ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?
Correct Answer: A
Rationale: Frequent mood changes: Hyperthyroidism can cause irritability, anxiety, and mood swings due to increased metabolic activity.
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: B
Rationale: Maintain stable blood glucose levels: Tight glucose control is the most critical action to reduce the risk of long-term complications, such as retinopathy and neuropathy.
Question 4 of 5
A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?
Correct Answer: D
Rationale: Tachypnea: Overdosing on levothyroxine can cause hyperthyroidism, leading to increased metabolic rate and symptoms such as tachypnea.
Question 5 of 5
A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?
Correct Answer: C
Rationale: Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.