ATI RN
Endocrine System Exam Questions and Answers Questions
Question 1 of 9
Which of the following are the signs of fluid overload?
Correct Answer: C
Rationale: Pulmonary congestion is a common sign of fluid overload, as excess fluid can accumulate in the lungs, leading to difficulty breathing.
Question 2 of 9
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 3 of 9
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.
Question 4 of 9
Priority Decision: Two days following a self-managed hypoglycemic episode at home, the patient tells the nurse that his blood glucose levels since the episode have been between 80 and 90 mg/dL. Which is the best response by the nurse?
Correct Answer: A
Rationale: A blood glucose range of 80 to 90 mg/dL is within the target range for most patients, so no adjustments are needed.
Question 5 of 9
Anthony is being treated with medication for hypothyroidism. The physician explains to Anthony that his symptoms should resolve as the medication reaches an appropriate level. Presenting signs and symptoms of hypothyroidism include:
Correct Answer: A
Rationale: Common symptoms of hypothyroidism include fatigue, cold intolerance, and weight gain, due to a deficiency in thyroid hormones.
Question 6 of 9
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 7 of 9
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 8 of 9
Which endocrine gland secretes cortisol?
Correct Answer: C
Rationale: Cortisol is secreted by the adrenal cortex, a key hormone in the stress response and in regulating metabolism.
Question 9 of 9
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.