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 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 2 of 5
A nurse receives a new prescription from the provider that reads 'Give regular insulin 14 units and NPH insulin 28 units subcutaneously at breakfast.' How many syringes should the nurse prepare?
Correct Answer: 1 syringe
Rationale: Both regular insulin and NPH insulin can be mixed in one syringe, as they are compatible. The nurse should draw up regular insulin first (14 units) and then NPH insulin (28 units) to ensure accuracy. Only 1 syringe is required.
Question 3 of 5
A nurse is reinforcing teaching for a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: I can inject my insulin detemir in the evening before bedtime: Insulin detemir is commonly administered once daily, and evening administration helps maintain stable glucose levels overnight.
Question 4 of 5
A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. Which of the following complications should the nurse suspect?
Correct Answer: B
Rationale: Hypoglycemia: Symptoms like sweating, tachycardia, lightheadedness, and shakiness indicate hypoglycemia, a common complication in type 1 diabetes.
Question 5 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.