ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?
Correct Answer: B
Rationale: Airway patency: Airway patency is the priority due to the risk of swelling, hematoma, or laryngeal spasm post-thyroidectomy, which can compromise breathing.
Question 3 of 5
A nurse receives a new prescription from the provider that reads 'Give regular insulin 14 units and NPH insulin 28 units subcutaneously at breakfast.' How many syringes should the nurse prepare?
Correct Answer: 1 syringe
Rationale: Both regular insulin and NPH insulin can be mixed in one syringe, as they are compatible. The nurse should draw up regular insulin first (14 units) and then NPH insulin (28 units) to ensure accuracy. Only 1 syringe is required.
Question 4 of 5
A nurse is reinforcing teaching with a client who has diabetes mellitus and self-administers insulin. The client reports drinking an occasional glass of wine. Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: You may drink an occasional glass of wine with a meal: Consuming alcohol with food reduces the risk of alcohol-induced hypoglycemia.
Question 5 of 5
A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse plan to offer a snack if meals are served around 0730, 1230, and 1730?
Correct Answer: C
Rationale: 1500: NPH insulin peaks about 4–12 hours after administration. Providing a snack at 1500 helps prevent hypoglycemia during the peak insulin activity.