ATI RN
Endocrine System Exam Questions and Answers Questions
Question 1 of 5
Mrs. H, who has just had a thyroidectomy, is complaining of a sore throat and difficulty swallowing. What is the most appropriate action for the nurse to take?
Correct Answer: D
Rationale: After a thyroidectomy, a sore throat and difficulty swallowing can indicate potential complications such as bleeding or hematoma formation around the surgical site, which requires prompt assessment.
Question 2 of 5
Mary has been a diabetic for 10 years and is normally well controlled on 20 U of NPH insulin a day. She reports that she has a fever and is nauseated; her last three urine specimens had over 2% sugar and tested positive for acetone. Your evaluation of this situation is that
Correct Answer: C
Rationale: Fever and illness can increase the body's insulin needs, potentially leading to elevated blood sugar and ketone production.
Question 3 of 5
You are preparing a 24-year-old patient with diabetes insipidus (DI) for discharge from the hospital. Which statement indicates that the patient needs additional teaching?
Correct Answer: D
Rationale: Patients with diabetes insipidus require lifelong vasopressin therapy, and the patient should not attempt to wean off the medication without medical guidance.
Question 4 of 5
The patient with pheochromocytoma had surgery to remove his adrenal glands. Which nursing intervention should you delegate to the nursing assistant?
Correct Answer: D
Rationale: Monitoring lying and standing blood pressure every 4 hours is a routine task that can be delegated to the nursing assistant to ensure proper blood pressure management post-operatively.
Question 5 of 5
What is an appropriate nursing intervention for the patient with hyperparathyroidism?
Correct Answer: B
Rationale: Increasing fluid intake helps prevent kidney stones and other complications of hyperparathyroidism by reducing calcium levels and preventing dehydration.