ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?
Correct Answer: A
Rationale: Increased urine output: Diabetes insipidus (DI) results from insufficient antidiuretic hormone (ADH) or kidney insensitivity to ADH, leading to polyuria and dehydration.
Question 2 of 5
Which statements by the patient with a new diagnosis of diabetes show understanding of instruction related to leading a healthy life and preventing complications? Select all that apply
Correct Answer: B,D,E
Rationale: B. I must check my feet daily: Regular foot inspections help prevent complications such as ulcers and infections. D. I should have a yearly eye exam: Annual eye exams are necessary to detect diabetic retinopathy early. E. I should aim to keep my premeal blood glucose reading under 126 mg/dL: This goal aligns with ADA recommendations for glycemic control.
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 reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older adult client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the teaching?
Correct Answer: B
Rationale: Maintain stable blood glucose levels: Tight glucose control is the most critical action to reduce the risk of long-term complications, such as retinopathy and neuropathy.
Question 5 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.