ATI LPN
PN Learning System Medical Surgical Endocrine Practice Quiz Questions
Question 1 of 5
The nurse is caring for a client who has adrenal insufficiency. Which of the following medications should the nurse expect to be prescribed for the client?
Correct Answer: D
Rationale: Prednisone replaces cortisol in adrenal insufficiency (e.g., Addison's).
Question 2 of 5
A client with SIADH is admitted with a serum sodium level of 105 mEq/L. Which request by the health care provider does the nurse address first?
Correct Answer: A
Rationale: Severe hyponatremia (105 mEq/L) requires urgent correction with hypertonic saline (3% NaCl).
Question 3 of 5
The RN has just received change-of-shift report on the med-surg unit. Which client will need to be assessed first?
Correct Answer: D
Rationale: Muscle twitching post-parathyroidectomy suggests hypocalcemia, a priority due to seizure risk.
Question 4 of 5
A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then to start an insulin drip per protocol. The patient's labs are the following: pH 7.25, Glucose 455, potassium 2.5. Which of the following is the most appropriate nursing intervention to perform next?
Correct Answer: B
Rationale: Hypokalemia (2.5 mEq/L) must be corrected before insulin, as insulin drives K+ into cells, worsening hypokalemia.
Question 5 of 5
Most endocrine secretions are controlled by _____.
Correct Answer: B
Rationale: Negative feedback loops maintain hormone levels by reducing secretion when levels are adequate, ensuring homeostasis.