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 and has a history Addison's disease. For which of the following manifestations should the nurse monitor?
Correct Answer: B
Rationale: Hypotension: Addison's disease causes insufficient cortisol and aldosterone, resulting in fluid loss and low blood pressure, especially in stress or postoperative states.
Question 2 of 5
A nursing is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that Apply)
Correct Answer: A,C,E,F
Rationale: A. Buffalo hump: Fat redistribution is a classic sign of Cushing's syndrome. C. Purple or dark striations on the skin: Caused by skin thinning and stretching due to increased cortisol levels. E. Truncal obesity: Central obesity is a hallmark of Cushing's syndrome. F. Round moon-shaped face: Characteristic sign of fat redistribution.
Question 3 of 5
A nurse is preparing to administer desmopressin 0.2 mg PO daily. The amount available is 0.1 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number.)
Correct Answer: 2 tablets
Rationale: Dose required: 0.2 mg. Dose available: 0.1 mg tablets. Number of tablets = 0.2/0.1 = 2 tablets.
Question 4 of 5
A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications related to electrolyte imbalance?
Correct Answer: A
Rationale: Pathologic fractures: Hyperparathyroidism causes excessive calcium resorption from bones, leading to bone fragility and an increased risk of fractures.
Question 5 of 5
A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?
Correct Answer: A
Rationale: Fasting blood glucose 155 mg/dL: A fasting blood glucose of 155 mg/dL exceeds the threshold for diabetes risk (≥126 mg/dL). This result strongly indicates impaired glucose regulation or diabetes mellitus.