ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates that the client is experiencing DKA?
Correct Answer: D
Rationale: Polydipsia: Excessive thirst is a hallmark symptom of DKA due to significant fluid losses and dehydration caused by hyperglycemia-induced osmotic diuresis.
Question 2 of 5
A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Inject insulin lispro 15 min before a meal: Insulin lispro has an onset of action of about 15 minutes, making it ideal to administer shortly before meals to match glucose absorption and prevent postprandial hyperglycemia.
Question 3 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 4 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 5 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.