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 hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale: Tremors, nervousness, and insomnia can indicate that your dose is too high: These symptoms are consistent with hyperthyroidism, which can result from excessive levothyroxine dosage.
Question 2 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 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 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 5 of 5
A nurse is preparing to administer a client's daily dose of NPH insulin at 0730. The nurse should expect this type of insulin to peak within which of the following timeframes after administration?
Correct Answer: B
Rationale: 4 to 14 hr: NPH insulin is an intermediate-acting insulin with an onset of 1-2 hours, a peak between 4-14 hours, and a duration of 16-24 hours.