ATI LPN
ATI The Medical Surgical Endocrine Test Questions
Question 1 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.
Question 2 of 5
The home health nurse is visiting a client who has hypothyroidism and was recently started on levothyroxine. It would be a priority for the nurse to assess the client's
Correct Answer: D
Rationale: Levothyroxine increases metabolism; priority is monitoring HR and BP for tachycardia or hypertension.
Question 3 of 5
The nurse is reviewing prescriptions for newly admitted clients. It would require immediate follow up by the nurse if the primary health care provider (PHCP) prescribes
Correct Answer: B
Rationale: 3% NaCl is for severe hyponatremia (e.g., SIADH), not HHS, which needs isotonic fluids.
Question 4 of 5
A client presents to the ED with acute adrenal insufficiency and the following vital signs: P 118 beats/min, R 18 breaths/min, BP 84/44 mm Hg, pulse oximetry 98%, and T 98.8°F oral. Which nursing intervention is the highest priority for this client?
Correct Answer: B
Rationale: Hypotension (84/44) in adrenal insufficiency requires isotonic fluids first for shock management.
Question 5 of 5
A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic hormone (SIADH). The client's serum sodium level is 114 mEq/L. Which action should the nurse take first?
Correct Answer: B
Rationale: Severe hyponatremia (114 mEq/L) in SIADH requires fluid restriction as the first step.