ATI LPN
Medical Surgical Endocrine Practice Quiz Questions
Question 1 of 5
What effect can starting a dose of levothyroxine too high or increasing a dose too rapidly have on a client?
Correct Answer: D
Rationale: Excess levothyroxine mimics hyperthyroidism, risking hypertension and heart failure.
Question 2 of 5
The nurse in ICU cares for a client with adrenocortical insufficiency (Addison's) disease. The client reports nausea and abdominal pain. The blood pressure suddenly drops from 120/74 to 88/48, HR increases from 80 to 100/min and the client appears confused. Which action should the nurse take first?
Correct Answer: A
Rationale: Addisonian Crisis is life-threatening with hypotension and hypoglycemia. Emergency management includes immediate hydrocortisone IVP to replace cortisol.
Question 3 of 5
The nurse has instructed a client who has hyperthyroidism and been prescribed propylthiouracil. Which of the following client statements would indicate a correct understanding of the teaching?
Correct Answer: B
Rationale: Propylthiouracil can cause liver toxicity; dark urine may indicate liver issues, requiring PHCP notification.
Question 4 of 5
The nurse is caring for a client who requires treatment for hyperglycemic-hyperosmolar state (HHS). Which of the following interventions should the nurse be prepared to implement first?
Correct Answer: C
Rationale: Fluid resuscitation is the first step in HHS to correct severe dehydration.
Question 5 of 5
A client has undergone a transsphenoidal hypophysectomy. Which intervention does the nurse implement to avoid increasing ICP in the client?
Correct Answer: B
Rationale: Straining increases ICP; coughing and nose blowing also risk CSF leak.