ATI LPN
Medical Surgical Endocrine ATI Quizlet Questions
Question 1 of 5
A client with SIADH is admitted with a serum sodium level of 105 mEq/L. Which request by the health care provider does the nurse address first?
Correct Answer: A
Rationale: Severe hyponatremia (105 mEq/L) requires urgent correction with hypertonic saline (3% NaCl).
Question 2 of 5
A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then to start an insulin drip per protocol. The patient's labs are the following: pH 7.25, Glucose 455, potassium 2.5. Which of the following is the most appropriate nursing intervention to perform next?
Correct Answer: B
Rationale: Hypokalemia (2.5 mEq/L) must be corrected before insulin, as insulin drives K+ into cells, worsening hypokalemia.
Question 3 of 5
The nurse is assigned to care for a client who had a thyroidectomy 24 hours ago. On initial assessment which finding requires the most immediate action by the nurse?
Correct Answer: C
Rationale: Stridor indicates airway obstruction, a medical emergency post-thyroidectomy requiring immediate action to maintain airway patency (e.g., suction, tracheostomy).
Question 4 of 5
The nurse is assessing a client who has hyperthyroidism and is at risk for developing thyroid storm. It would be necessary for the nurse to notify the primary health care provider (PHCP) if the client
Correct Answer: B
Rationale: Fever (e.g., 100.8°F) in hyperthyroidism signals thyroid storm, requiring immediate PHCP notification.
Question 5 of 5
The nurse is admitting a client who has hyperglycemic-hyperosmolar state (HHS). Which of the following assessment findings is consistent with this diagnosis?
Correct Answer: B
Rationale: HHS features extreme hyperglycemia (>600 mg/dL) without significant ketosis or acidosis.