ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a client's daily dose of NPH insulin at 0730. The nurse should expect this type of insulin to peak within which of the following timeframes after administration?
Correct Answer: B
Rationale: 4 to 14 hr: NPH insulin is an intermediate-acting insulin with an onset of 1-2 hours, a peak between 4-14 hours, and a duration of 16-24 hours.
Question 2 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 3 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.
Question 4 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 5 of 5
A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications related to electrolyte imbalance?
Correct Answer: A
Rationale: Pathologic fractures: Hyperparathyroidism causes excessive calcium resorption from bones, leading to bone fragility and an increased risk of fractures.