ATI LPN
ATI The Medical Surgical Endocrine Test Questions
Question 1 of 5
The nurse caring for a critical patient with hypoparathyroidism. Which of the following complications should the nurse be alert for in a patient with severe hyposecretion of the parathyroid hormone?
Correct Answer: D
Rationale: Serious complications of hypoparathyroidism include seizures, cardiac arrhythmias, and bronchospasm due to severe hypocalcemia.
Question 2 of 5
The nurse is developing a plan of care for a client with type 1 diabetes mellitus who is being admitted with DKA and influenza. Which of the following should the nurse recognize as the priority intervention?
Correct Answer: D
Rationale: Safe glucose reduction (50-75 mg/dL/hr) prevents cerebral edema in DKA.
Question 3 of 5
A client with pheochromocytoma is admitted for surgery. What does the nurse do for the admitting assessment?
Correct Answer: A
Rationale: Palpating the abdomen may trigger catecholamine release, worsening hypertension.
Question 4 of 5
A client being treated for hyperthyroidism calls the home health nurse and mentions that his heart rate is slower than usual. What is the nurse's best response?
Correct Answer: B
Rationale: Slower HR may indicate overtreatment (hypothyroidism); assess for cold sensitivity and weight gain.
Question 5 of 5
The nurse is assessing a patient with hypoparathyroidism for electrolyte imbalances. The nurse notes a positive Chvostek's sign, indicating:
Correct Answer: C
Rationale: A positive Chvostek's sign occurs when the nurse taps the facial nerve at the angle of the jaw, resulting in facial muscle twitching. This is caused by low serum calcium due to hypoparathyroidism.