ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications related to electrolyte imbalance?
Correct Answer: A
Rationale: Pathologic fractures: Hyperparathyroidism causes excessive calcium resorption from bones, leading to bone fragility and an increased risk of fractures.
Question 2 of 5
A nurse is caring for a client who has a hyperkalemia and is receiving insulin therapy. Which of the following should the nurse recognize as an adverse outcome?
Correct Answer: D
Rationale: Serum glucose 58 mg/dL: Hypoglycemia is a potential adverse effect of insulin therapy because insulin drives glucose into cells, lowering blood sugar.
Question 3 of 5
A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?
Correct Answer: A
Rationale: Increased urine output: Diabetes insipidus (DI) results from insufficient antidiuretic hormone (ADH) or kidney insensitivity to ADH, leading to polyuria and dehydration.
Question 4 of 5
A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?
Correct Answer: D
Rationale: Tachypnea: Overdosing on levothyroxine can cause hyperthyroidism, leading to increased metabolic rate and symptoms such as tachypnea.
Question 5 of 5
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?
Correct Answer: B
Rationale: Airway patency: Airway patency is the priority due to the risk of swelling, hematoma, or laryngeal spasm post-thyroidectomy, which can compromise breathing.