ATI LPN
Medical Surgical Endocrine Practice Quiz Questions
Question 1 of 5
The nurse is caring for a client who has adrenal insufficiency and is experiencing an exacerbation. Which of the following nursing actions should the nurse incorporate into the client's plan of care?
Correct Answer: A
Rationale: Adrenal insufficiency can cause hypotension; standing slowly prevents orthostatic drops.
Question 2 of 5
How does the drug desmopressin (DDAVP) decrease urine output in a client with diabetes insipidus (DI)?
Correct Answer: D
Rationale: Desmopressin mimics ADH, increasing water reabsorption in kidneys, reducing urine output.
Question 3 of 5
What effect can starting a dose of levothyroxine too high or increasing a dose too rapidly have on a client?
Correct Answer: D
Rationale: Excess levothyroxine mimics hyperthyroidism, risking hypertension and heart failure.
Question 4 of 5
Which patient is MOST likely to develop Diabetic Ketoacidosis?
Correct Answer: B
Rationale: Type 1 DM patient missing insulin during illness is at highest DKA risk due to absolute insulin deficiency.
Question 5 of 5
The nurse in ICU cares for a client with adrenocortical insufficiency (Addison's) disease. The client reports nausea and abdominal pain. The blood pressure suddenly drops from 120/74 to 88/48, HR increases from 80 to 100/min and the client appears confused. Which action should the nurse take first?
Correct Answer: A
Rationale: Addisonian Crisis is life-threatening with hypotension and hypoglycemia. Emergency management includes immediate hydrocortisone IVP to replace cortisol.