss associated with injury
2. Notable increase in blood pressure
The nurse is providing care for a patient diagnosed with type 2 diabetes
mellitus. Which information will the nurse give the patient about the response
of the pancreas to hypoglycemia?
1. Pancreatic alpha cells are stimulated to inhibit insulin.
2. Pancreatic beta cells are stimulated to move glucose from cells.
3. Pancreatic alpha cells are stimulated to release glucagon.
4. Pancreatic beta cells are stimulated to decrease insulin.
3. Pancreatic alpha cells are stimulated to release glucagon.
The nurse is assisting with care to a patient who underwent surgery for
removal of the thyroid gland. Which symptom contradicts a possible
complication of the surgery?
1. Decreased calcium in blood
2. Prolonged clotting time
3. Decreased calcitonin levels
4. Hyperactive bowel sounds
4. Hyperactive bowel sounds
The licensed practical nurse/licensed vocational nurse (LPN/LVN) is assisting
with the physical examination of a patient in the HCP's office. Which physical
examination does the LPN/LVN perform?
1. Observe for abnormal physical characteristics.
2. Palpation of the flank for adrenal gland disorders.
3. Gently palpate the thyroid gland for enlargement.
4. Percuss the abdomen to validate normal pancreas size.
1. Observe for abnormal physical characteristics.
A client is identified with a thyroid disorder resulting in hormone deficiency.
The HCP prescribes a stimulation test. Which process does the nurse expect
for the test?
1. The patient will drink a contrast medium.
2. Hormone measurements will occur after a meal.
3. A substance will be injected into the patient.
4. The patient is evaluated after monitored exercise.
, Page 4 of 53
3. A substance will be injected into the patient.
A patient is diagnosed with adrenal gland dysfunction and is scheduled for a
24-hour urine test. Which action by the nurse in regard to the test is incorrect?
1. The test is complete when the last voiding is collected.
2. The first morning urine sample is retained for testing.
3. The test will need to be restarted if a urine sample is missed.
4. Urine samples are collected immediately after voiding.
The nurse is preparing a patient to undergo a suppression test to verify
adrenal cortex dysfunction. Which reply will the nurse make when the client
asks about the expected test procedure?
1. "You will be injected with an adrenal stimulant to see how the adrenal
glands work."
2. "You will be injected with a steroid hormone that should suppress cortisol
release."
3. "A failure of adrenal cortex function is indicated by a low blood cortisol
level."
4. "You will be injected with epinephrine to stimulate your metabolic
functions."
2. "You will be injected with a steroid hormone that should suppress cortisol release."
The nurse is preparing a patient for a thyroid scan to rule out thyroid cancer.
Which instruction does the nurse give the patient prior to the testing?
1. Do not leave the area after the radioactive material is injected.
2. Collect all urine for 4 hours so it can be evaluated for radiation.
3. Use the bathroom before the scanning part of the test is performed.
4. Multiple series of x-rays will be taken over a period of 2 hours.
3. Use the bathroom before the scanning part of the test is performed.
The nurse receives information that an assigned patient is scheduled for an
ultrasound of an endocrine gland. Which instruction does the nurse give the
patient?
1. Wear clothing with an elastic waistband.
Remain NPO for 12 hours prior to testing.
Do not wear a tight or high-necked shirt.
Wash hair with antimicrobial shampoo.
1. Wear clothing with an elastic waistband.
