NR 325 Exam 1 ATI Practice
(Endocrine) Questions and
Answers; Chamberlain
Course
ATI Practice Questions/Endocrine
1. A nurse is caring for a client diagnosed with hypothyroidism. Which assessment finding
should the nurse expect?
A. Weight loss
B. Heat intolerance
C. Bradycardia
D. Exophthalmos
Answer: C. Bradycardia
Rationale:
Hypothyroidism slows metabolic processes, leading to bradycardia, weight gain, fatigue, cold
intolerance, and constipation.
2. A client with hyperthyroidism is prescribed methimazole. Which laboratory value should
the nurse monitor closely?
A. Hemoglobin
B. White blood cell count
C. Platelet count
D. Calcium level
Answer: B. White blood cell count
Rationale:
Methimazole can cause agranulocytosis, making monitoring of WBC counts essential to detect
infection risk.
3. A nurse is teaching a client who has diabetes mellitus about signs of hypoglycemia.
Which manifestation should the nurse include?
A. Fruity breath odor
B. Warm, dry skin
C. Tremors and diaphoresis
D. Deep respirations
,Answer: C. Tremors and diaphoresis
Rationale:
Hypoglycemia activates the sympathetic nervous system, causing shakiness, sweating,
tachycardia, and hunger.
4. A client with diabetes mellitus becomes confused and diaphoretic. The bedside glucose
reading is 52 mg/dL. What is the nurse's priority action?
A. Administer regular insulin
B. Provide 15 g of fast-acting carbohydrate
C. Restrict fluids
D. Administer glucagon IM immediately
Answer: B. Provide 15 g of fast-acting carbohydrate
Rationale:
A conscious client with hypoglycemia should receive 15 g of a rapid-acting carbohydrate, such
as glucose tablets or juice.
5. A nurse is caring for a client with Syndrome of Inappropriate Antidiuretic Hormone
(SIADH). Which finding should the nurse expect?
A. Polyuria
B. Hypernatremia
C. Weight gain
D. Dehydration
Answer: C. Weight gain
Rationale:
SIADH causes water retention, leading to weight gain, dilutional hyponatremia, and decreased
urine output.
6. Which assessment finding is characteristic of Diabetes Insipidus?
A. Decreased urine output
B. Polyuria and polydipsia
C. Fluid retention
D. Hypertension
Answer: B. Polyuria and polydipsia
, Rationale:
Diabetes insipidus results from insufficient ADH activity, causing excessive urine output and
intense thirst.
7. A nurse is caring for a client experiencing an Addisonian crisis. Which medication should
the nurse anticipate administering?
A. Levothyroxine
B. Desmopressin
C. Hydrocortisone
D. Methimazole
Answer: C. Hydrocortisone
Rationale:
Addisonian crisis is a medical emergency caused by insufficient cortisol. Rapid corticosteroid
replacement is required.
8. A client with Cushing's syndrome is assessed by the nurse. Which manifestation is
expected?
A. Weight loss
B. Moon face
C. Hyperpigmentation
D. Hypotension
Answer: B. Moon face
Rationale:
Excess cortisol causes characteristic features such as moon face, buffalo hump, central obesity,
and hyperglycemia.
9. A nurse is teaching a client about levothyroxine therapy. Which statement by the client
indicates understanding?
A. "I will stop taking the medication when I feel better."
B. "I should take this medication with calcium supplements."
C. "I will take this medication in the morning on an empty stomach."
D. "I should take this medication at bedtime with food."
Answer: C. "I will take this medication in the morning on an empty stomach."
(Endocrine) Questions and
Answers; Chamberlain
Course
ATI Practice Questions/Endocrine
1. A nurse is caring for a client diagnosed with hypothyroidism. Which assessment finding
should the nurse expect?
A. Weight loss
B. Heat intolerance
C. Bradycardia
D. Exophthalmos
Answer: C. Bradycardia
Rationale:
Hypothyroidism slows metabolic processes, leading to bradycardia, weight gain, fatigue, cold
intolerance, and constipation.
2. A client with hyperthyroidism is prescribed methimazole. Which laboratory value should
the nurse monitor closely?
A. Hemoglobin
B. White blood cell count
C. Platelet count
D. Calcium level
Answer: B. White blood cell count
Rationale:
Methimazole can cause agranulocytosis, making monitoring of WBC counts essential to detect
infection risk.
3. A nurse is teaching a client who has diabetes mellitus about signs of hypoglycemia.
Which manifestation should the nurse include?
A. Fruity breath odor
B. Warm, dry skin
C. Tremors and diaphoresis
D. Deep respirations
,Answer: C. Tremors and diaphoresis
Rationale:
Hypoglycemia activates the sympathetic nervous system, causing shakiness, sweating,
tachycardia, and hunger.
4. A client with diabetes mellitus becomes confused and diaphoretic. The bedside glucose
reading is 52 mg/dL. What is the nurse's priority action?
A. Administer regular insulin
B. Provide 15 g of fast-acting carbohydrate
C. Restrict fluids
D. Administer glucagon IM immediately
Answer: B. Provide 15 g of fast-acting carbohydrate
Rationale:
A conscious client with hypoglycemia should receive 15 g of a rapid-acting carbohydrate, such
as glucose tablets or juice.
5. A nurse is caring for a client with Syndrome of Inappropriate Antidiuretic Hormone
(SIADH). Which finding should the nurse expect?
A. Polyuria
B. Hypernatremia
C. Weight gain
D. Dehydration
Answer: C. Weight gain
Rationale:
SIADH causes water retention, leading to weight gain, dilutional hyponatremia, and decreased
urine output.
6. Which assessment finding is characteristic of Diabetes Insipidus?
A. Decreased urine output
B. Polyuria and polydipsia
C. Fluid retention
D. Hypertension
Answer: B. Polyuria and polydipsia
, Rationale:
Diabetes insipidus results from insufficient ADH activity, causing excessive urine output and
intense thirst.
7. A nurse is caring for a client experiencing an Addisonian crisis. Which medication should
the nurse anticipate administering?
A. Levothyroxine
B. Desmopressin
C. Hydrocortisone
D. Methimazole
Answer: C. Hydrocortisone
Rationale:
Addisonian crisis is a medical emergency caused by insufficient cortisol. Rapid corticosteroid
replacement is required.
8. A client with Cushing's syndrome is assessed by the nurse. Which manifestation is
expected?
A. Weight loss
B. Moon face
C. Hyperpigmentation
D. Hypotension
Answer: B. Moon face
Rationale:
Excess cortisol causes characteristic features such as moon face, buffalo hump, central obesity,
and hyperglycemia.
9. A nurse is teaching a client about levothyroxine therapy. Which statement by the client
indicates understanding?
A. "I will stop taking the medication when I feel better."
B. "I should take this medication with calcium supplements."
C. "I will take this medication in the morning on an empty stomach."
D. "I should take this medication at bedtime with food."
Answer: C. "I will take this medication in the morning on an empty stomach."
