ATI LPN
Medical Surgical Endocrine ATI Questions
Question 1 of 9
If an endocrine gland begins to hypersecrete, it usually causes which result?
Correct Answer: A
Rationale: Hyperplasia (increased cellular growth) is the usual cause of hypersecretion of an endocrine gland.
Question 2 of 9
The nurse has provided education for a client prescribed desmopressin (DDAVP). Which statement made by the client indicates an understanding of the information?
Correct Answer: A
Rationale: Desmopressin acts on the kidneys to increase water reabsorption, treating diabetes insipidus.
Question 3 of 9
Which actual structural unit secretes insulin?
Correct Answer: C
Rationale: The actual structural unit that secretes insulin is the beta cell. Beta cells are found on the islets of Langerhans, which are in the pancreas.
Question 4 of 9
A small irregular pupil responding to convergence accommodation but not to light is:
Correct Answer: B
Rationale: Argyll-Robertson pupil (neurosyphilis) reacts to accommodation but not light.
Question 5 of 9
Calcitonin ____________.
Correct Answer: D
Rationale: Calcitonin lowers blood calcium by depositing it in bones, counteracting PTH.
Question 6 of 9
A client with pheochromocytoma is admitted for surgery. What does the nurse do for the admitting assessment?
Correct Answer: A
Rationale: Palpating the abdomen may trigger catecholamine release, worsening hypertension.
Question 7 of 9
The nurse caring for a critical patient with hypoparathyroidism. Which of the following complications should the nurse be alert for in a patient with severe hyposecretion of the parathyroid hormone?
Correct Answer: D
Rationale: Serious complications of hypoparathyroidism include seizures, cardiac arrhythmias, and bronchospasm due to severe hypocalcemia.
Question 8 of 9
A 46-year-old woman has hirsutism, hyperglycemia, obesity, muscle wasting, and increased circulating levels of adrenocorticotropic hormone (ACTH). The most likely cause of her symptoms is
Correct Answer: C
Rationale: This woman has the classic symptoms of a primary elevation of adrenocorticotropic hormone (ACTH) (Cushing disease). Elevation of ACTH stimulates overproduction of glucocorticoids and androgens.
Question 9 of 9
Endocrine disorders resulting in too little hormone activity may stem from all of the following except
Correct Answer: C
Rationale: Reduced plasma protein binding increases free hormone levels, not decreases activity.