NUR 303 Quiz 3 ATI QUESTIONS WITH COMPLETE
SOLUTIONS
A nurse is caring for 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 red blood cells
Rationale:
A) Glucose in the urine is indicative of diabetes mellitus.
B) CORRECT: The urine of a client who has diabetes insipidus
will be dilute with a urine specific gravity of less than 1.005.
C) Ketones in the urine is indicative of diabetes mellitus.
D) Red blood cells in the urine is indicative of diabetes mellitus.
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."
Rationale:
,A) Excessive thirst is a manifestation of diabetes insipidus.
Consumption of 4 to 30 L/day can be expected, and fluid intake
should not be limited.
B) Elevated blood glucose levels are a manifestation of diabetes
mellitus.
C) Weight loss is a manifestation of diabetes insipidus.
D) CORRECT: Confusion and ataxia are findings associated
with DI.
A nurse is planning care for a client who has acromegaly and is
post-operative 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.
Rationale:
A) The client should be placed into a high-Fowler’s position.
B) Coughing should be limited in the client who is post-
operative, as this increases intracranial pressure and can cause a
leak of CSF.
C) Oral care for the client who is post-operative following a
transsphenoidal hypophysectomy includes oral rinses and
flossing. Brushing teeth can cause a leak of CSF and is
contraindicated.
,D) CORRECT: The nurse should monitor the drainage to the
mustache dressing and observe for the presence of glucose,
which could indicate the presence of CSF. Notify the provider if
this occurs.
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
Rationale:
A) In the presence of Graves’ disease, elevated thyrotropin
receptor antibodies is an expected finding.
B) CORRECT: In the presence of Graves’ disease, low TSH is
an expected finding. The pituitary gland decreases the
production of TSH when thyroid hormone levels are elevated.
C) In the presence of Graves’ disease, elevated free thyroxine
index is an expected finding.
D) In the presence of Graves’ disease, elevated triiodothyronine
is an expected finding.
, 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 tolerance
C) Constipation
D) Palpitations
E) Weightloss
F) Bradycardia
Rationale:
A) The client who has hyperthyroidism has an increased
metabolic rate, resulting in increased hunger.
B) CORRECT: Hyperthyroidism increases the client’s
metabolism, causing heat tolerance.
C) Diarrhea is an expected finding for the client who has
hyperthyroidism.
D) CORRECT: Hyperthyroidism increases the client’s
metabolism, causing palpitations.
E) CORRECT: Hyperthyroidism increases the client’s
metabolism, causing weight loss.
F) Hyperthyroidism increases the client’s metabolism, causing
tachycardia.
A nurse is providing instructions to a client who has Graves'
disease and has a new prescription for propranolol. Which of the
following information should the nurse include?
A) "An adverse effect of this medication is jaundice."
SOLUTIONS
A nurse is caring for 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 red blood cells
Rationale:
A) Glucose in the urine is indicative of diabetes mellitus.
B) CORRECT: The urine of a client who has diabetes insipidus
will be dilute with a urine specific gravity of less than 1.005.
C) Ketones in the urine is indicative of diabetes mellitus.
D) Red blood cells in the urine is indicative of diabetes mellitus.
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."
Rationale:
,A) Excessive thirst is a manifestation of diabetes insipidus.
Consumption of 4 to 30 L/day can be expected, and fluid intake
should not be limited.
B) Elevated blood glucose levels are a manifestation of diabetes
mellitus.
C) Weight loss is a manifestation of diabetes insipidus.
D) CORRECT: Confusion and ataxia are findings associated
with DI.
A nurse is planning care for a client who has acromegaly and is
post-operative 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.
Rationale:
A) The client should be placed into a high-Fowler’s position.
B) Coughing should be limited in the client who is post-
operative, as this increases intracranial pressure and can cause a
leak of CSF.
C) Oral care for the client who is post-operative following a
transsphenoidal hypophysectomy includes oral rinses and
flossing. Brushing teeth can cause a leak of CSF and is
contraindicated.
,D) CORRECT: The nurse should monitor the drainage to the
mustache dressing and observe for the presence of glucose,
which could indicate the presence of CSF. Notify the provider if
this occurs.
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
Rationale:
A) In the presence of Graves’ disease, elevated thyrotropin
receptor antibodies is an expected finding.
B) CORRECT: In the presence of Graves’ disease, low TSH is
an expected finding. The pituitary gland decreases the
production of TSH when thyroid hormone levels are elevated.
C) In the presence of Graves’ disease, elevated free thyroxine
index is an expected finding.
D) In the presence of Graves’ disease, elevated triiodothyronine
is an expected finding.
, 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 tolerance
C) Constipation
D) Palpitations
E) Weightloss
F) Bradycardia
Rationale:
A) The client who has hyperthyroidism has an increased
metabolic rate, resulting in increased hunger.
B) CORRECT: Hyperthyroidism increases the client’s
metabolism, causing heat tolerance.
C) Diarrhea is an expected finding for the client who has
hyperthyroidism.
D) CORRECT: Hyperthyroidism increases the client’s
metabolism, causing palpitations.
E) CORRECT: Hyperthyroidism increases the client’s
metabolism, causing weight loss.
F) Hyperthyroidism increases the client’s metabolism, causing
tachycardia.
A nurse is providing instructions to a client who has Graves'
disease and has a new prescription for propranolol. Which of the
following information should the nurse include?
A) "An adverse effect of this medication is jaundice."
