ATI LPN
PN Learning System Medical Surgical Endocrine Practice Quiz Questions
Question 1 of 5
The nurse cares for a client with Addison's disease who was involved in a motor vehicle accident and hospitalized for a fracture of the right femur. Which client information is most important to report to the PCP?
Correct Answer: A
Rationale: Significant BP drop in Addison's suggests adrenal crisis, a priority to report due to risk of shock.
Question 2 of 5
The nurse is preparing to administer a regular insulin IV bolus to a client who has hyperglycemic-hyperosmolar state (HHS). The primary health care provider (PHCP) has prescribed an initial bolus dose of 0.1 unit/kg. The client weighs 198 pounds. How much regular insulin should the nurse administer to the client as an IV bolus?
Correct Answer: C
Rationale: 198 lbs ÷ 2.2 = 90 kg; 0.1 unit/kg × 90 kg = 9 units.
Question 3 of 5
The nurse is teaching a client about how to monitor therapy effectiveness for SIADH. What does the nurse tell the client to look for?
Correct Answer: A
Rationale: Effective SIADH treatment reduces fluid retention, minimizing weight gain.
Question 4 of 5
A client with hyperaldosteronism is being treated with spironolactone (Aldactone) before surgery. Which precautions does the nurse teach this client?
Correct Answer: A
Rationale: Spironolactone spares potassium; salt substitutes (KCl) could worsen hyperkalemia.
Question 5 of 5
The nurse is performing her routine physical assessment on a patient with Cushing's syndrome. Which of the following assessment findings is the nurse most likely to discover?
Correct Answer: A
Rationale: Cushing's syndrome results from prolonged exposure to high cortisol levels. Patients often have adipose tissue deposits on the face (moon face), trunk, and upper back (buffalo hump).