ATI LPN
ATI LPN Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2 tablets
Rationale: Number of tablets = Desired dose (100 mcg) / Tablet strength (50 mcg) = 2 tablets.
Question 2 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 3 of 5
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL. Which of the following actions should the nurse identify as the priority?
Correct Answer: A
Rationale: Checking the client's blood glucose level is the priority action to assess the current state of the client's blood glucose after administering the incorrect dose of insulin, which is essential for determining if further intervention is needed.
Question 4 of 5
A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?
Correct Answer: D
Rationale: Taking metformin before breakfast is concerning because metformin should generally be withheld prior to IV contrast studies due to the risk of lactic acidosis, especially if renal function is compromised.
Question 5 of 5
A nurse is preparing to administer a dexamethasone 1.5 mg/kg/day PO to divide equally every 6 hr to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 3.8 mL
Rationale: Convert 22 lb to 10 kg.
Total daily dose = 1.5 mg/kg/day * 10 kg = 15 mg/day. Dose per administration = 15 mg / 4 doses = 3.75 mg. Volume = 3.75 mg / 1 mg/mL = 3.75 mL, rounded to 3.8 mL.