Practice Question
A nurse is caring for a client who has hypokalemia, hyperglycemia, and hypertension. A diagnosis of Cushing syndrome is suspected. Which of the following tests would the nurse anticipate the health care provider will order to help confirm the diagnosis of Cushing syndrome?
Answer Choices:
Correct Answer:
24-hour cortisol urine study
Rationale:
🍃 A 24-hour urine cortisol test measures free cortisol excreted in the urine and is a primary diagnostic tool for Cushing syndrome.
🍃 Cushing syndrome causes chronic hypercortisolism, leading to symptoms such as hypertension, hyperglycemia, and hypokalemia.
🍃 The test helps distinguish true hypercortisolism from transient or stress-related cortisol elevations.
🍃 This noninvasive test provides a comprehensive view of cortisol secretion over a full day, making it more accurate than a single blood test.
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This question is from RN ATI MedicalSurg W Exam which contains 22 questions.
More Questions from This Exam
The nurse is caring for a client
Answer Choices:
A. Administer propylthiouracil (PTU).
B. Provide warm blankets.
C. Place the client on a cardiac monitor.
D. Place the client on a high-calorie diet.
E. Administer propranolol.
F. Administer acetaminophen.
G. Administer levothyroxine.
At the beginning of the shift, a nurse receives a report on the following four patients. Which patient should the nurse place priority on assessing first?
Answer Choices:
A. A 40-year-old patient with Cushing syndrome and gynecomastia.
B. A 58-year-old patient with Addison's disease who is exhibiting confusion.
C. A 45-year-old patient with Graves' disease and exophthalmos.
D. A 47-year-old patient with hypothyroidism who is asking for a warm blanket
A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful for diagnosing heart failure?
Answer Choices:
A. B-type natriuretic peptide (BNP)
B. Troponin I
C. Blood urea nitrogen (BUN)
D. Platelet levels
A client with a history of hypothyroidism has accidentally been taking double her prescribed dose of levothyroxine. Which assessment findings would the nurse expect due to an excess of this medication?
Answer Choices:
A. Weight gain and lethargy
B. Nervousness and tachycardia
C. Facial puffiness and constipation
D. Hypotension and intolerance to cold
A nurse is caring for a client who has developed Cushing syndrome due to long-term corticosteroid therapy to treat multiple sclerosis. The nurse understands that Cushing syndrome puts the client at increased risk for which complication?
Answer Choices:
A. Ataxic dysarthria
B. Hypotension
C. Hyperkalemia
D. Bone fracture
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4