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ATI LPN · Medical Surgical Nursing · ATI The Medical Surgical Endocrine Test

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 52-year-old man has been concerned about a gradual weight gain over the past 30 years. He is 174 cm (5 feet 7 inches) tall and weighs 91 kg (body mass index 30). He is taking no medications. On physical examination, he has decreased sensation to pinprick and light touch over the lower extremities. Patellar reflexes are reduced. Motor strength seems to be normal in all extremities. Laboratory studies show blood glucose of 169 mg/dL, creatinine of 1.9 mg/dL, total cholesterol of 220 mg/dL, HDL cholesterol of 27 mg/dL, and triglycerides of 261 mg/dL. A chest radiograph shows mild cardiomegaly. Five years later, he has claudication in the lower extremities when he exercises. Based on these findings, which of the following complications is most likely to occur in this man?

A. Gangrene
B. Hypoglycemic coma
C. Ketoacidosis
D. Mucormycosis

Expert Explanatory Rationale

Correct Answer: Gangrene

Question 2 of 5

Deep rapid respiration is found in:

A. diabetic acidosis
B. insulin shock
C. both
D. neither

Expert Explanatory Rationale

Correct Answer: diabetic acidosis

Question 3 of 5

Which of the following hormones are produced and secreted by the adrenal medulla?

A. T4 (thyroxine) and T3 (triiodothyronine)
B. adrenaline and noradrenaline
C. insulin and glucagon
D. calcitonin and parathyroid hormone (PTH)

Expert Explanatory Rationale

Correct Answer: adrenaline and noradrenaline

Question 4 of 5

The nurse caring for a critical patient with hypoparathyroidism. Which of the following complications should the nurse be alert for in a patient with severe hyposecretion of the parathyroid hormone?

A. Encephalopathy
B. Hypertensive crisis
C. Renal failure
D. Seizures

Expert Explanatory Rationale

Correct Answer: Seizures

Question 5 of 5

Addison's disease

A. liver chemistries abnormal
B. abdominal pain
C. eosinophilia
D. skin pigmented

Expert Explanatory Rationale

Correct Answer: skin pigmented

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