ATI LPN
ATI Medical Surgical Endocrine Questions
Question 1 of 5
A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic hormone (SIADH). The client's serum sodium level is 114 mEq/L. Which action should the nurse take first?
Correct Answer: B
Rationale: Severe hyponatremia (114 mEq/L) in SIADH requires fluid restriction as the first step.
Question 2 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 3 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 4 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.
Question 5 of 5
A client is taking methimazole (Tapazole) for hyperthyroidism and would like to know how soon this medication will begin working. What is the nurse's best response?
Correct Answer: D
Rationale: Methimazole reduces thyroid hormone synthesis; effects begin within 1-2 weeks, full effect takes longer.