ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is caring for a client who has a hyperkalemia and is receiving insulin therapy. Which of the following should the nurse recognize as an adverse outcome?
Correct Answer: D
Rationale: Serum glucose 58 mg/dL: Hypoglycemia is a potential adverse effect of insulin therapy because insulin drives glucose into cells, lowering blood sugar.
Question 4 of 5
A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. Which of the following complications should the nurse suspect?
Correct Answer: B
Rationale: Hypoglycemia: Symptoms like sweating, tachycardia, lightheadedness, and shakiness indicate hypoglycemia, a common complication in type 1 diabetes.
Question 5 of 5
A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates that the client is experiencing DKA?
Correct Answer: D
Rationale: Polydipsia: Excessive thirst is a hallmark symptom of DKA due to significant fluid losses and dehydration caused by hyperglycemia-induced osmotic diuresis.