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ATI ENDOCRINE TARGETED EXAM WITH
RATIONALES PROVIDED
THE TOPICS IN THIS GUIDE ALIGN WITH THE EXAM. GOOD LUCK!
A nurse is teaching a client who has an autoimmune disease about the adverse
effects of long-term corticosteroid therapy. Which of the following effects should the
nurse include? (select all that apply)
-Osteoporosis
-Moon-shaped face
-Increased risk of infection
-Hearing loss
-Weight loss
Osteoporosis
Moon-shaped
face
Increased risk of infection
A nurse is teaching a client who has diabetes mellitus about insulin injections. The
client's prescription includes evening doses of insulin glargine and regular insulin.
Which of the following instructions should the nurse include?
-Inject the insulins intramuscularly
-Shake the insulins vigorously prior to administration
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-Draw up the insulins into separate syringes
-Expect the insulins to appear cloudy
Draw up the insulins into separate syringes.
The nurse should instruct the client to draw up the insulins into separate
syringes because insulin glargine is not compatible with other insulins.
A nurse is teaching a client about the adrenocorticotropic hormone (ACTH)
stimulation test. The nurse should explain that the purpose of the test is to assess
for which of the following disorders?
-Diabetes insipidus
-Hyperthyroidism
-Pheochromocytoma
-Addison's disease
Addison's disease
The nurse should instruct the client that the ACTH stimulation test is the
standard test for Addison's disease. It measures the cortisol response to ACTH.
The response is absent or very decreased in clients who have primary adrenal
insufficiency.
A home health nurse is assessing a client who requires lifelong hormone
replacement therapy for the treatment of hypothyroidism. The client has not
been taking his medication regularly. Which of the following findings should the
nurse expect?
-Increased urine output
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-Persistent diarrhea
-Tachycardia
-Hypotension
Hypotension
Hypotension is an expected finding with hypothyroidism, along with bradypnea,
dysrhythmias, cold intolerance, and cool, dry skin.
A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Which
of the following findings should the nurse report to the provider?
-Laryngeal stridor
-Productive cough
-Pain with hyperextension of the neck
-Hoarse, weak voice
Laryngeal stridor
Laryngeal stridor is a harsh, high-pitched sound with inspiration that indicates
respiratory obstruction. The nurse should take immediate action to preserve
the client's airway.
A nurse is developing a teaching plan for a client who had a thyroidectomy and
takes a thyroid hormone replacement. Which of the following instructions should
the nurse plan to include?
-"Take this medication on an empty stomach"
-"Take this medication with an antacid"
ATI ENDOCRINE TARGETED EXAM WITH
RATIONALES PROVIDED
THE TOPICS IN THIS GUIDE ALIGN WITH THE EXAM. GOOD LUCK!
A nurse is teaching a client who has an autoimmune disease about the adverse
effects of long-term corticosteroid therapy. Which of the following effects should the
nurse include? (select all that apply)
-Osteoporosis
-Moon-shaped face
-Increased risk of infection
-Hearing loss
-Weight loss
Osteoporosis
Moon-shaped
face
Increased risk of infection
A nurse is teaching a client who has diabetes mellitus about insulin injections. The
client's prescription includes evening doses of insulin glargine and regular insulin.
Which of the following instructions should the nurse include?
-Inject the insulins intramuscularly
-Shake the insulins vigorously prior to administration
,2|Page
-Draw up the insulins into separate syringes
-Expect the insulins to appear cloudy
Draw up the insulins into separate syringes.
The nurse should instruct the client to draw up the insulins into separate
syringes because insulin glargine is not compatible with other insulins.
A nurse is teaching a client about the adrenocorticotropic hormone (ACTH)
stimulation test. The nurse should explain that the purpose of the test is to assess
for which of the following disorders?
-Diabetes insipidus
-Hyperthyroidism
-Pheochromocytoma
-Addison's disease
Addison's disease
The nurse should instruct the client that the ACTH stimulation test is the
standard test for Addison's disease. It measures the cortisol response to ACTH.
The response is absent or very decreased in clients who have primary adrenal
insufficiency.
A home health nurse is assessing a client who requires lifelong hormone
replacement therapy for the treatment of hypothyroidism. The client has not
been taking his medication regularly. Which of the following findings should the
nurse expect?
-Increased urine output
, 3|Page
-Persistent diarrhea
-Tachycardia
-Hypotension
Hypotension
Hypotension is an expected finding with hypothyroidism, along with bradypnea,
dysrhythmias, cold intolerance, and cool, dry skin.
A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Which
of the following findings should the nurse report to the provider?
-Laryngeal stridor
-Productive cough
-Pain with hyperextension of the neck
-Hoarse, weak voice
Laryngeal stridor
Laryngeal stridor is a harsh, high-pitched sound with inspiration that indicates
respiratory obstruction. The nurse should take immediate action to preserve
the client's airway.
A nurse is developing a teaching plan for a client who had a thyroidectomy and
takes a thyroid hormone replacement. Which of the following instructions should
the nurse plan to include?
-"Take this medication on an empty stomach"
-"Take this medication with an antacid"
