ATI LPN
Medical Surgical Endocrine Quizlet Questions
Question 1 of 5
The nurse is caring for a patient scheduled for a radioactive iodine uptake test. Which of the following statements should be included in the patient instructions?
Correct Answer: C
Rationale: Radioactive iodine uptake tests diagnose thyroid disorders. After the test, special precautions like flushing the toilet twice for 24 hours are needed as the tracer is eliminated in urine. Contact with others is not restricted.
Question 2 of 5
The nurse is caring for a client who is receiving treatment for DKA. Which of the following laboratory values would indicate that the client's DKA is resolving?
Correct Answer: C
Rationale: DKA resolution is indicated by glucose <200 mg/dL and HCO3- nearing normal (22-26 mEq/L).
Question 3 of 5
A client presents to the ED with a history of adrenal insufficiency. The following laboratory values are obtained: Na+ 130 mEq/L, K+ 5.6 mEq/L, and glucose 72 mg/dL. Which is the first request that the nurse anticipates?
Correct Answer: A
Rationale: Hyperkalemia (5.6 mEq/L) in adrenal insufficiency needs urgent correction; insulin/dextrose shifts K+ into cells.
Question 4 of 5
A client is taking methimazole (Tapazole) for hyperthyroidism and would like to know how soon this medication will begin working. What is the nurse's best response?
Correct Answer: D
Rationale: Methimazole reduces thyroid hormone synthesis; effects begin within 1-2 weeks, full effect takes longer.
Question 5 of 5
A client is admitted to the ICU with diagnosis of a brain tumor complicated by transient diabetes insipidus. Which client data related to this complication should the nurse expect? Select ONE that does not apply.
Correct Answer: A
Rationale: DI is a condition in which ADH is insufficiently produced or suppressed, resulting in polydipsia and polyuria (up to 20 L/day). Urine is copious and dilute with a low specific gravity (<1.005); fluid volume deficit can lead to dehydration, hypernatremia, high serum osmolality, and weight loss.