ATI LPN
Medical Surgical Endocrine Questions Questions
Question 1 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 2 of 5
A client had a parathyroidectomy 18 hours ago. Which finding requires immediate attention?
Correct Answer: B
Rationale: Hoarseness post-parathyroidectomy may indicate recurrent laryngeal nerve damage or airway compromise.
Question 3 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 4 of 5
The nurse is caring for a client who has lung cancer and has developed syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following would be an expected finding?
Correct Answer: A
Rationale: SIADH causes hyponatremia (low sodium) due to excessive water retention.
Question 5 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.