ATI RN
Chapter 17 Endocrine System Test Questions Questions
Question 1 of 5
A patient is hospitalized with adrenocortical insufficiency. Which nursing activity should you delegate to the nursing assistant?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
We want to prescribe scopolamine, as a transdermal drug delivery system (skin patch), for a patient who will be leaving for an expensive cruise and is very susceptible to motion sickness. For which of the following co-morbidities is scopolamine contraindicated?
Correct Answer: A
Rationale: The correct answer is A: Angle-closure (narrow-angle) glaucoma. Scopolamine, an anticholinergic medication, can worsen angle-closure glaucoma by causing pupil dilation leading to increased intraocular pressure. This can result in a sudden and severe increase in eye pressure, leading to potential vision loss. Therefore, it is contraindicated in patients with narrow-angle glaucoma. B: Bradycardia is not a contraindication for scopolamine use as it may actually help in treating motion sickness. C: History of shellfish allergies is not a contraindication for scopolamine as the medication is not derived from shellfish and is safe for patients with this allergy. D: Resting blood pressure of 112/70 is not a contraindication for scopolamine use as it falls within the normal range and should not pose any significant risk.
Question 3 of 5
A patient with a recent drug poisoning is transported to the emergency department. The physician orders (correctly, in this case) administration of pralidoxime as part of the comprehensive emergency treatment plan. Which one of the following best describes who the patient was?
Correct Answer: D
Rationale: The correct answer is D because pralidoxime is used to treat poisoning from organophosphate insecticides, which are commonly used in agriculture. The patient is likely a farm/field worker who was accidentally exposed to insecticide. A: Amphetamine poisoning does not require pralidoxime. B: Neostigmine is not an organophosphate insecticide. C: Prazosin is not an organophosphate insecticide and is unlikely to require pralidoxime in this context. In summary, the correct answer is D because the patient's exposure to insecticide aligns with the indication for pralidoxime use, while the other choices involve different substances that do not require pralidoxime treatment.
Question 4 of 5
All of the following are β-adrenergic agonists EXCEPT:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
All of the following are cardiovascular actions of noradrenaline EXCEPT:
Correct Answer: D
Rationale: Noradrenaline acts on alpha receptors in the cardiovascular system, leading to increased systolic and diastolic blood pressure. It also causes reflex bradycardia by activating baroreceptors. However, noradrenaline does not directly constrict coronary blood vessels, as it primarily acts on alpha receptors and not on coronary vessels. This lack of direct effect on coronary blood vessels is why option D is the correct answer.