ATI LPN
Medical Surgical Endocrine Questions Questions
Question 1 of 5
A patient is seen in the ER after abruptly discontinuing her thyroid medication. She is hypotensive, hypoglycemic, and is unresponsive. This clinical picture is most common with:
Correct Answer: B
Rationale: Myxedema coma occurs from persistently low thyroid production, often after acute illness, rapid discontinuation of thyroid medication, or hypothermia. Signs include hypotension, coma, hypoglycemia, edema, bradycardia, and respiratory failure.
Question 2 of 5
The nurse has become aware of the following client situations. It would be a priority for the nurse to follow up with the client who
Correct Answer: B
Rationale: Tight dressing post-thyroidectomy suggests hematoma or bleeding, a potential airway emergency.
Question 3 of 5
The nurse is aware of the following client situations. The nurse should first follow up with the client who
Correct Answer: C
Rationale: Muscle weakness in DKA suggests hypokalemia, a life-threatening complication.
Question 4 of 5
A client with a possible adrenal gland tumor is admitted for testing and treatment. Which nursing action is most appropriate for the charge nurse to delegate to the nursing assistant?
Correct Answer: D
Rationale: Reminding about coffee and position changes is within NA scope; assessment and planning are RN tasks.
Question 5 of 5
A nurse evaluates the following laboratory results for a client who has hypoparathyroidism: Calcium 7.2 mg/dL, Sodium 144 mEq/L, Magnesium 1.2 mEq/L, Potassium 5.7 mEq/L. Based on these results, which medications should the nurse anticipate administering? (Select all that apply.)
Correct Answer: B
Rationale: Hypoparathyroidism causes hypocalcemia (7.2 mg/dL) and hypomagnesemia (1.2 mEq/L); anticipate calcium chloride and magnesium sulfate.