ATI COMPLEX ENDOCRINE EXAMINATION TEST
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ SIADH & ADH. Answer: Too much antidiuretic hormone (ADH)
◉ DI Manifestations. Answer: - Polyuria - Urine output 5-20 L/day
- Polydipsia - Drinking 4-30 L/day
- Dehydration - Poor skin turgor, dry mucous membranes, hypotension,
tachycardia, wt. loss, headache, dizziness, constipation
- Hypovolemic shock - hypotension, tachycardia, decreased CO,
decreased cerebral perfusion
◉ SIADH Manifestations. Answer: - Oliguria - excretion of Na+,
reabsorption of water
- Fluid volume excess - wt gain w/o edema, crackles, distended neck
veins, taut skin, tachycardia, HTN
- Early manifestations - headache, weakness, anorexia, muscle cramps,
wt gain
- Late manifestations - personality changes, hostility, decreased deep-
tendon reflexes, n&v, diarrhea, confusion, lethargy, Cheyne-Stokes
respirations, seizures, coma, death
,◉ DI (Urine & Serum Concentration). Answer: URINE
DILUTE/SERUM CONCENTRATED
Urine
• Specific gravity less than 1.005
• Low osmolality (50-200 mOsm/kg)
• Decreased pH
• Decreased urine sodium
• Decreased urine potassium
Serum
• Increased serum osmolality (greater than 295 mOsm/kg)
• Increased serum sodium
• Increased serum potassium
• Serum Na+ & K+ are high only because serum is concentrated
◉ SIADH (Urine & Serum Concentration). Answer: URINE
CONCENTRATED/SERUM DILUTE
Urine
• Specific gravity greater than 1.025
, • High osmolality (greater than 295 mOsm/kg)
• Increased urine sodium
• Increased urine potassium
Serum
• Decreased serum osmolality (less than 270 mOsm/kg)
• Decreased serum sodium
• Decreased serum potassium
◉ Most definitive test for Addison's disease. Answer: ACTH stimulation
test
◉ PTU is given to suppress the thyroid hormone. Tx goals have been
met when client reports.... Answer: An increase in weight
(Note: Will also cause decrease in sweat, stool, and appetite)
◉ Before intranasal adm of desmopressin acetate (DDAVP), the nurse
should instruct the client to do this. Answer: Prior to adm of this med,
blow nose gently
◉ Side effects of long term corticosteroid therapy include.... Answer:
Osteoporosis (depletion of calcium), development of moon-shaped face
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ SIADH & ADH. Answer: Too much antidiuretic hormone (ADH)
◉ DI Manifestations. Answer: - Polyuria - Urine output 5-20 L/day
- Polydipsia - Drinking 4-30 L/day
- Dehydration - Poor skin turgor, dry mucous membranes, hypotension,
tachycardia, wt. loss, headache, dizziness, constipation
- Hypovolemic shock - hypotension, tachycardia, decreased CO,
decreased cerebral perfusion
◉ SIADH Manifestations. Answer: - Oliguria - excretion of Na+,
reabsorption of water
- Fluid volume excess - wt gain w/o edema, crackles, distended neck
veins, taut skin, tachycardia, HTN
- Early manifestations - headache, weakness, anorexia, muscle cramps,
wt gain
- Late manifestations - personality changes, hostility, decreased deep-
tendon reflexes, n&v, diarrhea, confusion, lethargy, Cheyne-Stokes
respirations, seizures, coma, death
,◉ DI (Urine & Serum Concentration). Answer: URINE
DILUTE/SERUM CONCENTRATED
Urine
• Specific gravity less than 1.005
• Low osmolality (50-200 mOsm/kg)
• Decreased pH
• Decreased urine sodium
• Decreased urine potassium
Serum
• Increased serum osmolality (greater than 295 mOsm/kg)
• Increased serum sodium
• Increased serum potassium
• Serum Na+ & K+ are high only because serum is concentrated
◉ SIADH (Urine & Serum Concentration). Answer: URINE
CONCENTRATED/SERUM DILUTE
Urine
• Specific gravity greater than 1.025
, • High osmolality (greater than 295 mOsm/kg)
• Increased urine sodium
• Increased urine potassium
Serum
• Decreased serum osmolality (less than 270 mOsm/kg)
• Decreased serum sodium
• Decreased serum potassium
◉ Most definitive test for Addison's disease. Answer: ACTH stimulation
test
◉ PTU is given to suppress the thyroid hormone. Tx goals have been
met when client reports.... Answer: An increase in weight
(Note: Will also cause decrease in sweat, stool, and appetite)
◉ Before intranasal adm of desmopressin acetate (DDAVP), the nurse
should instruct the client to do this. Answer: Prior to adm of this med,
blow nose gently
◉ Side effects of long term corticosteroid therapy include.... Answer:
Osteoporosis (depletion of calcium), development of moon-shaped face
