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 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: C
Rationale: Check the client's blood glucose level: This is the priority action to determine if hypoglycemia has occurred due to the incorrect insulin dose. Immediate identification of hypoglycemia ensures timely treatment.
Question 2 of 5
A nurse in the emergency department is assisting with the care of a client who is comatose. The provider suspects ketoacidosis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Acetone odor to breath: This is a hallmark symptom of ketoacidosis, resulting from ketone body production due to fat metabolism.
Question 3 of 5
Which statements by the patient with a new diagnosis of diabetes show understanding of instruction related to leading a healthy life and preventing complications? Select all that apply
Correct Answer: B,D,E
Rationale: B. I must check my feet daily: Regular foot inspections help prevent complications such as ulcers and infections. D. I should have a yearly eye exam: Annual eye exams are necessary to detect diabetic retinopathy early. E. I should aim to keep my premeal blood glucose reading under 126 mg/dL: This goal aligns with ADA recommendations for glycemic control.
Question 4 of 5
A nursing is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?
Correct Answer: B
Rationale: Decrease sodium intake: Sodium restriction is necessary because hypernatremia and fluid retention are common in Cushing's disease due to increased cortisol levels.
Question 5 of 5
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?
Correct Answer: B
Rationale: Airway patency: Airway patency is the priority due to the risk of swelling, hematoma, or laryngeal spasm post-thyroidectomy, which can compromise breathing.