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

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PN Learning System Medical Surgical Endocrine Practice Quiz Questions

Question 1 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 2 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 3 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.

Question 4 of 5

Most endocrine secretions are controlled by _____.

Correct Answer: B

Rationale: Negative feedback loops maintain hormone levels by reducing secretion when levels are adequate, ensuring homeostasis.

Question 5 of 5

The inability to produce ADH causes ______.

Correct Answer: C

Rationale: Lack of ADH leads to diabetes insipidus, characterized by excessive water loss and dilute urine.

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