ATI LPN
Medical Surgical Endocrine Quiz Questions
Question 1 of 5
The nurse in ICU cares for a client with adrenocortical insufficiency (Addison's) disease. The client reports nausea and abdominal pain. The blood pressure suddenly drops from 120/74 to 88/48, HR increases from 80 to 100/min and the client appears confused. Which action should the nurse take first?
Correct Answer: A
Rationale: Addisonian Crisis is life-threatening with hypotension and hypoglycemia. Emergency management includes immediate hydrocortisone IVP to replace cortisol.
Question 2 of 5
The nurse is caring for a client who requires treatment for hyperglycemic-hyperosmolar state (HHS). Which of the following interventions should the nurse be prepared to implement first?
Correct Answer: C
Rationale: Fluid resuscitation is the first step in HHS to correct severe dehydration.
Question 3 of 5
A client has undergone a transsphenoidal hypophysectomy. Which intervention does the nurse implement to avoid increasing ICP in the client?
Correct Answer: B
Rationale: Straining increases ICP; coughing and nose blowing also risk CSF leak.
Question 4 of 5
A client recently admitted with hyperparathyroidism has a very high urine output. What does the nurse do first?
Correct Answer: B
Rationale: High urine output in hyperparathyroidism (from hypercalcemia) requires baseline I&O monitoring first.
Question 5 of 5
The nurse is assessing a patient admitted with SIADH. Which assessment finding suggests this condition?
Correct Answer: C
Rationale: SIADH causes fluid retention, leading to fluid overload and JVD. Increased urine output and weight loss are goals of treatment, not symptoms.