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 a new prescription for lispro and Lantus insulins. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Unopened vials of insulin should be kept in my refrigerator: Insulin should be refrigerated until opened to maintain potency. Once opened, it can be kept at room temperature for up to 28 days.
Question 2 of 5
A nursing is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?
Correct Answer: B
Rationale: Decrease sodium intake: Sodium restriction is necessary because hypernatremia and fluid retention are common in Cushing's disease due to increased cortisol levels.
Question 3 of 5
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?
Correct Answer: B
Rationale: Airway patency: Airway patency is the priority due to the risk of swelling, hematoma, or laryngeal spasm post-thyroidectomy, which can compromise breathing.
Question 4 of 5
A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Inject insulin lispro 15 min before a meal: Insulin lispro has an onset of action of about 15 minutes, making it ideal to administer shortly before meals to match glucose absorption and prevent postprandial hyperglycemia.
Question 5 of 5
A nurse is preparing to administer desmopressin 0.2 mg PO daily. The amount available is 0.1 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number.)
Correct Answer: 2 tablets
Rationale: Dose required: 0.2 mg. Dose available: 0.1 mg tablets. Number of tablets = 0.2/0.1 = 2 tablets.