ATI COMPLEX ENDOCRINE EXAM TEST BANK 2026/2027
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCCURATE EXAM REAL QUESTIONS WITH WELL
ELABORATED SOLUTIONS AND DETAILED RATIONALES
(100% CORRECT VERIFIED ANSWERS) LATEST UPDATED
VERSION 2026 EDITION |GUARANTEED PASS A+ |JUST
RELEASED
1. A nurse is caring for a client who is 1 day postoperative following
a subtotal thyroidectomy. The client reports a tingling sensation in
the hands, the soles of the feet, and around the lips. For which of the
following findings should the nurse assess the client?
A. Babinski's sign
B. Brudzinski's sign
C. Kernig's sign
D. Chvostek's sign
Correct Answer: D
Rationale: The nurse should suspect hypocalcemia, a possible
complication following subtotal thyroidectomy due to accidental
removal or damage to the parathyroid glands. Manifestations of
hypocalcemia include numbness and tingling in the hands, soles of
the feet, and around the lips, typically appearing between 24 and 48
hours after surgery. To elicit Chvostek's sign, the nurse should tap
the client's face at a point just below and in front of the ear. A
,positive response is twitching of the ipsilateral facial muscles,
suggesting neuromuscular excitability due to hypocalcemia.
2. A nurse is assessing a client who has diabetes insipidus. Which of
the following urinalysis laboratory findings should the nurse expect?
A. Presence of glucose
B. Decreased specific gravity
C. Presence of ketones
D. Presence of RBCs
Correct Answer: B
Rationale: Diabetes insipidus (DI) causes excessive excretion of
dilute urine due to deficient antidiuretic hormone (ADH) or the
kidneys' inability to respond to ADH. The urine of a client with DI
will be dilute with a urine specific gravity of less than 1.005.
3. A nurse is providing teaching to a client who has a new diagnosis
of diabetes insipidus. Which of the following client statements
indicates an understanding of the teaching?
A. "I can drink up to 2 quarts of fluid a day"
B. "I will need to use insulin to control my blood glucose levels"
C. "I should expect to gain weight during this illness"
,D. "I might experience confusion or balance problems"
Correct Answer: D
Rationale: Confusion and ataxia (balance problems) are findings
associated with diabetes insipidus due to electrolyte imbalances,
particularly hypernatremia from excessive fluid loss. Clients with DI
should be taught to recognize these neurological manifestations.
4. A nurse is planning care for a client who has acromegaly and is
postoperative following a transsphenoidal hypophysectomy. Which
of the following interventions should the nurse include in the plan?
A. Maintain the client in a low-Fowler's position
B. Encourage deep breathing and coughing
C. Encourage the client to brush their teeth when awake and alert
D. Observe dressing drainage for the presence of glucose
Correct Answer: D
Rationale: Following a transsphenoidal hypophysectomy, the nurse
should observe dressing drainage for the presence of glucose, which
would indicate the presence of cerebrospinal fluid (CSF) leakage.
CSF contains glucose, and its presence in drainage suggests a CSF
leak, which is a serious complication requiring immediate
intervention.
, 5. A nurse in a provider's office is reviewing the health record of a
client who is being evaluated for Graves' disease. The nurse should
identify that which of the following laboratory results is an expected
finding?
A. Decreased thyrotropin receptor antibodies
B. Decreased thyroid-stimulating hormone (TSH)
C. Decreased free thyroxine index
D. Decreased triiodothyronine
Correct Answer: B
Rationale: In Graves' disease (hyperthyroidism), the pituitary gland
decreases TSH production due to negative feedback from elevated
thyroid hormone levels. TSH will be decreased or undetectable,
while free T4 and T3 are elevated. Thyrotropin receptor antibodies
(TRAb) are typically increased, not decreased.
6. A nurse is reviewing the manifestations of hyperthyroidism with a
client. Which of the following findings should the nurse include?
