ATI LPN
ATI Targeted 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
The nurse reviews a patient's lab results, noting a blood glucose level of 895 mg/dl. The patient is most likely experiencing which acid-base imbalance?
Correct Answer: A
Rationale: The patient is at risk for diabetic ketoacidosis, a form of metabolic acidosis. Elevated glucose from insufficient insulin leads to fat metabolism, producing ketones, an acidotic substance.