ATI LPN
ATI The Medical Surgical Endocrine Test Questions
Question 1 of 5
A client being treated for hyperthyroidism calls the home health nurse and mentions that his heart rate is slower than usual. What is the nurse's best response?
Correct Answer: B
Rationale: Slower HR may indicate overtreatment (hypothyroidism); assess for cold sensitivity and weight gain.
Question 2 of 5
The nurse is reviewing newly prescribed medications for assigned clients. Which of the following prescribed medications should the nurse question?
Correct Answer: C
Rationale: Desmopressin (ADH analog) worsens SIADH by increasing water retention; it's used for DI, not SIADH.
Question 3 of 5
The home health nurse is visiting a client who has hypothyroidism and was recently started on levothyroxine. It would be a priority for the nurse to assess the client's
Correct Answer: D
Rationale: Levothyroxine increases metabolism; priority is monitoring HR and BP for tachycardia or hypertension.
Question 4 of 5
The nurse is reviewing prescriptions for newly admitted clients. It would require immediate follow up by the nurse if the primary health care provider (PHCP) prescribes
Correct Answer: B
Rationale: 3% NaCl is for severe hyponatremia (e.g., SIADH), not HHS, which needs isotonic fluids.
Question 5 of 5
A client presents to the ED with acute adrenal insufficiency and the following vital signs: P 118 beats/min, R 18 breaths/min, BP 84/44 mm Hg, pulse oximetry 98%, and T 98.8°F oral. Which nursing intervention is the highest priority for this client?
Correct Answer: B
Rationale: Hypotension (84/44) in adrenal insufficiency requires isotonic fluids first for shock management.