ATI Endocrine Disorders Exam Guide Newest 2026
Questions and Correct Detailed Answers Already
Graded A+
after having a thyroidectomy, a PT has tingling around the mouth and toes along
with muscle twitching. what does this indicate to the nurse? what should the
nurse administer? - CORRECT ANSWER-hypocalcemia! should administer
calcium gluconate or calcium chloride
a client, following a thyroidectomy, has 50 mL of drainage within the first 24
hours. Is this normal or not? - CORRECT ANSWER-normal. (but after 24 hours
drainage should be scant)
examples of precipitating factors to thyroid crisis - CORRECT ANSWER-
infection, trauma, surgery, emotional distress, DKA, digitalis toxicity = all of which
increase demands on metabolism
symptoms of thyroid crisis - CORRECT ANSWER-extreme symptoms of
hyperthyroidism: hyperthermia, HTN, delirium, vomiting, ab pain, hyperglycemia,
tachydysrhythmias. Additional findings only to thyroid crisis include chest pain,
palpitations, dyspnea.
,how to treat a person with thyroid storm - CORRECT ANSWER-maintain
airway, cardiac monitoring, give acetaminophen to lower temp, thioamides,
propranolol, glucocorticoids to treat shock, give IV fluids to hydrate and prevent
vascular collapse, small doses of insulin to treat hyperglycemia, oxygen therapy,
and education
what type of antipyretics are contraindicated for a person in thyroid storm? -
CORRECT ANSWER-salicylate (NSAIDs) because they increase thyroxine levels
(so do not give aspirin or ibuprofen!)
in Graves disease, will TSH levels be low or high? - CORRECT ANSWER-low
(thyroid stimulating hormone levels will decrease when thyroid hormone levels
are elevated)
what is primary hypothyroidism? what causes it? - CORRECT ANSWER-
dysfunction of the thyroid gland - caused by disease such as Hashimoto's or loss
of the thyroid gland itself (iodine deficiency, radioactive iodine treatment,
surgery...)
secondary hypothyroidism is what? - CORRECT ANSWER-when the anterior
pituitary gland fails to stimulate the thyroid gland to make hormones
, tertiary hypothyroidism is what? - CORRECT ANSWER-the inability of the
hypothalamus to produce thyroid-releasing factor
what is cretinism - CORRECT ANSWER-the state of severe hypothyroidism
found in infants (results in skeletal and CNS inhibition resulting in retardation
cognitively or physically)
the posterior pituitary secretes what hormone? what is the action of this
hormone? - CORRECT ANSWER-vasopressin aka ADH. This hormone increases
permeability of the renal tubules, causing water reabsorption.
a deficiency of ADH (vasopressin) causes what endocrine disorder? - CORRECT
ANSWER-diabetes insipidus
diabetes insipidus is characterized by what? - CORRECT ANSWER-the excretion
of a large quantity of diluted urine, excessive thirst, and excessive fluid intake!
excessive ADH secretion causes the syndrome of inappropriate ADH syndrome
(SIADH). What are common manifestations of this? - CORRECT ANSWER-
concentrated urine, decreased UO, increased extracellular fluid volume
Questions and Correct Detailed Answers Already
Graded A+
after having a thyroidectomy, a PT has tingling around the mouth and toes along
with muscle twitching. what does this indicate to the nurse? what should the
nurse administer? - CORRECT ANSWER-hypocalcemia! should administer
calcium gluconate or calcium chloride
a client, following a thyroidectomy, has 50 mL of drainage within the first 24
hours. Is this normal or not? - CORRECT ANSWER-normal. (but after 24 hours
drainage should be scant)
examples of precipitating factors to thyroid crisis - CORRECT ANSWER-
infection, trauma, surgery, emotional distress, DKA, digitalis toxicity = all of which
increase demands on metabolism
symptoms of thyroid crisis - CORRECT ANSWER-extreme symptoms of
hyperthyroidism: hyperthermia, HTN, delirium, vomiting, ab pain, hyperglycemia,
tachydysrhythmias. Additional findings only to thyroid crisis include chest pain,
palpitations, dyspnea.
,how to treat a person with thyroid storm - CORRECT ANSWER-maintain
airway, cardiac monitoring, give acetaminophen to lower temp, thioamides,
propranolol, glucocorticoids to treat shock, give IV fluids to hydrate and prevent
vascular collapse, small doses of insulin to treat hyperglycemia, oxygen therapy,
and education
what type of antipyretics are contraindicated for a person in thyroid storm? -
CORRECT ANSWER-salicylate (NSAIDs) because they increase thyroxine levels
(so do not give aspirin or ibuprofen!)
in Graves disease, will TSH levels be low or high? - CORRECT ANSWER-low
(thyroid stimulating hormone levels will decrease when thyroid hormone levels
are elevated)
what is primary hypothyroidism? what causes it? - CORRECT ANSWER-
dysfunction of the thyroid gland - caused by disease such as Hashimoto's or loss
of the thyroid gland itself (iodine deficiency, radioactive iodine treatment,
surgery...)
secondary hypothyroidism is what? - CORRECT ANSWER-when the anterior
pituitary gland fails to stimulate the thyroid gland to make hormones
, tertiary hypothyroidism is what? - CORRECT ANSWER-the inability of the
hypothalamus to produce thyroid-releasing factor
what is cretinism - CORRECT ANSWER-the state of severe hypothyroidism
found in infants (results in skeletal and CNS inhibition resulting in retardation
cognitively or physically)
the posterior pituitary secretes what hormone? what is the action of this
hormone? - CORRECT ANSWER-vasopressin aka ADH. This hormone increases
permeability of the renal tubules, causing water reabsorption.
a deficiency of ADH (vasopressin) causes what endocrine disorder? - CORRECT
ANSWER-diabetes insipidus
diabetes insipidus is characterized by what? - CORRECT ANSWER-the excretion
of a large quantity of diluted urine, excessive thirst, and excessive fluid intake!
excessive ADH secretion causes the syndrome of inappropriate ADH syndrome
(SIADH). What are common manifestations of this? - CORRECT ANSWER-
concentrated urine, decreased UO, increased extracellular fluid volume
