ATI MedSurg Endocrine Practice Test
"I will call my doctor if my blood sugar is more than 250."
A nurse is teaching a client who has type 1 DM about how to prevent complications during illness. Which of the following statements by the client indicates an understanding of the teaching?
Elevate the head of the client's bed.
A nurse is caring for a client who has a pheochromocytoma. Which of the following actions should the nurse take?
Ingest food with alcohol to reduce alcohol-induced hypoglycemia
A nurse is planning teaching for a client who has type 1 DM. Which of the following instructions should the nurse plan to include?
"Take this medication on an empty stomach."
A nurse is developing a teaching plan for a client who had a thyroidectomy and takes a thyroid hormone replacement. Which of the following instructions should the nurse plan to include?
Serum pH 7.45
A nurse is caring for a client who has type 2 DM and is experiencing a hyperglycemic-hyperosmolar state (HHS). Which of the following lab findings should the nurse expect?
Hypotension
A home health nurse is assessing a client who requires lifelong hormone replacement therapy for the treatment of hypothyroidism. The client has not been taking the medication regularly. Which of the following findings should the nurse expect?
Reduction of the effects of thyroid hormone on the heart
A nurse has administered propranolol by IV bolus to a client who is having a thyroid storm. Which of the following findings indicates that the client is having a therapeutic response?
"I will apply lotion to the dry areas of my feet but not between my toes."
A nurse in an outpatient clinic is teaching a client who has a diabetic foot ulcer about foot care. Which of the following statements by the client indicates an understanding of the teaching?
Tremors
A nurse is admitting a client who has hyperthyroidism. When assessing the client, the nurse should expect which of the following findings?
Cool, clammy skin
A nurse is assessing a client who has DM and reports feeling anxious. Which of the following findings should the nurse expect if the client is hypoglycemic?
Hirsutism
A nurse is assessing a client who has a new diagnosis of Cushing's disease. Which of the following findings should the nurse expect?
Calcium 12.8 mg/dL
A nurse is assessing a client who has adrenal insufficiency. Which of the following findings should the nurse expect?
Increased hematocrit
A nurse is assessing a client who has diabetes insipidus. The nurse should expect which of the following findings?
Sodium 110 mEq/L
A nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should the nurse report to the provider?
Increased body weight
A nurse is assessing a client who is taking propylthiouracil. The nurse should identify which of the following findings as an indication that the medication has been effective?
Tingling and numbness of the hands and feet
A nurse is caring for a client following thyroidectomy. The nurse should assess for which of the following findings as indication of hypocalcemia?
Monitor the temperature of bath water with a thermometer
A nurse is caring for a client who has DM and has developed peripheral neuropathy. Which of the following measures should the nurse recommend to prevent injuries to the client's feet?
Administer IV hydrocortisone sodium
A nurse is managing the care of a client who is postoperative and has acute adrenal insufficiency. Which of the following actions should the nurse take?
Laryngeal stridor
A nurse is monitoring a client who is 24 hr postoperative after a total thyroidectomy. Which of the following findings should the nurse report to the provider?
Fasting blood glucose 96 mg/dL
A nurse is monitoring the laboratory values of a client who has DM and is taking insulin. Which of the following results indicates a therapeutic outcome of insulin therapy?
"Report nocturia because it requires a dosage adjustment."
A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires intranasal desmopressin. Which of the following information should the nurse include?
"Blow your nose gently prior to using the nasal spray."
A nurse is providing discharge teaching to a client who has diabetes insipidus and a new prescription for desmopressin nasal spray. Which of the following instructions should the nurse include in the teaching?
pH 7.32, PaCO2 36 mm Hg, HCO3- 14 mEq/L
A nurse is reviewing lab values for a client who has DKA. Which of the following results should the nurse expect?
Glucose
A nurse is reviewing the lab results of a client undergoing screening for primary Cushing's disease. The nurse should expect an elevation in which of the following lab findings?
"This test's result is a good indicator of my average blood glucose levels."
A nurse is teaching a client about glycosylated hemoglobin (HbA1c) testing. Which of the following client statements indicates an understanding of the teaching?
Addison's disease
A nurse is teaching a client about the ACTH stimulation test. The nurse should explain that the purpose of the test is to assess for which of the following disorders?
Draw up the insulins into separate syringes
A nurse is teaching a client who has DM about insulin injections. The client's prescription includes evening doses of insulin glargine and regular insulin. Which of the following instructions should the nurse include?
Blood glucose levels above 300 mg/dL
A nurse is teaching a client who has DM. Which of the following should the nurse include as an expected finding of DKA?
Osteoporosis Moon-shaped face Increased risk of infection
A nurse is teaching a client who has an autoimmune disease about the adverse effects of long-term corticosteroid therapy. Which of the following adverse effects should the nurse include?
"Restrict coffee intake 2 to 3 days prior to the test."
A nurse is teaching a client who is scheduled for a vanillylmandelic acid test to screen for pheochromocytoma. Which of the following statements should the nurse include in the teaching?