ATI RN
Endocrine System Practice Questions Questions
Question 1 of 5
The nurse assesses an older client. What age-related physiologic changes would the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Dehydration. As people age, their body's ability to conserve water decreases, making older adults more prone to dehydration. Age-related physiologic changes such as decreased thirst sensation and reduced kidney function contribute to this. Heat intolerance (A) is not a common age-related change. Rheumatoid arthritis (B) is an autoimmune condition not directly associated with aging. Increased appetite (D) can occur due to various factors but is not a consistent age-related change. Overall, C is the most likely physiological change in older adults due to their altered fluid balance mechanisms.
Question 2 of 5
A 38-year-old farmer is brought to the emergency room by his wife with symptoms of sudden difficulty breathing, sweatiness, and anxiety. He was spraying insecticide when this happened. It has been 25 minutes since the symptoms started. The patient is emergently intubated and given atropine and another medication that acts to reactivate acetylcholinesterase. What medication is it?
Correct Answer: C
Rationale: The correct answer is C: Pralidoxime. Pralidoxime is used to reactivate acetylcholinesterase in cases of organophosphate poisoning, which is likely the cause of the patient's symptoms after spraying insecticide. Reactivating acetylcholinesterase helps to break down excess acetylcholine, reducing the toxic effects of the insecticide. Physostigmine (choice A) is an acetylcholinesterase inhibitor, which would worsen the patient's condition. Propranolol (choice B) is a beta-blocker and does not address the underlying issue of acetylcholinesterase inhibition. Phenylephrine (choice D) is a sympathomimetic drug used for vasoconstriction and would not be appropriate in this scenario.
Question 3 of 5
Non-selective β-blockers are contraindicated in:
Correct Answer: C
Rationale: The correct answer is C: Peripheral vascular disease. Non-selective β-blockers can cause vasoconstriction and exacerbate peripheral vascular disease by reducing blood flow to the extremities. This can lead to worsening symptoms and potential tissue damage. Choices A, B, and D are incorrect because non-selective β-blockers are commonly used in angina of effort, systemic hypertension, and thyrotoxicosis, respectively, to decrease heart rate and blood pressure.
Question 4 of 5
Acute attack of migraine can be treated by:
Correct Answer: B
Rationale: The correct answer is B: Ergotamine. Ergotamine is a vasoconstrictor that helps alleviate migraine symptoms by constricting blood vessels in the brain. It is commonly used to treat acute migraine attacks. Prazosin (A) is an alpha-blocker used for hypertension, not migraines. Propranolol (C) is a beta-blocker used for migraine prevention, not acute treatment. Amphetamine (D) is a stimulant used for ADHD, not migraine treatment. Ergotamine's vasoconstrictive properties make it effective for treating acute migraines.
Question 5 of 5
Which of the following is a direct-acting parasympathomimetic that readily passes the blood-brain barrier and is commonly used in the treatment of glaucoma:
Correct Answer: A
Rationale: The correct answer is A: Pilocarpine. Pilocarpine is a direct-acting parasympathomimetic that readily passes the blood-brain barrier due to its small molecular size. It is commonly used in the treatment of glaucoma by constricting the pupil and increasing the outflow of aqueous humor. Carbachol and Bethanechol are also parasympathomimetics, but they do not readily cross the blood-brain barrier. Methacholine is a muscarinic receptor agonist, not commonly used in the treatment of glaucoma. Therefore, the most suitable choice that meets the criteria provided in the question is pilocarpine.