ATI LPN
ATI The Medical Surgical Endocrine Test Questions
Question 1 of 5
A client with pheochromocytoma is admitted for surgery. What does the nurse do for the admitting assessment?
Correct Answer: A
Rationale: Palpating the abdomen may trigger catecholamine release, worsening hypertension.
Question 2 of 5
The nurse is assessing a patient with hypoparathyroidism for electrolyte imbalances. The nurse notes a positive Chvostek's sign, indicating:
Correct Answer: C
Rationale: A positive Chvostek's sign occurs when the nurse taps the facial nerve at the angle of the jaw, resulting in facial muscle twitching. This is caused by low serum calcium due to hypoparathyroidism.
Question 3 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 4 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 5 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.