ATI LPN
Medical Surgical Endocrine Quiz Questions
Question 1 of 5
A client has undergone a transsphenoidal hypophysectomy. Which intervention does the nurse implement to avoid increasing ICP in the client?
Correct Answer: B
Rationale: Straining increases ICP; coughing and nose blowing also risk CSF leak.
Question 2 of 5
The nurse is assessing a patient admitted with SIADH. Which assessment finding suggests this condition?
Correct Answer: C
Rationale: SIADH causes fluid retention, leading to fluid overload and JVD. Increased urine output and weight loss are goals of treatment, not symptoms.
Question 3 of 5
The nurse is caring for a client who has developed SIADH. It would be necessary for the nurse to immediately notify the primary health care provider (PHCP) if the client
Correct Answer: D
Rationale: Crackles indicate fluid overload, a critical SIADH complication requiring immediate PHCP notification.
Question 4 of 5
The nurse is caring for a client with suspected hypoparathryoidism. Which of the following would be an expected finding?
Correct Answer: D
Rationale: Hypoparathyroidism causes hypocalcemia due to low PTH.
Question 5 of 5
The nurse is reviewing assessment data for the following clients. It would require immediate follow up by the nurse if a client
Correct Answer: D
Rationale: Post-adrenalectomy hyponatremia and hypotension indicate adrenal crisis, needing urgent intervention.