ATI LPN
ATI LPN Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is assisting with meal planning for a client who has hypothyroidism. The nurse should reinforce with the client that she should increase her daily intake of which of the following nutrients?
Correct Answer: B
Rationale: Fiber intake should be increased because hypothyroidism often causes constipation due to a slowed digestive process. A high-fiber diet helps regulate bowel movements and prevent complications like bloating and discomfort.
Question 2 of 5
A nurse is preparing to administer a dexamethasone 1.5 mg/kg/day PO to divide equally every 6 hr to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 3.8 mL
Rationale: Convert 22 lb to 10 kg.
Total daily dose = 1.5 mg/kg/day * 10 kg = 15 mg/day. Dose per administration = 15 mg / 4 doses = 3.75 mg. Volume = 3.75 mg / 1 mg/mL = 3.75 mL, rounded to 3.8 mL.
Question 3 of 5
A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse to plan to offer a snack?
Correct Answer: A
Rationale: NPH insulin is an intermediate-acting insulin that peaks 6-8 hours after administration. Offering a snack at 1500 helps prevent hypoglycemia during the peak action of the insulin.
Question 4 of 5
A nurse is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?
Correct Answer: A
Rationale: Decreasing sodium intake is crucial in Cushing's disease due to the risk of fluid retention and hypertension associated with excess cortisol levels.
Question 5 of 5
A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus. Which of the following statements from the client indicates to the nurse the teaching is effective?
Correct Answer: D
Rationale: The abdominal area is the preferred site for insulin injections because it allows for more consistent absorption of the medication.