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NR 325 EXAM 1 ATI PRACTICE (Endocrine) - Questions and Answers
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NR 325 Exam 11) A 79-year-old man has been admitted with benign prostatic hyperplasia. What is
most appropriate to include in the nursing planof care?
a. Limit fluid intake to no more than 1000 mL/day.
b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be measured.
d. Pad the patient's bed to accommodate overflow incontinence.
ANS: B
The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the light on inthe
bathroom is appropriate. Fluids should be encouraged because dehydration is more common in
older patients.
2) A patient gives the nurse health information before a scheduledintravenous
pyelogram (IVP). Which item has the most immediate implications for the
patient's care?
a. The patient has not had food or drink for 8 hours.
b. The patient lists allergies to shellfish and penicillin.
c. The patient complains of costovertebral angle (CVA) tenderness.
d. The patient used a bisacodyl (Dulcolax) tablet the previous night.
ANS: B
Iodine-based contrast dye is used during IVP and for many computed tomography (CT) scans. The
nurse will need to notify the health care provider before the procedures so thatthe patient can
receive medications such as antihistamines or corticosteroids before the procedures are started.
3) A patient passing bloody urine is scheduled for a cystoscopy withcystogram.
Which description of the procedure by the nurse is accurate?
a. "Your doctor will place a catheter into an artery in your groin andinject a dye that will
visualize the blood supply to the kidneys."
b. "Your doctor will insert a lighted tube into the bladder, and littlecatheters will be
inserted through the tube into your kidney."
c. "Your doctor will insert a lighted tube into the bladder through your urethra,
inspect the bladder, and instill a dye that will outlineyour bladder on x-ray."
d. "Your doctor will inject a radioactive solution into a vein in your arm and the
distribution of the isotope in your kidneys and bladderwill be checked."
ANS: C
In a cystoscope and cystogram procedure, a cystoscope is inserted into the bladder for direct
visualization, and then contrast solution is injected through the scope so that x-rayscan be taken.
4) Which nursing action is essential for a patient immediately aftera renal biopsy?
a. Check blood glucose to assess for hyperglycemia orhypoglycemia.
b. Insert a urinary catheter and test urine for gross or microscopichematuria.
, c. Monitor the blood urea nitrogen (BUN) and creatinine to assessrenal function.
d. Apply a pressure dressing and keep the patient on the affectedside for 30
minutes.
ANS: D
A pressure dressing is applied and the patient is kept on the affected side for 30 to 60minutes to put
pressure on the biopsy side and decrease the risk for bleeding.
5) Which assessment of a 62-year-old patient who has just had anintravenous
pyelogram (IVP) requires immediate action by the nurse?
a. The heart rate is 58 beats/minute.
b. The patient complains of a dry mouth.
c. The respiratory rate is 38 breaths/minute.
d. The urine output is 400 mL after 2 hours.
ANS: C
The increased respiratory rate indicates that the patient may be experiencing an allergic reaction to
the contrast medium used during the procedure. The nurse should immediatelyassess the patient's
oxygen saturation and breath sounds.
6) Which statement by a nurse to a patient newly diagnosed withtype 2 diabetes
is correct?
a.Insulin is not used to control blood glucose in patients with type 2 diabetes.
b. Complications of type 2 diabetes are less serious than those oftype 1 diabetes.
c.Changes in diet and exercise may control blood glucose levels intype 2 diabetes.
d. Type 2 diabetes is usually diagnosed when the patient is admittedwith a hyperglycemic
coma.
ANS: C
For some patients with type 2 diabetes, changes in lifestyle are sufficient to achieve bloodglucose
control.
7) A patient with type 2 diabetes is scheduled for a follow-up visit inthe clinic several
months from now. Which test will the nurse schedule to evaluate the effectiveness of
treatment for the patient?
a. Urine dipstick for glucose
b. Oral glucose tolerance test
c. Fasting blood glucose level
d. Glycosylated hemoglobin level
ANS: D
The glycosylated hemoglobin (A1C or HbA1C) test shows the overall control of glucoseover 90
to 120 days.
8) A 55-year-old female patient with type 2 diabetes has a nursingdiagnosis of
imbalanced nutrition: more than body requirements. Which goal is most
important for this patient?
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