ATI LPN
ATI Medical Surgical Endocrine Questions
Question 1 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.
Question 2 of 5
The nurse is caring for a patient scheduled for a radioactive iodine uptake test. Which of the following statements should be included in the patient instructions?
Correct Answer: C
Rationale: Radioactive iodine uptake tests diagnose thyroid disorders. After the test, special precautions like flushing the toilet twice for 24 hours are needed as the tracer is eliminated in urine. Contact with others is not restricted.
Question 3 of 5
The nurse is assessing clients for their risk of developing Cushing's syndrome. The nurse should identify at greatest risk, the client who is a
Correct Answer: A
Rationale: Long-term corticosteroid use is a primary cause of iatrogenic Cushing's syndrome.
Question 4 of 5
The nurse is caring for a client who is receiving treatment for DKA. Which of the following laboratory values would indicate that the client's DKA is resolving?
Correct Answer: C
Rationale: DKA resolution is indicated by glucose <200 mg/dL and HCO3- nearing normal (22-26 mEq/L).
Question 5 of 5
A client presents to the ED with a history of adrenal insufficiency. The following laboratory values are obtained: Na+ 130 mEq/L, K+ 5.6 mEq/L, and glucose 72 mg/dL. Which is the first request that the nurse anticipates?
Correct Answer: A
Rationale: Hyperkalemia (5.6 mEq/L) in adrenal insufficiency needs urgent correction; insulin/dextrose shifts K+ into cells.