ATI COMPLEX ENDOCRINE COMPREHENSIVE
EXAM 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A nurse is providing teaching to a client about taking fludrocortisone
to treat adrenocortical insufficiency. Which of the following instructions
should the nurse include? (Select all that apply).
A. Obtain weight measurement daily.
B. Report weakness or palpitations.
C. Have blood pressure checked regularly.
D. Eat more iron-rich foods.
E. Avoid drinking grapefruit juice.. Answer: A, B, C
Fludrocortisone, a mineralocorticoid, can cause fluid and electrolyte
imbalances, such as hypernatremia. Tracking weight on a daily basis can
help identify weight gain and edema; reporting it can expedite any
essential interventions.
Fludrocortisone can cause hypokalemia. The nurse should monitor the
client's potassium levels and tell the client to report muscle weakness or
palpitations.
,Fludrocortisone can cause fluid retention and hypertension. The nurse
should monitor the client's fluid balance and blood pressure to expedite
any essential interventions.
◉ A nurse is caring for a client who takes repaglinide 15 to 30 minutes
before each meal to treat type 2 diabetes mellitus. The client asks "If I
skip a meal, what should I do?" Which of the following responses should
the nurse make?
A. Double the dose before the next meal.
B. Take half the dose.
C. Skip the dose.
D. Take the usual dose.. Answer: C. Skip the dose
To avoid a sudden and serious drop in blood glucose level, the client
should skip the dose of repaglinide, a meglitinide, whenever skipping a
meal. The nurse should also instruct the client to try to avoid skipping
meals.
◉ A nurse is caring for a client who is about to being taking pioglitazone
to treat type 2 diabetes mellitus. The nurse should explain to the client
about the need to monitor which of the following laboratory values?
(Select all that apply).
A. Thyroid-stimulating hormone (TSH)
, B. Alanine aminotransferase (ALT)
C. LDL
D. CBC
E. Creatinine clearance. Answer: B, C
Pioglitazone can cause liver injury. The nurse should monitor ALT at the
start of therapy and then every 3 to 6 months thereafter. The nurse
should tell the client to report jaundice, dark-colored urine, or abdominal
pain.
Pioglitazone can cause elevations in both high-density lipoproteins,
which is a beneficial effect, and LDLs, which is a detrimental effect. The
nurse should monitor the client's plasma lipid levels at baseline and
periodically throughout drug therapy.
◉ A nurse is assessing a client who has a new prescription for
levothyroxine. The nurse should identify which of the following findings
as a contraindication for this drug?
A. Bacterial skin infections
B. Diabetes insipidus
C. Immunosuppression
D. Recent myocardial infarction. Answer: D. Recent myocardial
infarction
EXAM 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A nurse is providing teaching to a client about taking fludrocortisone
to treat adrenocortical insufficiency. Which of the following instructions
should the nurse include? (Select all that apply).
A. Obtain weight measurement daily.
B. Report weakness or palpitations.
C. Have blood pressure checked regularly.
D. Eat more iron-rich foods.
E. Avoid drinking grapefruit juice.. Answer: A, B, C
Fludrocortisone, a mineralocorticoid, can cause fluid and electrolyte
imbalances, such as hypernatremia. Tracking weight on a daily basis can
help identify weight gain and edema; reporting it can expedite any
essential interventions.
Fludrocortisone can cause hypokalemia. The nurse should monitor the
client's potassium levels and tell the client to report muscle weakness or
palpitations.
,Fludrocortisone can cause fluid retention and hypertension. The nurse
should monitor the client's fluid balance and blood pressure to expedite
any essential interventions.
◉ A nurse is caring for a client who takes repaglinide 15 to 30 minutes
before each meal to treat type 2 diabetes mellitus. The client asks "If I
skip a meal, what should I do?" Which of the following responses should
the nurse make?
A. Double the dose before the next meal.
B. Take half the dose.
C. Skip the dose.
D. Take the usual dose.. Answer: C. Skip the dose
To avoid a sudden and serious drop in blood glucose level, the client
should skip the dose of repaglinide, a meglitinide, whenever skipping a
meal. The nurse should also instruct the client to try to avoid skipping
meals.
◉ A nurse is caring for a client who is about to being taking pioglitazone
to treat type 2 diabetes mellitus. The nurse should explain to the client
about the need to monitor which of the following laboratory values?
(Select all that apply).
A. Thyroid-stimulating hormone (TSH)
, B. Alanine aminotransferase (ALT)
C. LDL
D. CBC
E. Creatinine clearance. Answer: B, C
Pioglitazone can cause liver injury. The nurse should monitor ALT at the
start of therapy and then every 3 to 6 months thereafter. The nurse
should tell the client to report jaundice, dark-colored urine, or abdominal
pain.
Pioglitazone can cause elevations in both high-density lipoproteins,
which is a beneficial effect, and LDLs, which is a detrimental effect. The
nurse should monitor the client's plasma lipid levels at baseline and
periodically throughout drug therapy.
◉ A nurse is assessing a client who has a new prescription for
levothyroxine. The nurse should identify which of the following findings
as a contraindication for this drug?
A. Bacterial skin infections
B. Diabetes insipidus
C. Immunosuppression
D. Recent myocardial infarction. Answer: D. Recent myocardial
infarction
