ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?
Correct Answer: C
Rationale: Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for over ten years to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Monitor for compression fractures of the back and neck: Long-term use of glucocorticoids increases the risk of osteoporosis, leading to compression fractures. Monitoring for these complications is critical for early intervention.
Question 4 of 5
A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?
Correct Answer: C
Rationale: Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.
Question 5 of 5
A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: I can keep the current vial of insulin in use stored at room temperature: Once opened, insulin vials can be stored at room temperature (below 86°F or 30°
C) for up to 28 days to prevent degradation.