ATI TARGETED MEDICAL-SURGICAL PRACTICE ASSESSMENT: ENDOCRINE

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