ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is monitoring a client who received desmopressin (DDAVP) to treat diabetes insipidus. Which of the following findings indicates effectiveness of the medication?
Correct Answer: D
Rationale: Urine specific gravity 1.015: A normalized urine specific gravity indicates that desmopressin is effectively concentrating the urine, a key goal in managing diabetes insipidus.
Question 3 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 4 of 5
A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?
Correct Answer: A
Rationale: Regular: Regular insulin is the only insulin type that can be administered intravenously and is the treatment of choice for DKA to quickly reduce blood glucose levels.
Question 5 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.