ATI RN COMPREHENSIVE PREDICTOR RETAKE LATEST 2023 GRADED A+
ENDOCRINE DISORDERS
1. Nurse Ronn is assessing a client with a. Hypotension. 1. Answer
... [Show More] C. 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.
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:
ATI RN COMPREHENSIVE PREDICTOR RETAKE LATEST 2023 GRADED A+
7. A female client with Cushing’s syndroma. Depression is admitted to the medical-surgical unit. b. Neuropathy
During the admission assessment, nurse Tyzz Hypoglycemia notes that the client is agitated and irritable, d. Hyperthyroidism 7. Answer A. Agitation, irritability, poor memory, loss of appetite, and neglect of one’s appearance may signal depression, which is common in clients with Cushing’s syndrome. Neuropathy affects clients with diabetes mellitus — not Cushing’s syndrome. Although hypoglycemia can cause irritability, it also produces increased appetite, rather than loss of appetite. Hyperthyroidism typically causes such signs as goiter, nervousness, heat intolerance, and
weight loss despite increased appetite.
has poor memory, reports loss of appetite, and
appears disheveled. These findings are consistent with which problem?
8. Nurse Ruth is assessing a client after a a. Tetany thyroidectomy. The assessment reveals b. Hemorrhage 8. Answer A. Tetany may result if the parathyroid glands are excised or damaged during thyroid
muscle twitching and tingling, along with Thyroid storm numbness in the fingers, toes, and mouth ared. Laryngeal nerve damage surgery. Hemorrhage is a potential complication after thyroid surgery but is characterized by tachycardia, hypotension, frequent swallowing, feelings of fullness at the incision site, choking, and bleeding.
Thyroid storm is another term for severe hyperthyroidism — not a complication of thyroidectomy. Laryngeal nerve damage may occur
postoperatively, but its signs include a hoarse voice and, possibly, acute airway obstruction.
The nurse should suspect which
complication?
9. After undergoing a subtotal a. Primary hypothyroidism thyroidectomy, a female client develops b. Graves’ disease hypothyroidism. Dr. Smith prescribes Thyrotoxicosis
levothyroxine (Levothroid), 25 mcg P.O. daid. Euthyroidism 9. Answer A. Levothyroxine is the preferred agent to treat primary hypothyroidism and cretinism, although it also may be used to treat secondary hypothyroidism. It is contraindicated in Graves’ disease and thyrotoxicosis because these conditions are forms of hyperthyroidism. Euthyroidism, a term
used to describe normal thyroid function, wouldn’t require any thyroid preparation.
For which condition is levothyroxine the
preferred agent? [Show Less]