ATI LPN
Medical Surgical Endocrine Quizlet Questions
Question 1 of 5
The nurse is preparing to administer a regular insulin IV bolus to a client who has hyperglycemic-hyperosmolar state (HHS). The primary health care provider (PHCP) has prescribed an initial bolus dose of 0.1 unit/kg. The client weighs 198 pounds. How much regular insulin should the nurse administer to the client as an IV bolus?
Correct Answer: C
Rationale: 198 lbs ÷ 2.2 = 90 kg; 0.1 unit/kg × 90 kg = 9 units.
Question 2 of 5
A client with hyperaldosteronism is being treated with spironolactone (Aldactone) before surgery. Which precautions does the nurse teach this client?
Correct Answer: A
Rationale: Spironolactone spares potassium; salt substitutes (KCl) could worsen hyperkalemia.
Question 3 of 5
The most common second messengers for peptide hormones are ______ and _____.
Correct Answer: C
Rationale: cAMP and calcium ions are the primary second messengers that mediate the effects of peptide hormones inside cells.
Question 4 of 5
Alcohol suppresses the secretion of ______ and thus _______ the reabsorption of water from the kidneys.
Correct Answer: A
Rationale: Alcohol inhibits ADH, reducing water reabsorption and increasing urine output.
Question 5 of 5
What gland requires iodine in order to produce its hormones?
Correct Answer: D
Rationale: The thyroid gland needs iodine to synthesize thyroxine (T4) and triiodothyronine (T3).