ATI LPN
ATI LPN Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Assessing blood glucose levels, neck vein distention, daily weight, and irregular heart rate are important due to the risks of hyperglycemia, fluid overload, weight gain, and electrolyte imbalances in Cushing's syndrome.
Question 2 of 5
A nurse is caring for a client who is postoperative and has a history of Addison's disease. For which of the following manifestations should the nurse monitor?
Correct Answer: C
Rationale: Hypotension is a common manifestation in Addison's disease because of inadequate cortisol and aldosterone, leading to decreased blood volume and vascular resistance.
Question 3 of 5
As part of a teaching plan in preparation for discharge, a patient with type 1 diabetes needs guidelines for exercise. Which guideline should be included?
Correct Answer: C
Rationale: Exercise consistency helps to maintain stable blood glucose levels and prevent fluctuations.
Question 4 of 5
A patient has been admitted to the hospital with the diagnosis of DKA. What vital signs should a nurse anticipate that the patient will exhibit?
Correct Answer: C
Rationale: In diabetic ketoacidosis (DK
A), clients typically exhibit tachycardia due to dehydration and deep, rapid Kussmaul respirations as the body attempts to correct the acidosis.
Question 5 of 5
The physician orders an injection of dexamethasone (Decadron) 6mg IM for a patient. In stock is dexamethasone 4mg/1mL in a 5ml multidose vial. How many mLs of this medication will the nurse prepare? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.5 mL
Rationale: Volume (mL) = Desired dose (6 mg) / Concentration (4 mg/mL) = 1.5 mL.