ATI RN
Endocrine System Questions and Answers PDF Questions
Question 1 of 5
You are caring for a patient who is post-hypophysectomy for hyperpituitarism. Which post-operative finding requires immediate intervention?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse assesses a client who is scheduled to have a laboratory test to determine if the client’s adrenal glands are hypoactive. What type of testing would the client likely have?
Correct Answer: D
Rationale: The correct answer is D: Provocative testing. This type of testing is used to stimulate the adrenal glands to produce hormones, helping to assess their function. Catecholamine testing is specific for hormones like adrenaline and noradrenaline. Suppression testing is used to assess overactivity of glands. Bone marrow testing is unrelated to adrenal gland function. In summary, provocative testing is the most appropriate choice to evaluate adrenal gland activity.
Question 3 of 5
The house officer considers prescribing nadolol for a 53-year-old patient. Which of the following preexisting conditions (co-morbidities) would most likely contraindicate safe use of this drug?
Correct Answer: B
Rationale: The correct answer is B: Asthma. Nadolol is a non-selective beta-blocker, which can lead to bronchoconstriction and worsen asthma symptoms due to its effect on beta-2 receptors in the lungs. This can be dangerous for patients with asthma as it can exacerbate respiratory distress. Choices A, C, and D are not contraindications for nadolol as it can actually be beneficial in these conditions by reducing heart rate and blood pressure.
Question 4 of 5
A 66-year-old female with a long history of heavy smoking presents to her doctor with complaints of shortness of breath and chronic coughing that has been present for about 2 years and has been worsening in frequency. The doctor decides to prescribe a bronchodilator agent that has minimal cardiac side effects, since the patient also has an extensive cardiac history. Which medication did the doctor likely prescribe?
Correct Answer: D
Rationale: The correct answer is D: Ipratropium. Ipratropium is an anticholinergic bronchodilator that has minimal cardiac side effects. It is commonly used to treat chronic obstructive pulmonary disease (COPD) and asthma. In this case, the patient's history of heavy smoking, shortness of breath, and chronic coughing suggests a respiratory condition like COPD. Albuterol (choice A) is a short-acting beta-agonist bronchodilator that can have cardiac side effects such as palpitations and increased heart rate. Prazosin (choice B) is an alpha-blocker used for hypertension and has no bronchodilator effects. Atenolol (choice C) is a beta-blocker used for hypertension and can worsen bronchospasm in patients with respiratory conditions. Therefore, the doctor likely prescribed Ipratropium to address the patient's respiratory symptoms while minimizing cardiac side effects.
Question 5 of 5
Pilocarpine is used in the treatment of:
Correct Answer: B
Rationale: The correct answer is B: Glaucoma. Pilocarpine is a cholinergic agonist that works by causing constriction of the pupil and increasing the outflow of aqueous humor in the eye, thereby reducing intraocular pressure in glaucoma. Increased salivary secretion (A) is a side effect of pilocarpine use. Pilocarpine is not indicated for treating intestinal colic (C) or cardiac arrhythmias (D).