ATI RN COMPREHENSIVE PREDICTOR RETAKE LATEST 2023 GRADED
A+
ENDOCRINE DISORDERS
1. Nurse Ronn is assessing a client with a. Hypotension. 1. Answer C.
... [Show More] Because of changes in fat distribution,
possible Cushing’s syndrome. In a client wit b. Thick, coarse skin. Cushing’s syndrome, the nurse would expectc. Deposits of adipose tissue in the trunk and
adipose tissue accumulates in the trunk, face
(moonface), and dorsocervical areas (buffalo hump).
to find: dorsocervical area.
d. Weight gain in arms and legs.
Hypertension is caused by fluid retention. Skin
becomes thin and bruises easily because of a loss of
collagen. Muscle wasting causes muscle atrophy and
thin extremities.
2. A male client with primary diabetes a.
insipidus is ready for discharge on
desmopressin (DDAVP). Which instruction
should nurse Lina provide? b.
3. Nurse Wayne is aware that a positive a.
Chvostek’s sign indicate? a. b.
Hypocalcemia
b. Hyponatremia d.
Hypokalemia
d. Hypermagnesemia
―Administer desmopressin while the suspension
is cold.‖
―Your condition isn’t chronic, so you won’t need
to wear a medical identification bracelet.‖ c.
―You may not be able to use desmopressin
nasally if you have nasal discharge or
blockage.‖
d. ―You won’t need to monitor your fluid
intake and output after you start taking
desmopressin.‖
Hypocalcemia
Hyponatremia
Hypokalemia
Hypermagnesemia
2. Answer C. Desmopressin may not be absorbed if
the intranasal route is compromised. Although
diabetes insipidus is treatable, the client should wear
medical identification and carry medication at all
times to alert medical personnel in an emergency and
ensure proper treatment. The client must continue to
monitor fluid intake and output and receive adequate
fluid replacement.
3. Answer A. Chvostek’s sign is elicited by tapping
the client’s face lightly over the facial nerve, just
below the temple. If the client’s facial muscles twitch,
it indicates hypocalcemia. Hyponatremia is indicated
by weight loss, abdominal cramping, muscle
weakness, headache, and postural hypotension.
Hypokalemia causes paralytic ileus and muscle
weakness. Clients with hypermagnesemia exhibit a
loss of deep tendon reflexes, coma, or cardiac arrest.
n
a.
b.
d.
mineralization increases. Amenorrhea develops in
Cushing’s syndrome. With successful treatment, the
client experiences a return of menstrual flow, not a
decline in it.
5. A male client has recently undergone a. It decreases cyclic adenosine monophosphate
surgical removal of a pituitary tumor. Dr. (cAMP) production and affects the metabolic
Wong prescribes corticotropin (Acthar), 20 rate of target organs.
units I.M. q.i.d. as a replacement therapy. b. It interacts with plasma membrane receptors to
What is the mechanism of action of inhibit enzymatic actions.
corticotropin? c. It interacts with plasma membrane receptors to
produce enzymatic actions that affect protein,
fat, and carbohydrate metabolism.
d. It regulates the threshold for water resorption in
5. Answer C. Corticotropin interacts with plasma
membrane receptors to produce enzymatic actions
that affect protein, fat, and carbohydrate metabolism.
It doesn’t decrease cAMP production. The posterior
pituitary hormone, antidiuretic hormone, regulates
the threshold for water resorption in the kidneys.
the kidneys.
6. Capillary glucose monitoring is being a. Onset to be at 2 p.m. and its peak to be at 3 p.m.
performed every 4 hours for a female client b. Onset to be at 2:15 p.m. and its peak to be at 3
diagnosed with diabetic ketoacidosis. Insulin p.m.
is administered using a scale of regular insulic. Onset to be at 2:30 p.m. and its peak to be at 4
according to glucose results. At 2 p.m., the p.m.
client has a capillary glucose level of 250 d. Onset to be at 4 p.m. and its peak to be at 6 p.m.
6. Answer C. Regular insulin, which is a shortacting
insulin, has an onset of 15 to 30 minutes and a peak
of 2 to 4 hours. Because the nurse gave the insulin at
2 p.m., the expected onset would be from 2:15 p.m.
to 2:30 p.m. and the peak from 4 p.m. to 6 p.m.
mg/dl for which he receives 8 U of regular
insulin. Nurse Vince should expect the dose’s:
4. In a 29-year-old female client who is a. Serum glucose level.
being successfully treated for Cushing’s b. Hair loss.
syndrome, nurse Lyzette would expect a Bone mineralization.
decline in: d. Menstrual flow.
4. Answer A. Hyperglycemia, which develops from
glucocorticoid excess, is a manifestation of
Cushing’s syndrome. With successful treatment of
the disorder, serum glucose levels decline. Hirsutism
is common in Cushing’s syndrome; therefore, with
successful treatment, abnormal hair growth also
declines. Osteoporosis occurs in Cushing’s
syndrome; therefore, with successful treatment, bone [Show Less]
