ATI LPN
ATI Quiz Medical Surgical Endocrine Questions
Question 1 of 5
The nurse is caring for a client with a closed traumatic brain injury and suspects that the client is developing diabetes insipidus (DI). Which of the following findings would be consistent with this diagnosis?
Correct Answer: D
Rationale: DI involves dilute urine (low specific gravity) due to ADH deficiency, not glucose or BP changes.
Question 2 of 5
The nurse is caring for a client who has hyperglycemic-hyperosmolar state (HHS) and is receiving a continuous IV infusion of regular insulin. It would require immediate follow up if the client has a
Correct Answer: C
Rationale: Rapid glucose drop (>100 mg/dL/hr) risks cerebral edema, requiring immediate follow-up.
Question 3 of 5
Which laboratory result indicates that fluid restrictions have been effective in treating SIADH?
Correct Answer: C
Rationale: Increased serum sodium indicates corrected hyponatremia from fluid restriction in SIADH.
Question 4 of 5
The nurse is preparing the room for the client returning from a thyroidectomy. Which items are important for the nurse to have available for this client? (Select ONE that does not apply.)
Correct Answer: C
Rationale: Post-thyroidectomy risks include hypocalcemia (calcium gluconate), airway obstruction (tracheotomy kit), and hypoxia (oxygen).
Question 5 of 5
Steroid hormones function by binding to receptor proteins within the ________. Once the hormone binds to a receptor, it activates ______.
Correct Answer: B
Rationale: Steroid hormones, being lipid-soluble, enter the cell and bind to nuclear receptors, directly activating gene transcription.