ATI LPN
Medical Surgical Endocrine Questions Questions
Question 1 of 5
The nurse is assigned to care for a client who had a thyroidectomy 24 hours ago. On initial assessment which finding requires the most immediate action by the nurse?
Correct Answer: C
Rationale: Stridor indicates airway obstruction, a medical emergency post-thyroidectomy requiring immediate action to maintain airway patency (e.g., suction, tracheostomy).
Question 2 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 3 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 4 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 5 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.