ATI LPN
Medical Surgical Endocrine ATI Quizlet Questions
Question 1 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 2 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 3 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.
Question 4 of 5
These data are obtained by the RN who is assessing a client who had a transsphenoidal hypophysectomy yesterday. What information has the most immediate implications for the client's care?
Correct Answer: C
Rationale: Headache and stiff neck post-hypophysectomy suggest meningitis or CSF leak, needing urgent action.
Question 5 of 5
A client had a parathyroidectomy 18 hours ago. Which finding requires immediate attention?
Correct Answer: B
Rationale: Hoarseness post-parathyroidectomy may indicate recurrent laryngeal nerve damage or airway compromise.