ATI Targeted Medical-Surgical Practice Assessment:
Endocrine
1. 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?
I will apply lotion to the dry areas of...
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 th
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ATI Targeted Medical-Surgical Practice Assessment:
Endocrine
1. 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?
I will apply lotion to the dry areas of my feet, avoiding application between my toes.
2. A nurse is assessing a client who has diabetes mellitus and reports feeling anxious. Which of the following
findings should the nurse expect if the client is hypoglycemic?
Cool, clammy skin
3. A nurse is caring for a client who has Type 2 Diabetes Mellitus and is admitted with hyperglycemic-hyperosmolar
(HHS). Which of the following laboratory findings should the nurse expect?
Blood glucose of 846 mg/dL and serum pH of 7.40
4. A nurse is preparing insulin for a client who has diabetes mellitus. The client is to receive evening doses of insulin
glargine and regular insulin. Which of the following actions should the nurse take to administer these two
medications safely?
Draw up the glargine and the regular into separate syringes. (Because insulin glargine is not compatible
with other insulins.)
5. A nurse is monitoring a client's status 24 hr after a total thyroidectomy. Which of the following findings should
the nurse report to the provider?
Laryngeal stridor
6. A nurse is caring for a client who has diabetes mellitus and developed peripheral neuropathy. Which of the
following measures should the nurse recommend to prevent injuries to his feet?
Monitor the temperature of the water with a thermometer.
7. A nurse is planning preoperative care for a client who has pheochromocytoma. Which of the following
interventions should the nurse anticipate as being priority?
Avoid palpating the abdomen and elevate the head of the client’s bed to reduce blood and abdominal
pressure.
8. A nurse is caring for a client following thyroidectomy. The nurse should assess for which of the following findings
as an indication of hypocalcemia?
Tingling and numbness of the hands and feet. (Hypocalcemia causes paresthesia, which usually starts in
the hands and feet.)
9. A nurse is preparing to administer propranolol by IV bolus to a client experiencing thyroid storm. Which of the
following findings indicates the client is having a therapeutic response?
Reductions of the effects of the thyroid hormone on the heart.
10. A nurse is providing teaching for a client who has diabetes mellitus. Which of the following findings associated
with DKA should the nurse include?
Blood glucose levels greater than 300 mg/dL
11. A nurse is assisting a client who has adrenal insufficiency. Which of the following findings should the nurse
expect?
Serum Calcium 12.8 mg/dL
, 12. A nurse is managing care of a client who is postoperative and experiencing acute adrenal insufficiency. Which of
the following actions should the nurse take?
Administer hydrocortisone sodium succinate. (Hydrocortisone sodium is necessary to replace the cortisol
deficiency that occurs with adrenal insufficiency.)
13. A nurse is assessing a client who has a new diagnosis of Cushing's disease. Which of the following findings
should the nurse expect?
Hirsutism (Increased hair growth, or hirsutism, is an expected finding of Cushing's disease due to increased
androgen production.)
14. A nurse is admitting a client who has hyperthyroidism. When assessing the client, the nurse should expect
which of the following findings?
Tremors
15. A nurse is providing teaching for a client who has type 1 diabetes mellitus about how to prevent complications
during illness. Which of the following statements indicates that the client understands the teaching?
I will call my doctor if my blood sugar is more than 250 mg/dL
16. A home health nurse is assessing a client who is on lifelong hormone replacement therapy for treatment of
hypothyroidism. The client has not been taking his medication regularly. Which of the following findings should the
nurse expect?
Hypotension (Hypotension is an expected finding with hypothyroidism, along with bradypnea,
dysrhythmias, cold intolerance, and cool, dry skin.)
17. A nurse is caring for a client undergoing screening for primary Cushing's disease. The nurse should expect that
which of the following laboratory findings to be elevated?
Blood Glucose
18. 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?
Take this medication on an empty stomach.
19. A nurse is providing discharge teaching for a client who has diabetes insipidus and has a new prescription for
desmopressin nasal spray. Which of the following instructions should the nurse include in the teaching?
Blow nose gently prior to using nasal spray. (This action prevents dilution of the medication with nasal
secretions.)
20. A nurse is teaching a client about glycosylated hemoglobin (HbA1c) testing. Which of the following statements
by the client indicates an understanding of the information about this test?
This test is a good indicator of my average blood glucose levels. (HbA1c reflects the client's glucose levels
over a 120-day period, which is the life span of RBCs.)
21. A nurse is performing an assessment on a client who has syndrome of inappropriate antidiuretic hormone
(SIADH). Which of the following assessment data should the nurse report?
Serum Sodium 110 mEq/L (A client who has SIADH retains fluids, which causes dilutional hyponatremia.)
22. A nurse is preparing a teaching plan for a client who has diabetes insipidus and is receiving intranasal
desmopressin. Which of the following information should the nurse include in the teaching plan?
Occurrence of nocturia indicates the need for a dosage adjustment. (The client should receive the initial
dose of desmopressin in the evening; the provider will increase the dosage until the client no longer has
nocturia.)
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