ATI LPN
ATI LPN Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is discussing the care of a client who has type 1 diabetes mellitus with an assistive personnel (AP). Which of the following situations should the nurse instruct the AP to report immediately?
Correct Answer: D
Rationale: A refusal to eat can lead to hypoglycemia in clients with type 1 diabetes, and this situation should be reported immediately to prevent a dangerous drop in blood glucose levels.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Sweating, tachycardia, and blurry vision are classic signs of hypoglycemia due to sympathetic nervous system activation and low glucose effects on the brain and eyes. Polydipsia and polyuria are associated with hyperglycemia.
Question 4 of 5
A nurse is reviewing the laboratory report of a client who has hyperparathyroidism. The nurse should expect which of the following findings?
Correct Answer: D
Rationale: Parathyroid hormone increases magnesium reabsorption in the kidneys, leading to elevated magnesium levels in hyperparathyroidism.
Question 5 of 5
A nurse 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: A
Rationale: Decreasing sodium intake is crucial in Cushing's disease due to the risk of fluid retention and hypertension associated with excess cortisol levels.