ATI LPN
ATI LPN Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL. Which of the following actions should the nurse identify as the priority?
Correct Answer: A
Rationale: Checking the client's blood glucose level is the priority action to assess the current state of the client's blood glucose after administering the incorrect dose of insulin, which is essential for determining if further intervention is needed.
Question 2 of 5
A nurse in a provider's office is collecting data from a client who has hypothyroidism. Which of the findings should the nurse expect?
Correct Answer: B
Rationale: Bradycardia (slow heart rate) is expected in hypothyroidism because of reduced metabolic activity and cardiac output.
Question 3 of 5
A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Polydipsia (excessive thirst) is a hallmark symptom of hyperglycemia due to the body's attempt to compensate for increased blood glucose levels by drawing water out of cells, leading to dehydration.
Question 4 of 5
A nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values?
Correct Answer: D
Rationale: Hypoparathyroidism results in hypocalcemia and hyperphosphatemia due to insufficient parathyroid hormone (PTH) secretion. A phosphate level of 5.7 mg/dL is elevated, which is consistent with this condition.
Question 5 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.