ATI LPN
ATI LPN Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has diabetes insipidus. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Diabetes insipidus leads to excessive urination, resulting in diluted urine with decreased specific gravity.
Question 2 of 5
A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client?
Correct Answer: D
Rationale: Fowler's position (head of the bed elevated 45 to 90 degrees) is the best position post-thyroidectomy to reduce tension on the suture line and to facilitate breathing by decreasing swelling around the surgical site.
Question 3 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 4 of 5
A nurse is discussing the care of a client who has type 1 diabetes mellitus with an assistive personnel (AP). Which of the following situations should the nurse instruct the AP to report immediately?
Correct Answer: D
Rationale: A refusal to eat can lead to hypoglycemia in clients with type 1 diabetes, and this situation should be reported immediately to prevent a dangerous drop in blood glucose levels.
Question 5 of 5
A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?
Correct Answer: D
Rationale: Taking metformin before breakfast is concerning because metformin should generally be withheld prior to IV contrast studies due to the risk of lactic acidosis, especially if renal function is compromised.