ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 61 : Assessment of the Endocrine System Questions
Question 1 of 5
A nurse prepares to palpate a clients thyroid gland. Which action should the nurse take when performing this assessment?
Correct Answer: D
Rationale: The correct technique for thyroid palpation involves the nurse standing behind the client, with the client in a sitting position and chin tucked down to relax the neck muscles, facilitating palpation of the thyroid gland.
Question 2 of 5
A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who is prescribed a 24-hour urine specimen collection. Which statement should the nurse include when delegating this activity to the UAP?
Correct Answer: A
Rationale: The 24-hour urine collection begins after discarding the first void to ensure a full 24-hour period of collection. This ensures accurate measurement of excreted substances.
Question 3 of 5
A nurse assesses a female client who presents with hirsutism. Which question should the nurse ask when assessing this client?
Correct Answer: B
Rationale: Hirsutism, or excessive hair growth, can result from endocrine disorders and may cause a disruption in body image, especially for female clients. Asking about self-perception addresses the psychosocial impact of the condition.
Question 4 of 5
A nurse teaches a client who has been prescribed a 24-hour urine collection to measure excreted hormones. The client asks, Why do I need to collect urine for 24 hours instead of providing a random specimen? How should the nurse respond?
Correct Answer: A
Rationale: Hormones are secreted in a pulsatile or circadian cycle. A 24-hour urine collection provides a more accurate reflection of hormone secretion over time compared to a random specimen.
Question 5 of 5
A nurse plans care for an older adult who is admitted to the hospital for pneumonia. The client has no known drug allergic status nor a significant medical history. Which action should the nurse include in this clients plan of care?
Correct Answer: B
Rationale: Decreased antidiuretic hormone (ADH) production is a normal age-related change, leading to increased urine output and risk of dehydration. Offering fluids regularly helps prevent dehydration in older adults.