ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Question 1 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 2 of 5
A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates that the client is experiencing DKA?
Correct Answer: D
Rationale: Polydipsia: Excessive thirst is a hallmark symptom of DKA due to significant fluid losses and dehydration caused by hyperglycemia-induced osmotic diuresis.
Question 3 of 5
A nurse is caring for a client who has a new onset of diabetes mellitus and is experiencing uncontrolled blood glucose levels. The client informs the nurse about their strict dietary compliance. Which should the nurse anticipate the provider prescribing for treatment?
Correct Answer: A
Rationale: Insulin injections daily: Uncontrolled blood glucose levels, despite dietary compliance, indicate that the pancreas may not be producing adequate insulin. Daily insulin is necessary to control hyperglycemia in this situation.
Question 4 of 5
A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?
Correct Answer: A
Rationale: Regular: Regular insulin is the only insulin type that can be administered intravenously and is the treatment of choice for DKA to quickly reduce blood glucose levels.
Question 5 of 5
A nurse receives a new prescription from the provider that reads 'Give regular insulin 14 units and NPH insulin 28 units subcutaneously at breakfast.' How many syringes should the nurse prepare?
Correct Answer: 1 syringe
Rationale: Both regular insulin and NPH insulin can be mixed in one syringe, as they are compatible. The nurse should draw up regular insulin first (14 units) and then NPH insulin (28 units) to ensure accuracy. Only 1 syringe is required.