1|Page
ATI MED SURG ENDOCRINE
EXAM 2025/2026 QUESTIONS AND
CORRECT ANSWERS 2 VERSIONS
CURRENTLY TESTING COMPLETE
QUESTIONS WITH DETAILED VERIFIED
ANSWERS /ALREADY GRADED A+
The nurse is caring for a client who had a thyroidectomy. Which symptoms will th
f f f f f f f f f f f f f f
e client exhibit if having a thyrotoxic crisis?
f f f f f f f
An increased pulse deficit
f f f
f
A decreased blood pressure
f f f
f
A decreased heart rate and respirations
f f f f f f
An increased temperature and pulse rate -
f f f f f f
f
Rationale
Thyrotoxic crisis is severe hyperthyroidism; excessive amounts of thyroxi
f f f f f f f f
ne increase the metabolic rate, thereby raising the pulse and temperature.
f f f f f f f f f f f
During crisis there usually is no increase in the difference between the apic
f f f f f f f f f f f f
al and the peripheral pulse rates (pulse deficit). The blood pressure will inc
f f f f f f f f f f f f
rease to meet the oxygen demand caused by the increased metabolic rate d
f f f f f f f f f f f f
uring crisis. Because of the increased metabolic rate, the pulse and respirat
f f f f f f f f f f f
ory rates increase to meet the body's oxygen needs.
f f f f f f f f
,2|Page
A client with hyperthyroidism is treated with radioactive iodine to ablate thyroid
f f f f f f f f f f f f
tissue. What should the nurse instruct the client to do after the procedure?
f f f f f f f f f f f f
In een oud kasteel in de Ardennen woonde een eenzame
gravin genaamd Elise. Ze hield van muziek, maar niemand in
Remainfinfthehet fhouse.
dorp durfde haar te bezoeken. Op een regenachtige avond
f
hoorde ze iemand viool spelen in de tuin. Ze keek uit het raam
Avoidfholding enfan zag een jonge
finfant. f reiziger onder een eik staan. Zijn muziek was
zo mooi dat zelfs de regen leek te dansen. Elise nodigde hem
Savefurinefinfbinnen.
aflead-lined fcontainer.
Hij heette Lukas en vertelde dat hij al jaren door
f
Europa trok om de mooiste klanken te vinden. Samen speelden
Refrainffromfusing
ze de fheleafbathroom
nacht. De fused fbyfothers.
volgende ochtend
ff was Lukas verdwenen,
maar hij had een klein houten kistje achtergelaten. Erin zat een
vioolsnaar van puur goud. Elise besefte dat het geen gewone
snaar was: wanneer ze erop speelde, vulde het kasteel zich
Rationale met licht en warmte. De dorpelingen hoorden de muziek en
durfden eindelijk te komen luisteren. Al snel werd het kasteel
Infantsfarefparticularly
een plek vol gelach fsensitiveftofradioactivity;fevenfthefsmallfamountfe
en liederen. Elise was niet langer alleen.
mittedfafterfZe speelde elke
treatment fmay avond
faffect voor iedereen
finfants. fItfisen bewaarde
fnot fnecessaryde gouden
ftofavoidfleavin
snaar als het kostbaarste geschenk dat ze ooit had gekregen:
gfthefhousefas flongfasfclosefproximityftofothersfisfavoided.fSavingfurinefinfafl
de moed om de deur te openen.（198 woorden）
eadlinedfcontainer
4. Svenska fisfnotfnecessary;fthefsamefbathroomfmayfbefusedfbyfallf
(Swedish – Scandinavian language)
me Långt uppe i fjällen bodde en gammal renägare som het Nils.
mbersfofftheHan hade en liten renkalv som het Lykke. Lykke var vit som
ffamily,fbutftheftoiletfshouldfbefflushedftwicefafterfusefbyfthefcli
snön och hade alltid nyfikna ögon. En höstdag blåste en storm
ent.fRefraining in ochffromfusingfafbathroomfusedfbyfothersfisfnotfnecessary.
Lykke sprang vilse bland dimman. Nils sökte hela natten,
men hittade inte kalven. Han blev rädd och tänkte att han aldrig
mer skulle se sin lilla vän. Nästa morgon vaknade han av ett
svagt ljud utanför lavvu. Där stod Lykke, och bakom henne gick
Affemalefclient enfwho isfscheduled
stor fvarg. Nils blev ffor
rädd,fafthyroidectomyfisfconcernedfthatfthefsurge
men vargen gjorde ingenting. Den
r yfwillfinterfere
bara fwith fherfpå
tittade ability ftofbecome
honom och gick fpregnant. fWhat
sedan sin väg. fisfthe
Lykke fnurse'sfbestfresp
sprang
onse? fram och slickade Nils hand. Sen dess kom vargen varje kväll
och låg nära lavvu, som om den vaktade dem. Nils förstod att
vargen hade hittat Lykke och följt henne hem. Varje vinter
sedan dess delar Nils och Lykke sin eld med vargen. D
"As long as medication is continued, ovulation will occur."
