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 type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)
Correct Answer: A,B,C
Rationale: A. Clammy: Hypoglycemia often causes diaphoresis, resulting in clammy skin. B. Tachycardia: The release of epinephrine in response to hypoglycemia leads to tachycardia. C. Blurry Vision: Neuroglycopenia from insufficient glucose to the brain can result in visual disturbances like blurry vision.
Question 2 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.
Question 3 of 5
A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for over ten years to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Monitor for compression fractures of the back and neck: Long-term use of glucocorticoids increases the risk of osteoporosis, leading to compression fractures. Monitoring for these complications is critical for early intervention.
Question 4 of 5
A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Weight gain: Hypothyroidism slows the metabolic rate, leading to weight gain.
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: 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.