NR 325 Exam 1 ATI Practice (Endocrine) Questions
and Answers
Endocrine
1. A nurse is reinforcing dietary teaching with a client who has late-stage chronic kidney
disease (CKD). Which of the following nutrients should the nurse instruct the client to
increase in her diet?
a. Calcium
i. Rationale: a client who has CKD can develop hypocalcemia due to the
reduced production of active vitamin D, which is needed for calcium
reabsorption. The client should supplement dietary calcium.
2. A nurse is reinforcing teaching about the prostate-specific antigen
(PSA) test with a client. Which of the following statements should the nurse make?
a. "You should not ejaculate for 24 hours after the PSA test."
i. Rationale: PSA is a glycoprotein that it manufactured in the prostate and
is used to screen for prostate cancer. Ejaculation within 24 hours prior to
the test can cause falsely elevated levels of PSA.
3. A nurse is reinforcing teaching with a client prior to a cystoscopy. Which of the following
statements should the nurse make?
a. "Expect to have pink-tinged urine after this procedure."
i. Rationale: a cystoscopy is a procedure in which a scope is inserted into
the urethra to diagnose or treat bladder problems. Pink-tinged urine
following the procedure is expected.
4. A nurse is collecting data from a client who is postoperative following a extracorporeal
shockwave lithotripsy (ESWL). The nurse should identify that which of the following
findings is the priority?
a. Report of palpitations/dysrhythmias
i. Rationale: ABCs
5. A nurse is collecting data from a client who is receiving continuous ambulatory
, peritoneal dialysis. Which of the following findings should the nurse report to the
provider?
a. Potassium 3.0 mEq/L
i. Rationale: a potassium level of 3.0 mEq/L is below the expected
reference and can cause dysthymia’s. The dialysis removes fluid, waste
products, and electrolytes from the blood and can cause hypokalemia.
1. A nurse is planning care for a client who has Cushing’s syndrome due to chronic
corticosteroid use. Which of the following actions should the nurse involve in the plan of
care?
a. Check the client’s urine specific gravity.
i. Rationale: to assess for fluid volume overload.
2. A nurse is providing teaching to a client who has Addison's disease about healthy snack
foods. Which of the following food choices by the client indicates an understanding of
the teaching?
a. Turkey and cheese sandwich
i. Rationale: high in protein, carbohydrates, and sodium. A client who has
Addison’s requires a diet low in potassium, and high in protein, carbs, and
sodium.
3. A nurse is reviewing the laboratory values of a client who has diabetic ketoacidosis. The
nurse should understand that which of the following laboratory values is consistent with
diabetic ketoacidosis?
a. Bicarbonate level 12 mEq/L
i. Rationale: DKA patients have bicarbonate levels less than 15
4. A nurse is caring for a client who has type 2 diabetes mellitus and is displaying
manifestations of hyperglycemia. Which of the following findings should indicate to the
nurse that the client has hyperglycemia?
a. Increased urination
and Answers
Endocrine
1. A nurse is reinforcing dietary teaching with a client who has late-stage chronic kidney
disease (CKD). Which of the following nutrients should the nurse instruct the client to
increase in her diet?
a. Calcium
i. Rationale: a client who has CKD can develop hypocalcemia due to the
reduced production of active vitamin D, which is needed for calcium
reabsorption. The client should supplement dietary calcium.
2. A nurse is reinforcing teaching about the prostate-specific antigen
(PSA) test with a client. Which of the following statements should the nurse make?
a. "You should not ejaculate for 24 hours after the PSA test."
i. Rationale: PSA is a glycoprotein that it manufactured in the prostate and
is used to screen for prostate cancer. Ejaculation within 24 hours prior to
the test can cause falsely elevated levels of PSA.
3. A nurse is reinforcing teaching with a client prior to a cystoscopy. Which of the following
statements should the nurse make?
a. "Expect to have pink-tinged urine after this procedure."
i. Rationale: a cystoscopy is a procedure in which a scope is inserted into
the urethra to diagnose or treat bladder problems. Pink-tinged urine
following the procedure is expected.
4. A nurse is collecting data from a client who is postoperative following a extracorporeal
shockwave lithotripsy (ESWL). The nurse should identify that which of the following
findings is the priority?
a. Report of palpitations/dysrhythmias
i. Rationale: ABCs
5. A nurse is collecting data from a client who is receiving continuous ambulatory
, peritoneal dialysis. Which of the following findings should the nurse report to the
provider?
a. Potassium 3.0 mEq/L
i. Rationale: a potassium level of 3.0 mEq/L is below the expected
reference and can cause dysthymia’s. The dialysis removes fluid, waste
products, and electrolytes from the blood and can cause hypokalemia.
1. A nurse is planning care for a client who has Cushing’s syndrome due to chronic
corticosteroid use. Which of the following actions should the nurse involve in the plan of
care?
a. Check the client’s urine specific gravity.
i. Rationale: to assess for fluid volume overload.
2. A nurse is providing teaching to a client who has Addison's disease about healthy snack
foods. Which of the following food choices by the client indicates an understanding of
the teaching?
a. Turkey and cheese sandwich
i. Rationale: high in protein, carbohydrates, and sodium. A client who has
Addison’s requires a diet low in potassium, and high in protein, carbs, and
sodium.
3. A nurse is reviewing the laboratory values of a client who has diabetic ketoacidosis. The
nurse should understand that which of the following laboratory values is consistent with
diabetic ketoacidosis?
a. Bicarbonate level 12 mEq/L
i. Rationale: DKA patients have bicarbonate levels less than 15
4. A nurse is caring for a client who has type 2 diabetes mellitus and is displaying
manifestations of hyperglycemia. Which of the following findings should indicate to the
nurse that the client has hyperglycemia?
a. Increased urination
