Endocrine CCRN Questions With
Accurate Answers
A pt is in the PICU w DKA. Insulin gtt, latest labs reveal glucose remains elevated
so the insulin gtt is to be continued without any changes. K+=5.1 and
Chloride=118. Which of the following changes in the maintenance fluid does the
nurse anticipate?
a. Refrain from K+ admin
b. Add K+ Chloride
c. Add K+ Acetate
d. No changes as the electrolytes are in normal range correct answer C. Add K+
Acetate
- Since the K+ level will continue to decrease as the insulin is administered, it is
anticipated the child will need additional K+ added to fluids. It should be added in
the form of acetate as the chloride is currently elevated.
All of the following can lead to DI except?
a. Neurosurgery
b. Brain tumor
c. Sickle cell disease
d. Vasopressin excess correct answer d. Vasopressin excess
- In DI, there is a deficit of vasopressin not as excess. Neurosurgery and brain
tumors are examples of central DI where the hypothalamus and the pituitary are
dysfunctional. In sickle cell disease there is damage to the kidneys causing an
altered response to ADH
