ATI LPN
Medical Surgical Endocrine Questions Questions
Question 1 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 2 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.
Question 3 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 4 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 5 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.