ATI LPN
ATI LPN Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about insulin injections with a client who is newly diagnosed with type I diabetes mellitus. Which of the following information should the nurse include about site selection?
Correct Answer: A
Rationale: Rotating injection sites is essential to prevent lipodystrophy and ensure consistent insulin absorption.
Question 2 of 5
What are the classic symptoms of diabetes insipidus (DI)?
Correct Answer: A
Rationale: The classic symptoms of diabetes insipidus include polyuria (diuresis), which leads to dehydration and increased thirst as the body attempts to compensate for the fluid loss.
Question 3 of 5
A nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Moon face is a classic sign of Cushing's syndrome, resulting from fat redistribution caused by elevated cortisol levels.
Question 4 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.
Question 5 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.