ATI LPN
ATI Quiz Medical Surgical Endocrine Questions
Question 1 of 5
The nurse is treating a patient suffering from an Addisonian crisis. The nurse should avoid the administration of:
Correct Answer: C
Rationale: Addisonian crisis causes severe hyperkalemia. Administering potassium chloride is contraindicated. It's a medical emergency with hypotension, hypoglycemia, hyperkalemia, and hyponatremia requiring hydrocortisone and fluids.
Question 2 of 5
The nurse is providing discharge teaching to a client with type 1 diabetes mellitus about 'sick day' rules, and ways to prevent the development of diabetic ketoacidosis (DKA). It would indicate a correct understanding of the teaching if the client states
Correct Answer: A
Rationale: Ketone testing above 240 mg/dL helps prevent DKA during illness.
Question 3 of 5
A client with DI has dry lips and mucous membranes and poor skin turgor. Which intervention does the nurse provide first?
Correct Answer: A
Rationale: DI causes dehydration; forcing fluids addresses fluid deficit first.
Question 4 of 5
The nurse reviews the vital signs of a client diagnosed with Graves' disease and sees that the client's temperature is up to 99.6°F. After notifying the health care provider, what does the nurse do next?
Correct Answer: D
Rationale: Fever in Graves' may signal thyroid storm; cardiac assessment (e.g., tachycardia) is next to monitor complications.
Question 5 of 5
A hospitalized patient is diagnosed with a pheochromocytoma, a tumor of the adrenal medulla. Which clinical manifestation should the nurse expect to observe?
Correct Answer: B
Rationale: A pheochromocytoma is a tumor of the adrenal medulla. It results in the hypersecretion of catecholamines, such as norepinephrine. Signs and symptoms are related to the effects of increased catecholamines: tachycardia, hypertension, palpitations, headaches, weight loss, and hyperglycemia.