Detailed Answer Key
ATI Complex Endocrine Practice
1. A nurse is caring for a client who is taking metformin and is scheduled to undergo angiography
using iodine-containing contrast dye. The nurse should identify that an interaction between
metformin and the IV contrast dye increases the client's risk for which of the following
conditions?
[] hypokalemia
[] hyperglycemia
[X] acute renal failure
[] acute pancreatitis
2. A nurse is educating the parents of a child who has a new diagnosis of Prader-Willi Syndrome
(PWS) and has been prescribed somatropin. Which of the following statements by a parent
indicates understanding of the teaching?
[X] "we will use a different spot for injection each time we give the medication"
[] "we'll give the shot in the thigh muscle rather than fatty tissue to decrease injection pain"
[] "we'll watch our child for signs of low blood sugar while using somatropin"
[] "we should stop the medication if our child loses weight"
3. A nurse is teaching a client who has a prescription for pramlintide therapy to treat type 1 diabetes
mellitus. Which of the following instructions should the nurse include?
[] mix pramlintide with insulin in the syringe
[X] administer pramlintide before meals
[] take pramlintide once daily at bedtime
[] inject pramlintide into the upper arm
4. A nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 diabetes
mellitus. Which of the following instructions should the nurse include?
[X] avoid drinking alcohol
[] sit or stand for 30 min after taking the drug
[] urinate every 4 hr
[] take the drug 2 hr after a meal
5. A nurse is providing teaching to a client who is about to begin levothyroxine therapy to treat
hypothyroidism. Which of the following instructions should the nurse include?
[] take levothyroxine with food to increase absorption
[] take levothyroxine with an antacid to reduce gastrointestinal effects
[X] expect life-long therapy with the drug
[] carry a carbohydrate snack at all times
Prof.Exams Created on:08/13/2022
, Detailed Answer Key
ATI Complex Endocrine Practice
6. A nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes mellitus. The
nurse should monitor for which of the following findings?
[] joint pain
[] constipation
[X] weight gain
[] dilated pupils
7. A nurse at a provider's office is assessing a client who has been taking hydrocortisone for adrenal
insufficiency. The client reports fatigue and feeling overwhelmed by personal responsibilities.
Which of the following findings should the nurse identify as an indication the provider might
need to increase the client's dosage?
[X] hypotension
[] hyperglycemia
[] weight gain
[] fat redistribution
8. A nurse is teaching a client about self-administering regular insulin. The nurse should instruct the
client to rotate injection sites to prevent which of the following?
[] rapid absorption
[] intradermal injection
[] injection pain
[X] lipohypertrophy
9. A nurse is caring for a client who is taking propylthiouracil (PTU) and reports weight gain,
drowsiness, and depression. The nurse should identify that the client is experiencing which of the
following adverse reactions to the drug?
[] thyrotoxicosis
[X] hypothyroidism
[] lactic acidosis
[] radiation sickness
10. Which of the following drugs should a nurse have available for a client who is experiencing
insulin toxicity?
[] naloxone
[] diphenhydramine
[] acetylcysteine
[X] glucagon
11. A nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who
has type 2 diabetes mellitus and who also has which of the following?
[] thyroid disease
Prof.Exams Created on:08/13/2022
ATI Complex Endocrine Practice
1. A nurse is caring for a client who is taking metformin and is scheduled to undergo angiography
using iodine-containing contrast dye. The nurse should identify that an interaction between
metformin and the IV contrast dye increases the client's risk for which of the following
conditions?
[] hypokalemia
[] hyperglycemia
[X] acute renal failure
[] acute pancreatitis
2. A nurse is educating the parents of a child who has a new diagnosis of Prader-Willi Syndrome
(PWS) and has been prescribed somatropin. Which of the following statements by a parent
indicates understanding of the teaching?
[X] "we will use a different spot for injection each time we give the medication"
[] "we'll give the shot in the thigh muscle rather than fatty tissue to decrease injection pain"
[] "we'll watch our child for signs of low blood sugar while using somatropin"
[] "we should stop the medication if our child loses weight"
3. A nurse is teaching a client who has a prescription for pramlintide therapy to treat type 1 diabetes
mellitus. Which of the following instructions should the nurse include?
[] mix pramlintide with insulin in the syringe
[X] administer pramlintide before meals
[] take pramlintide once daily at bedtime
[] inject pramlintide into the upper arm
4. A nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 diabetes
mellitus. Which of the following instructions should the nurse include?
[X] avoid drinking alcohol
[] sit or stand for 30 min after taking the drug
[] urinate every 4 hr
[] take the drug 2 hr after a meal
5. A nurse is providing teaching to a client who is about to begin levothyroxine therapy to treat
hypothyroidism. Which of the following instructions should the nurse include?
[] take levothyroxine with food to increase absorption
[] take levothyroxine with an antacid to reduce gastrointestinal effects
[X] expect life-long therapy with the drug
[] carry a carbohydrate snack at all times
Prof.Exams Created on:08/13/2022
, Detailed Answer Key
ATI Complex Endocrine Practice
6. A nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes mellitus. The
nurse should monitor for which of the following findings?
[] joint pain
[] constipation
[X] weight gain
[] dilated pupils
7. A nurse at a provider's office is assessing a client who has been taking hydrocortisone for adrenal
insufficiency. The client reports fatigue and feeling overwhelmed by personal responsibilities.
Which of the following findings should the nurse identify as an indication the provider might
need to increase the client's dosage?
[X] hypotension
[] hyperglycemia
[] weight gain
[] fat redistribution
8. A nurse is teaching a client about self-administering regular insulin. The nurse should instruct the
client to rotate injection sites to prevent which of the following?
[] rapid absorption
[] intradermal injection
[] injection pain
[X] lipohypertrophy
9. A nurse is caring for a client who is taking propylthiouracil (PTU) and reports weight gain,
drowsiness, and depression. The nurse should identify that the client is experiencing which of the
following adverse reactions to the drug?
[] thyrotoxicosis
[X] hypothyroidism
[] lactic acidosis
[] radiation sickness
10. Which of the following drugs should a nurse have available for a client who is experiencing
insulin toxicity?
[] naloxone
[] diphenhydramine
[] acetylcysteine
[X] glucagon
11. A nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who
has type 2 diabetes mellitus and who also has which of the following?
[] thyroid disease
Prof.Exams Created on:08/13/2022
