ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2 tablets
Rationale: Dose required: 275 mcg. Dose available: 137 mcg/tablet. Tablets required = 275/137 = 2.007, rounded to 2 tablets.
Question 2 of 5
A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?
Correct Answer: C
Rationale: Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.
Question 3 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 4 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: C
Rationale: Check the client's blood glucose level: This is the priority action to determine if hypoglycemia has occurred due to the incorrect insulin dose. Immediate identification of hypoglycemia ensures timely treatment.
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.