ATI LPN
PN Learning System Medical Surgical Endocrine Practice Quiz 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
Most endocrine secretions are controlled by _____.
Correct Answer: B
Rationale: Negative feedback loops maintain hormone levels by reducing secretion when levels are adequate, ensuring homeostasis.
Question 4 of 5
The inability to produce ADH causes ______.
Correct Answer: C
Rationale: Lack of ADH leads to diabetes insipidus, characterized by excessive water loss and dilute urine.
Question 5 of 5
An autoimmune form of hypothyroidism when the body destroys the thyroid cells is called
Correct Answer: A
Rationale: Hashimoto's disease is an autoimmune condition destroying thyroid tissue, leading to hypothyroidism.