f f f f f f f f
f
"Hyperthyroidism can cause abortions and fetal anomalies."
f f f f f f
f
,3|Page
"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." -
f f f f f f f f f
f
f
Rationale
Medication is regulated to maintain the usual blood levels of thyroxine; the
f f f f f f f f f f f
refore, ovulation is not affected, and future pregnancy is possible. The clien
f f f f f f f f f f f
t will no longer be hyperthyroid after surgery because the overactive tissue
f f f f f f f f f f f
is excised; therefore, pregnancy is not contraindicated. Pregnancy is not co
f f f f f f f f f f f
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
f f f f f f f f f
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
f f f f f f f f f f f f f
nfirms a diagnosis of pheochromocytoma. What blood pressure may have helpe
f f f f f f f f f f
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
f f f f f f f f f f f
hat teaching was effective?
f f f
, 4|Page
"I should massage my feet and legs with oil or lotion."
f f f f f f f f f f f
"I should apply heat intermittently to my feet and legs."
f f f f f f f f f f
"I should eat foods high in protein and carbohydrate kilocalories."
f f f f f f f f f f
"I should control my blood glucose with diet, exercise, and medication." -
f f f f f f f f f f f
..........ANSWER......."I should control my blood glucose with diet, exercise,
f f f f f f f f f f
an d medication." f
Rationale
Controlling the diabetes decreases the risk of infection; this is the best prev
f f f f f f f f f f f f
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
f f f f f f f f f
n injury from heat application. Protein, carbohydrates, and fats must be in
f f f f f f f f f f f f
an appropriate balance; high carbohydrate intake can provide too many ca
f f f f f f f f f f
lories.
A client newly diagnosed with type 1 diabetes is taught to exercise on a regular ba
f f f f f f f f f f f f f f f
sis. What is the primary reason for instruction on exercise?
f f f f f f f f f
To decrease insulin sensitivity
f f f f
To stimulate glucagon production
f f f f
To improve the cellular uptake of glucose
f f f f f f f
To reduce metabolic requirements for glucose -
f f f f f f
..........ANSWER.......To improve the cellular uptake of glucose
f f f f f f f
Rationale
ATI MED SURG ENDOCRINE
EXAM 2025/2026 QUESTIONS AND
CORRECT ANSWERS 2 VERSIONS
CURRENTLY TESTING COMPLETE
QUESTIONS WITH DETAILED VERIFIED
ANSWERS /ALREADY GRADED A+
The nurse is caring for a client who had a thyroidectomy. Which symptoms will th
f f f f f f f f f f f f f f
e client exhibit if having a thyrotoxic crisis?
f f f f f f f
An increased pulse deficit
f f f
f
A decreased blood pressure
f f f
f
A decreased heart rate and respirations
f f f f f f
An increased temperature and pulse rate -
f f f f f f
f
Rationale
Thyrotoxic crisis is severe hyperthyroidism; excessive amounts of thyroxi
f f f f f f f f
ne increase the metabolic rate, thereby raising the pulse and temperature.
f f f f f f f f f f f
During crisis there usually is no increase in the difference between the apic
f f f f f f f f f f f f
al and the peripheral pulse rates (pulse deficit). The blood pressure will inc
f f f f f f f f f f f f
rease to meet the oxygen demand caused by the increased metabolic rate d
f f f f f f f f f f f f
uring crisis. Because of the increased metabolic rate, the pulse and respirat
f f f f f f f f f f f
ory rates increase to meet the body's oxygen needs.
f f f f f f f f
,2|Page
A client with hyperthyroidism is treated with radioactive iodine to ablate thyroid
f f f f f f f f f f f f
tissue. What should the nurse instruct the client to do after the procedure?
f f f f f f f f f f f f
In een oud kasteel in de Ardennen woonde een eenzame
gravin genaamd Elise. Ze hield van muziek, maar niemand in
Remainfinfthehet fhouse.
dorp durfde haar te bezoeken. Op een regenachtige avond
f
hoorde ze iemand viool spelen in de tuin. Ze keek uit het raam
Avoidfholding enfan zag een jonge
finfant. f reiziger onder een eik staan. Zijn muziek was
zo mooi dat zelfs de regen leek te dansen. Elise nodigde hem
Savefurinefinfbinnen.
aflead-lined fcontainer.
