ATI LPN
PN Learning System Medical Surgical Endocrine Practice Quiz Questions
Question 1 of 5
The nurse is performing her routine physical assessment on a patient with Cushing's syndrome. Which of the following assessment findings is the nurse most likely to discover?
Correct Answer: A
Rationale: Cushing's syndrome results from prolonged exposure to high cortisol levels. Patients often have adipose tissue deposits on the face (moon face), trunk, and upper back (buffalo hump).
Question 2 of 5
The nurse working on a surgical unit has been made aware of the following client situations. The nurse should first see the client who had a
Correct Answer: C
Rationale: Nose blowing post-hypophysectomy risks CSF leak or increased ICP, requiring immediate attention.
Question 3 of 5
A client with SIADH is admitted with a serum sodium level of 105 mEq/L. Which request by the health care provider does the nurse address first?
Correct Answer: A
Rationale: Severe hyponatremia (105 mEq/L) requires urgent correction with hypertonic saline (3% NaCl).
Question 4 of 5
The RN has just received change-of-shift report on the med-surg unit. Which client will need to be assessed first?
Correct Answer: D
Rationale: Muscle twitching post-parathyroidectomy suggests hypocalcemia, a priority due to seizure risk.
Question 5 of 5
A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then to start an insulin drip per protocol. The patient's labs are the following: pH 7.25, Glucose 455, potassium 2.5. Which of the following is the most appropriate nursing intervention to perform next?
Correct Answer: B
Rationale: Hypokalemia (2.5 mEq/L) must be corrected before insulin, as insulin drives K+ into cells, worsening hypokalemia.