ATI MED SURG ENDOCRINE
EXAM 2025/2026 QUESTIONS AND
CORRECT ANSWERS 2 VERSIONS
CURRENTLY TESTING COMPLETE
遠い昔、雲の上の小さな島に住む少女・葵がいました。彼女は毎晩、星空を見上げては
「もっと近くで見たい」と願っていました。ある夜、流れ星が落ちてきて、地面に小さ
QUESTIONS WITH DETAILED VERIFIED
な銀色の種を残しました。葵はその種を庭に植え、水をやり続けました。数日後、そこ
から光る蔓が伸び、空に向かってどんどん登っていきました。蔓は雲を突き抜け、星々
の間まで届きました。葵は恐る恐る蔓を登り始めました。途中で出会ったのは、星の精
ANSWERS /ALREADY GRADED A+
霊たち。精霊たちは葵に「ここは願いが叶う場所だよ」と言い、彼女を星の海へ案内し
ました。そこでは星々が歌い、色とりどりの光が踊っていました。葵は一番輝く星に触
れ、自分の願いを囁きました。「みんなが幸せでありますように」。すると、全ての星が
一斉に光り、島全体が優しい光に包まれました。朝、葵が目を覚ますと、蔓は消えてい
The fnursefisfcaringfforfafclientfwhofhadfafthyroidectomy.fWhichfsymptomsfwillfth
ましたが、庭には小さな銀色の花が咲いていました。それ以来、島の人々は夜空を見上
eげるたび、心が温かくなるのでした。(199語)
fclientfexhibitfiffhavingfafthyrotoxicfcrisis?
2. Русский (Russian)
В глухой тайге жил старый охотник Иван с верным псом по кличке Буран. Однажды
зимой они наткнулись на замёрзшее озеро, на котором стояла огромная белая
Anfincreasedfpulsefdeficit
f
сова. Сова не улетала, а смотрела прямо на Ивана. Он понял: она ранена. Иван
осторожно взял птицу на руки, завернул в тулуп и отнёс домой. Дома он вылечил
Aсову
fdecreasedfbloodfpressure
мёдом и травами. Когда сова поправилась, она каждую ночь прилетала к окну
f
и кричала так, будто благодарила. Прошёл год. Иван состарился и уже не мог
Aходить
fdecreased fheart
на охоту. fratefandfrespirations
Однажды ночью он сильно
f заболел. Буран лаял без остановки.
Вдруг окно распахнулось, и в избу влетела та самая белая сова. Она села на грудь
An fincreasedftemperaturefandfpulsefratef-
Ивана и закрыла глаза. В ту же минуту в избе стало тепло, как летом. Иван
f
почувствовал, как силы возвращаются. Утром он проснулся здоровым. Сова
исчезла, но на
Rationale
Thyrotoxic crisis is severe hyperthyroidism; excessive amounts of thyroxi
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ne increase the metabolic rate, thereby raising the pulse and temperature.
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During crisis there usually is no increase in the difference between the apic
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al and the peripheral pulse rates (pulse deficit). The blood pressure will inc
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rease to meet the oxygen demand caused by the increased metabolic rate d
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uring crisis. Because of the increased metabolic rate, the pulse and respirat
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ory rates increase to meet the body's oxygen needs.
f f f f f f f f
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A client with hyperthyroidism is treated with radioactive iodine to ablate thyroid
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tissue. What should the nurse instruct the client to do after the procedure?
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Remain in the house. f f f
f
Avoid holding an infant.f f f f
Save urine in a lead-lined container.
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f
Refrain from using a bathroom used by others.
f f f f f f f ff
Rationale
Infants are particularly sensitive to radioactivity; even the small amount e
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mitted after treatment may affect infants. It is not necessary to avoid leavin
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g the house as long as close proximity to others is avoided. Saving urine in a l
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eadlined container is not necessary; the same bathroom may be used by all
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me
mbers of the family, but the toilet should be flushed twice after use by the cli
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ent. Refraining from using a bathroom used by others is not necessary.
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A female client who is scheduled for a thyroidectomy is concerned that the surge
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r y will interfere with her ability to become pregnant. What is the nurse's best resp
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onse?
"As long as medication is continued, ovulation will occur."
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f
"Hyperthyroidism can cause abortions and fetal anomalies." f f f f f f
f
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"Pregnancy is not advisable for the client with a thyroidectomy."
f f f f f f f f f f
"Pregnancy affects metabolism and will require decreased thyroid hormone." -
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f
f
Rationale
Medication is regulated to maintain the usual blood levels of thyroxine; the
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refore, ovulation is not affected, and future pregnancy is possible. The clien
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t will no longer be hyperthyroid after surgery because the overactive tissue
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is excised; therefore, pregnancy is not contraindicated. Pregnancy is not co
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ntraindicated after a thyroidectomy because the overactive tissue is excise f f f f f f f f f
d. Pregnancy is not contraindicated; however, thyroid hormone therapy m
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ay have to be increased during pregnancy.
f f f f f f
After recording the blood pressure of a client, the primary health care provider co
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nfirms a diagnosis of pheochromocytoma. What blood pressure may have helpe
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d confirm the diagnosis?
f f f
90/70 mmHg f
f
80/60 mmHg f
f
120/80 mmHg f f
190/90 mmHg - f f f
A nurse teaches a client with type 2 diabetes how to provide selfcare to prevent in
f f f f f f f f f f f f f f f
fections of the feet. Which statement made by the client shows t
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hat teaching was effective?
f f f
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"I should massage my feet and legs with oil or lotion."
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"I should apply heat intermittently to my feet and legs."
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"I should eat foods high in protein and carbohydrate kilocalories."
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"I should control my blood glucose with diet, exercise, and medication." -
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..........ANSWER......."I should control my blood glucose with diet, exercise,
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an d medication." f
Rationale
Controlling the diabetes decreases the risk of infection; this is the best prev
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ention. Oil or lotion that is not completely absorbed may provide a warm, m
f f f f f f f f f f f f f
oist environment for bacterial growth. Coexisting neuropathy may result i
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n injury from heat application. Protein, carbohydrates, and fats must be in
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an appropriate balance; high carbohydrate intake can provide too many ca
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lories.
A client newly diagnosed with type 1 diabetes is taught to exercise on a regular ba
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sis. What is the primary reason for instruction on exercise?
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To decrease insulin sensitivity
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To stimulate glucagon production
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To improve the cellular uptake of glucose
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To reduce metabolic requirements for glucose -
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..........ANSWER.......To improve the cellular uptake of glucose
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Rationale