ATI LPN
Medical Surgical Endocrine Questions Questions
Question 1 of 5
The drug of choice for treatment of pneumococcal pneumonia in patients with penicillin sensitivity is:
Correct Answer: C
Rationale: Erythromycin is effective against Streptococcus pneumoniae in penicillin-allergic patients.
Question 2 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 3 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 4 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 5 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.