ATI Endocrine EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
2025(GRADED A+) DETAILED ANSWERS!!
Water deprivation test - (answers)For clients with diabetes insipidus, if kidneys
are unable to concentrate urine- positive test
For water deprivation test how long should the client withhold fluids - (answers)8-
12 hours: during the test or the night before
What is nephrogenic DI - (answers)results from a lack of response by the kidney to
ADH
What is psychogenic DI - (answers)Water intoxication due to psychiatric
disturbance
What is Central DI - (answers)Posterior pituitary not making ADH
During a water deprivation test, the nurse should monitor the client's weight and
urine osmolaly ________ - (answers)Hourly
When monitoring urine osmolality during a water intoxication test; how do you
know when the client is adequately dehydrated? - (answers)Increase of less than
30 mOsm/kg.
,During a water deprivation test, when blood osmolality is greater than ______
administer ADH subcutaneously - (answers)288
How long should a client fast and avoid stress prior to an ADH test? - (answers)12
hr
What medications can interfere with an ADH test? - (answers)Tylenol, SSRI's,
diuretics, opioids, and phenytoin
After collecting a blood sample for ADH testing, how long do you have to
transport it to the lab? - (answers)10 min
For urine osmolality testing, clients can be required to fast fluids for _____ hr and
consume a high ____ diet for ______ days? - (answers)12-14, protein, 3
An increased ADH level indicates ________ or ________. - (answers)SIADH,
nephrogenic DI
A decreased ADH can indicate _________. - (answers)Neurogenic
ADH reference range - (answers)1-5 ng/L
Clients who have nephrogenic DI have little to no increase in urine osmolality
after ADH administration true or false? - (answers)True
, Clients with neurogenic DI have is rise in osmolality of more than _____ %
following administration of vasopressin - (answers)9
Osmolality is high when volume is ______ - (answers)Low
Osmolality is low when volume is ______. - (answers)High
Normal chloride level - (answers)98-106 mEq/L
Normal magnesium level - (answers)1.3-2.1 mEq/L
Increased urine osmolality indicates - (answers)SIADH
Decreased urine osmolality indicates - (answers)DI
Urine osmolality expected reference rage - (answers)50-1200
Urine specific gravity reference range - (answers)1.010-1.025
Complications of water deprivation test - (answers)dehydration: orthostatic
hypotension, tachycardia, dizziness.
QUESTIONS AND VERIFIED ANSWERS
2025(GRADED A+) DETAILED ANSWERS!!
Water deprivation test - (answers)For clients with diabetes insipidus, if kidneys
are unable to concentrate urine- positive test
For water deprivation test how long should the client withhold fluids - (answers)8-
12 hours: during the test or the night before
What is nephrogenic DI - (answers)results from a lack of response by the kidney to
ADH
What is psychogenic DI - (answers)Water intoxication due to psychiatric
disturbance
What is Central DI - (answers)Posterior pituitary not making ADH
During a water deprivation test, the nurse should monitor the client's weight and
urine osmolaly ________ - (answers)Hourly
When monitoring urine osmolality during a water intoxication test; how do you
know when the client is adequately dehydrated? - (answers)Increase of less than
30 mOsm/kg.
,During a water deprivation test, when blood osmolality is greater than ______
administer ADH subcutaneously - (answers)288
How long should a client fast and avoid stress prior to an ADH test? - (answers)12
hr
What medications can interfere with an ADH test? - (answers)Tylenol, SSRI's,
diuretics, opioids, and phenytoin
After collecting a blood sample for ADH testing, how long do you have to
transport it to the lab? - (answers)10 min
For urine osmolality testing, clients can be required to fast fluids for _____ hr and
consume a high ____ diet for ______ days? - (answers)12-14, protein, 3
An increased ADH level indicates ________ or ________. - (answers)SIADH,
nephrogenic DI
A decreased ADH can indicate _________. - (answers)Neurogenic
ADH reference range - (answers)1-5 ng/L
Clients who have nephrogenic DI have little to no increase in urine osmolality
after ADH administration true or false? - (answers)True
, Clients with neurogenic DI have is rise in osmolality of more than _____ %
following administration of vasopressin - (answers)9
Osmolality is high when volume is ______ - (answers)Low
Osmolality is low when volume is ______. - (answers)High
Normal chloride level - (answers)98-106 mEq/L
Normal magnesium level - (answers)1.3-2.1 mEq/L
Increased urine osmolality indicates - (answers)SIADH
Decreased urine osmolality indicates - (answers)DI
Urine osmolality expected reference rage - (answers)50-1200
Urine specific gravity reference range - (answers)1.010-1.025
Complications of water deprivation test - (answers)dehydration: orthostatic
hypotension, tachycardia, dizziness.
