ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
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 reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale: Tremors, nervousness, and insomnia can indicate that your dose is too high: These symptoms are consistent with hyperthyroidism, which can result from excessive levothyroxine dosage.
Question 3 of 5
A nurse is caring for a client who is postoperative and has a history Addison's disease. For which of the following manifestations should the nurse monitor?
Correct Answer: B
Rationale: Hypotension: Addison's disease causes insufficient cortisol and aldosterone, resulting in fluid loss and low blood pressure, especially in stress or postoperative states.
Question 4 of 5
A nurse is preparing to administer a client's daily dose of NPH insulin at 0730. The nurse should expect this type of insulin to peak within which of the following timeframes after administration?
Correct Answer: B
Rationale: 4 to 14 hr: NPH insulin is an intermediate-acting insulin with an onset of 1-2 hours, a peak between 4-14 hours, and a duration of 16-24 hours.
Question 5 of 5
A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?
Correct Answer: A
Rationale: Increased urine output: Diabetes insipidus (DI) results from insufficient antidiuretic hormone (ADH) or kidney insensitivity to ADH, leading to polyuria and dehydration.