ATI LPN
ATI Medical Surgical Endocrine Questions
Question 1 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 2 of 5
The nurse is reviewing prescriptions for newly admitted clients. It would require immediate follow up by the nurse if the primary health care provider (PHCP) prescribes
Correct Answer: B
Rationale: 3% NaCl is for severe hyponatremia (e.g., SIADH), not HHS, which needs isotonic fluids.
Question 3 of 5
A client presents to the ED with acute adrenal insufficiency and the following vital signs: P 118 beats/min, R 18 breaths/min, BP 84/44 mm Hg, pulse oximetry 98%, and T 98.8°F oral. Which nursing intervention is the highest priority for this client?
Correct Answer: B
Rationale: Hypotension (84/44) in adrenal insufficiency requires isotonic fluids first for shock management.
Question 4 of 5
A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic hormone (SIADH). The client's serum sodium level is 114 mEq/L. Which action should the nurse take first?
Correct Answer: B
Rationale: Severe hyponatremia (114 mEq/L) in SIADH requires fluid restriction as the first step.
Question 5 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.