UPDATED VERSION EXAM| COMPLETE ACCURATE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) A NEW UPDATED 2025/2026
VERSION |GUARANTEED PASS A+ (BRAND NEW!) FULL
REVISED ATI MED SURG ENDOCRINE TEST
Which hormone does the posterior pituitary
gland secrete?
- ANSWER-Vasopressin or ADH
What is AHD's role in the kidneys?
- ANSWER-ADH increases permeability of
the renal distal tubules, causing the kidneys
to reabsorb water.
What is the result of ADH deficiency?
- ANSWER-Diabetes Insipidus
,-Characterized by the excretion of large
amounts of diluted urine.
What is the result of excess ADH?
- ANSWER-SIADH
-kidneys retain water, urine becomes
concentrated, urinary output decreases,
and extracellular fluid volume is increased
What is the diagnostic test for diabetes
insipidus?
- ANSWER-The water deprivation test
-Measures the kidneys' ability to
concentrate urine in light of an increased
plasma osmolality and a low plasma
vasopressin level.
,What are the indications for the water
deprivation test?
- ANSWER--only performed on pts who
have a dx of diabetes insipidus
-only conducted if pt's baseline serum Na+
level is WNL or the osmolality of urine is
below 300
-should not be performed on pts w/ renal
insufficiency, uncontrolled diabetes
mellitus, hypovolemia, or untreated adrenal
or thyroid hormone deficiency
nursing actions for water deprivation test
- ANSWER-Pre-procedure
-tell pt not to smoke or drink caffeine
before test
, -begin test by withholding fluids for 8-12 hr
-- make sure that someone is w/ pt during
test
-obtain IV access
Intraprocedure
-place pt in recumbant position for 30 min
and:
-obtain 7-10 mL of heparinized blood in an
iced tube and send to lab;
-ask pt to empty his bladder, record
amount, and send to lab;
-weigh pt to nearest 10th of a kg (record wt
and obtain BP and HR)
-repeat THREE STEPS: WEIGH, MEASURE
URINE, and OBTAIN SERUM