RN ATI TARGETED MEDICAL SURGICAL
ENDOCRINE EXAM SCRIPT 2026 QUESTIONS
AND SOLUTIONS COMPREHENSIVE STUDY
SHEET FULL PRACTICE SET 209
◉ A nurse is assessing a client who has syndrome of inappropriate
antidiuretic hormone (SIADH). Which of the following findings
should the nurse report to the provider?
- Sodium 110 mEq/L
- 2+ deep tendon reflexes
- Potassium 3.7 mEq/L
- Urine specific gravity 1.025.
Answer: Sodium 110 mEq/L
Rationale: A client who has SIADH retains fluids, which causes
dilutional hyponatremia.
RATIONALES:
,2+ deep tendon reflexes
- Deep tendon reflexes of 2+ is an expected response. Clients who
have SIADH experience hyperactive deep tendon reflexes of 3+ or 4+.
Potassium 3.7 mEq/L
- The potassium level is within the expected reference range of 3.5 to
5 mEq/L.
Urine specific gravity 1.025
- The urine specific gravity is within the expected reference range of
1.005 to 1.030.
◉ A nurse is assessing a client who has diabetes insipidus. The
nurse should expect which of the following findings?
- Decreased heart rate
- Increased hematocrit
- High urine specific gravity
- Low BUN level.
Answer: Increased hematocrit
Rationale: Increased hematocrit is an expected finding of diabetes
insipidus due to dehydration.
,RATIONALES:
Decreased heart rate
- Tachycardia is an expected finding of diabetes insipidus.
High urine specific gravity
- Increased urine output leads to diluted urine and a low urine
specific gravity.
Low BUN level
- An increased BUN level is an expected finding of diabetes insipidus
due to dehydration.
◉ A nurse caring for a client who has diabetes mellitus and has
developed peripheral neuropathy. Which of the following measures
should the nurse recommend to prevent injuries to the client's feet?
- Examine the skin of the feet weekly for alterations in skin integrity
- Monitor the temperature of bath water with a thermostat
- Shop for shoes early in the day
- Round the edges of toenails when trimming them.
, Answer: Monitor the temperature of bath water with a thermostat
Rationale: Peripheral neuropathy makes it difficult to determine if
bath water is too hot. Therefore, to prevent injury, the client should
use a bath thermometer to ensure a water temperature below 43.3 C
(110 F)
RATIONALES:
Examine the skin of the feet weekly for alterations in skin integrity
- The client should examine the skin of the feet daily.
Shop for shoes early in the day
- To make sure they fit, the client should shop for shoes later in the
day when the feet are likely to have slight swelling.
Round the edges of toenails when trimming them
- The client should trim toenails straight across and smooth the
edges with an emery board.
ENDOCRINE EXAM SCRIPT 2026 QUESTIONS
AND SOLUTIONS COMPREHENSIVE STUDY
SHEET FULL PRACTICE SET 209
◉ A nurse is assessing a client who has syndrome of inappropriate
antidiuretic hormone (SIADH). Which of the following findings
should the nurse report to the provider?
- Sodium 110 mEq/L
- 2+ deep tendon reflexes
- Potassium 3.7 mEq/L
- Urine specific gravity 1.025.
Answer: Sodium 110 mEq/L
Rationale: A client who has SIADH retains fluids, which causes
dilutional hyponatremia.
RATIONALES:
,2+ deep tendon reflexes
- Deep tendon reflexes of 2+ is an expected response. Clients who
have SIADH experience hyperactive deep tendon reflexes of 3+ or 4+.
Potassium 3.7 mEq/L
- The potassium level is within the expected reference range of 3.5 to
5 mEq/L.
Urine specific gravity 1.025
- The urine specific gravity is within the expected reference range of
1.005 to 1.030.
◉ A nurse is assessing a client who has diabetes insipidus. The
nurse should expect which of the following findings?
- Decreased heart rate
- Increased hematocrit
- High urine specific gravity
- Low BUN level.
Answer: Increased hematocrit
Rationale: Increased hematocrit is an expected finding of diabetes
insipidus due to dehydration.
,RATIONALES:
Decreased heart rate
- Tachycardia is an expected finding of diabetes insipidus.
High urine specific gravity
- Increased urine output leads to diluted urine and a low urine
specific gravity.
Low BUN level
- An increased BUN level is an expected finding of diabetes insipidus
due to dehydration.
◉ A nurse caring for a client who has diabetes mellitus and has
developed peripheral neuropathy. Which of the following measures
should the nurse recommend to prevent injuries to the client's feet?
- Examine the skin of the feet weekly for alterations in skin integrity
- Monitor the temperature of bath water with a thermostat
- Shop for shoes early in the day
- Round the edges of toenails when trimming them.
, Answer: Monitor the temperature of bath water with a thermostat
Rationale: Peripheral neuropathy makes it difficult to determine if
bath water is too hot. Therefore, to prevent injury, the client should
use a bath thermometer to ensure a water temperature below 43.3 C
(110 F)
RATIONALES:
Examine the skin of the feet weekly for alterations in skin integrity
- The client should examine the skin of the feet daily.
Shop for shoes early in the day
- To make sure they fit, the client should shop for shoes later in the
day when the feet are likely to have slight swelling.
Round the edges of toenails when trimming them
- The client should trim toenails straight across and smooth the
edges with an emery board.
