ATI LPN
ATI LPN Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and has a history of Addison's disease. For which of the following manifestations should the nurse monitor?
Correct Answer: C
Rationale: Hypotension is a common manifestation in Addison's disease because of inadequate cortisol and aldosterone, leading to decreased blood volume and vascular resistance.
Question 2 of 5
The physician orders an injection of dexamethasone (Decadron) 6mg IM for a patient. In stock is dexamethasone 4mg/1mL in a 5ml multidose vial. How many mLs of this medication will the nurse prepare? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.5 mL
Rationale: Volume (mL) = Desired dose (6 mg) / Concentration (4 mg/mL) = 1.5 mL.
Question 3 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 4 of 5
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Injecting insulin into the thigh before running can increase absorption rates, leading to hypoglycemia. Rotating injection sites and avoiding muscle groups that will be heavily exercised is recommended.
Question 5 of 5
A nurse is caring for a client who has type 1 diabetes mellitus and observes mild hand tremors. Which of the following snacks should the nurse offer the client after obtaining a glucometer reading of 60 mg/dL?
Correct Answer: A
Rationale: Regular soda provides a fast-acting source of glucose, which is essential for quickly raising blood sugar levels in a hypoglycemic event.