ATI LPN
ATI The Medical Surgical Endocrine Test Questions
Question 1 of 5
The nurse is developing a plan of care for a client with type 1 diabetes mellitus who is being admitted with DKA and influenza. Which of the following should the nurse recognize as the priority intervention?
Correct Answer: D
Rationale: Safe glucose reduction (50-75 mg/dL/hr) prevents cerebral edema in DKA.
Question 2 of 5
A client being treated for hyperthyroidism calls the home health nurse and mentions that his heart rate is slower than usual. What is the nurse's best response?
Correct Answer: B
Rationale: Slower HR may indicate overtreatment (hypothyroidism); assess for cold sensitivity and weight gain.
Question 3 of 5
The nurse is assessing a patient with hypoparathyroidism for electrolyte imbalances. The nurse notes a positive Chvostek's sign, indicating:
Correct Answer: C
Rationale: A positive Chvostek's sign occurs when the nurse taps the facial nerve at the angle of the jaw, resulting in facial muscle twitching. This is caused by low serum calcium due to hypoparathyroidism.
Question 4 of 5
The nurse is reviewing newly prescribed medications for assigned clients. Which of the following prescribed medications should the nurse question?
Correct Answer: C
Rationale: Desmopressin (ADH analog) worsens SIADH by increasing water retention; it's used for DI, not SIADH.
Question 5 of 5
The home health nurse is visiting a client who has hypothyroidism and was recently started on levothyroxine. It would be a priority for the nurse to assess the client's
Correct Answer: D
Rationale: Levothyroxine increases metabolism; priority is monitoring HR and BP for tachycardia or hypertension.