Hij heette Lukas en vertelde dat hij al jaren door
f
Europa trok om de mooiste klanken te vinden. Samen speelden
Refrainffromfusing
ze de fheleafbathroom
nacht. De fused fbyfothers.
volgende ochtend
ff was Lukas verdwenen,
maar hij had een klein houten kistje achtergelaten. Erin zat een
vioolsnaar van puur goud. Elise besefte dat het geen gewone
snaar was: wanneer ze erop speelde, vulde het kasteel zich
Rationale met licht en warmte. De dorpelingen hoorden de muziek en
durfden eindelijk te komen luisteren. Al snel werd het kasteel
Infantsfarefparticularly
een plek vol gelach fsensitiveftofradioactivity;fevenfthefsmallfamountfe
en liederen. Elise was niet langer alleen.
mittedfafterfZe speelde elke
treatment fmay avond
faffect voor iedereen
finfants. fItfisen bewaarde
fnot fnecessaryde gouden
ftofavoidfleavin
snaar als het kostbaarste geschenk dat ze ooit had gekregen:
gfthefhousefas flongfasfclosefproximityftofothersfisfavoided.fSavingfurinefinfafl
de moed om de deur te openen.（198 woorden）
eadlinedfcontainer
4. Svenska fisfnotfnecessary;fthefsamefbathroomfmayfbefusedfbyfallf
(Swedish – Scandinavian language)
me Långt uppe i fjällen bodde en gammal renägare som het Nils.
mbersfofftheHan hade en liten renkalv som het Lykke. Lykke var vit som
ffamily,fbutftheftoiletfshouldfbefflushedftwicefafterfusefbyfthefcli
snön och hade alltid nyfikna ögon. En höstdag blåste en storm
ent.fRefraining in ochffromfusingfafbathroomfusedfbyfothersfisfnotfnecessary.
Lykke sprang vilse bland dimman. Nils sökte hela natten,
men hittade inte kalven. Han blev rädd och tänkte att han aldrig
mer skulle se sin lilla vän. Nästa morgon vaknade han av ett
svagt ljud utanför lavvu. Där stod Lykke, och bakom henne gick
Affemalefclient enfwho isfscheduled
stor fvarg. Nils blev ffor
rädd,fafthyroidectomyfisfconcernedfthatfthefsurge
men vargen gjorde ingenting. Den
r yfwillfinterfere
bara fwith fherfpå
tittade ability ftofbecome
honom och gick fpregnant. fWhat
sedan sin väg. fisfthe
Lykke fnurse'sfbestfresp
sprang
onse? fram och slickade Nils hand. Sen dess kom vargen varje kväll
och låg nära lavvu, som om den vaktade dem. Nils förstod att
vargen hade hittat Lykke och följt henne hem. Varje vinter
sedan dess delar Nils och Lykke sin eld med vargen. D
"As long as medication is continued, ovulation will occur."
f f f f f f f f
f
"Hyperthyroidism can cause abortions and fetal anomalies."
f f f f f f
f
,3|Page
"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." -
f f f f f f f f f
f
f
Rationale
Medication is regulated to maintain the usual blood levels of thyroxine; the
f f f f f f f f f f f
refore, ovulation is not affected, and future pregnancy is possible. The clien
f f f f f f f f f f f
t will no longer be hyperthyroid after surgery because the overactive tissue
f f f f f f f f f f f
is excised; therefore, pregnancy is not contraindicated. Pregnancy is not co
f f f f f f f f f f f
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
f f f f f f f f f
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
f f f f f f f f f f f f f
nfirms a diagnosis of pheochromocytoma. What blood pressure may have helpe
f f f f f f f f f f
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
f f f f f f f f f f f
hat teaching was effective?
f f f
, 4|Page
"I should massage my feet and legs with oil or lotion."
f f f f f f f f f f f
"I should apply heat intermittently to my feet and legs."
f f f f f f f f f f
"I should eat foods high in protein and carbohydrate kilocalories."
f f f f f f f f f f
"I should control my blood glucose with diet, exercise, and medication." -
f f f f f f f f f f f
..........ANSWER......."I should control my blood glucose with diet, exercise,
f f f f f f f f f f
an d medication." f
Rationale
Controlling the diabetes decreases the risk of infection; this is the best prev
f f f f f f f f f f f f
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
f f f f f f f f f
n injury from heat application. Protein, carbohydrates, and fats must be in
f f f f f f f f f f f f
an appropriate balance; high carbohydrate intake can provide too many ca
f f f f f f f f f f
lories.
A client newly diagnosed with type 1 diabetes is taught to exercise on a regular ba
f f f f f f f f f f f f f f f
sis. What is the primary reason for instruction on exercise?
f f f f f f f f f
To decrease insulin sensitivity
f f f f
To stimulate glucagon production
f f f f
To improve the cellular uptake of glucose
f f f f f f f
To reduce metabolic requirements for glucose -
f f f f f f
..........ANSWER.......To improve the cellular uptake of glucose
f f f f f f f
Rationale