(Select all that apply)
A. Anorexia
B. Heat intolerance
C. Constipation
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCCURATE EXAM REAL QUESTIONS WITH WELL
ELABORATED SOLUTIONS AND DETAILED RATIONALES
(100% CORRECT VERIFIED ANSWERS) LATEST UPDATED
VERSION 2026 EDITION |GUARANTEED PASS A+ |JUST
RELEASED
1. A nurse is caring for a client who is 1 day postoperative following
a subtotal thyroidectomy. The client reports a tingling sensation in
the hands, the soles of the feet, and around the lips. For which of the
following findings should the nurse assess the client?
A. Babinski's sign
B. Brudzinski's sign
C. Kernig's sign
D. Chvostek's sign
Correct Answer: D
Rationale: The nurse should suspect hypocalcemia, a possible
complication following subtotal thyroidectomy due to accidental
removal or damage to the parathyroid glands. Manifestations of
hypocalcemia include numbness and tingling in the hands, soles of
the feet, and around the lips, typically appearing between 24 and 48
hours after surgery. To elicit Chvostek's sign, the nurse should tap
the client's face at a point just below and in front of the ear. A
,positive response is twitching of the ipsilateral facial muscles,
suggesting neuromuscular excitability due to hypocalcemia.
2. A nurse is assessing a client who has diabetes insipidus. Which of
the following urinalysis laboratory findings should the nurse expect?
A. Presence of glucose
B. Decreased specific gravity
C. Presence of ketones
D. Presence of RBCs
Correct Answer: B
Rationale: Diabetes insipidus (DI) causes excessive excretion of
dilute urine due to deficient antidiuretic hormone (ADH) or the
kidneys' inability to respond to ADH. The urine of a client with DI
will be dilute with a urine specific gravity of less than 1.005.
3. A nurse is providing teaching to a client who has a new diagnosis
of diabetes insipidus. Which of the following client statements
indicates an understanding of the teaching?
A. "I can drink up to 2 quarts of fluid a day"
B. "I will need to use insulin to control my blood glucose levels"
C. "I should expect to gain weight during this illness"
,D. "I might experience confusion or balance problems"
Correct Answer: D
Rationale: Confusion and ataxia (balance problems) are findings
associated with diabetes insipidus due to electrolyte imbalances,
particularly hypernatremia from excessive fluid loss. Clients with DI
should be taught to recognize these neurological manifestations.
4. A nurse is planning care for a client who has acromegaly and is
postoperative following a transsphenoidal hypophysectomy. Which
of the following interventions should the nurse include in the plan?
A. Maintain the client in a low-Fowler's position
B. Encourage deep breathing and coughing
C. Encourage the client to brush their teeth when awake and alert
D. Observe dressing drainage for the presence of glucose
Correct Answer: D
Rationale: Following a transsphenoidal hypophysectomy, the nurse
should observe dressing drainage for the presence of glucose, which
would indicate the presence of cerebrospinal fluid (CSF) leakage.
CSF contains glucose, and its presence in drainage suggests a CSF
leak, which is a serious complication requiring immediate
intervention.
, 5. A nurse in a provider's office is reviewing the health record of a
client who is being evaluated for Graves' disease. The nurse should
identify that which of the following laboratory results is an expected
finding?
A. Decreased thyrotropin receptor antibodies
B. Decreased thyroid-stimulating hormone (TSH)
C. Decreased free thyroxine index
D. Decreased triiodothyronine
Correct Answer: B
Rationale: In Graves' disease (hyperthyroidism), the pituitary gland
decreases TSH production due to negative feedback from elevated
thyroid hormone levels. TSH will be decreased or undetectable,
while free T4 and T3 are elevated. Thyrotropin receptor antibodies
(TRAb) are typically increased, not decreased.
6. A nurse is reviewing the manifestations of hyperthyroidism with a
client. Which of the following findings should the nurse include?
(Select all that apply)
A. Anorexia
B. Heat intolerance
C. Constipation
