ATI LPN
ATI LPN Med Surg Endocrine Exam Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
A nurse is reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older adult client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the teaching?
Correct Answer: D
Rationale: Maintaining stable blood glucose levels is the most important action because it directly impacts the risk of developing complications such as retinopathy and neuropathy. Good glycemic control helps prevent the progression of these conditions.
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
A nurse is assisting with the plan of care for a client who has hypothyroidism with myxedema. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Clients with myxedema experience cold intolerance and need warmth, making the application of warm blankets an appropriate intervention.