ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
A nursing is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that Apply)
Correct Answer: A,C,E,F
Rationale: A. Buffalo hump: Fat redistribution is a classic sign of Cushing's syndrome. C. Purple or dark striations on the skin: Caused by skin thinning and stretching due to increased cortisol levels. E. Truncal obesity: Central obesity is a hallmark of Cushing's syndrome. F. Round moon-shaped face: Characteristic sign of fat redistribution.
Question 2 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 3 of 5
A nurse is monitoring a client who received desmopressin (DDAVP) to treat diabetes insipidus. Which of the following findings indicates effectiveness of the medication?
Correct Answer: D
Rationale: Urine specific gravity 1.015: A normalized urine specific gravity indicates that desmopressin is effectively concentrating the urine, a key goal in managing diabetes insipidus.
Question 4 of 5
A nurse is reinforcing teaching for a client who has type 1 diabetes mellitus about foot care. Which of the following client statements should indicate to the nurse an understanding of the instructions?
Correct Answer: B
Rationale: I'll check my feet every day for sores and bruises: Daily foot inspections help identify injuries or infections early, crucial for clients with diabetes due to poor healing and neuropathy.
Question 5 of 5
A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?
Correct Answer: C
Rationale: Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.