ATI LPN
ATI LPN Level 3 Med Surg Endocrine Exam Questions
Extract:
Question 1 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 2 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 3 of 5
Which statements by the patient with a new diagnosis of diabetes show understanding of instruction related to leading a healthy life and preventing complications? Select all that apply
Correct Answer: B,D,E
Rationale: B. I must check my feet daily: Regular foot inspections help prevent complications such as ulcers and infections. D. I should have a yearly eye exam: Annual eye exams are necessary to detect diabetic retinopathy early. E. I should aim to keep my premeal blood glucose reading under 126 mg/dL: This goal aligns with ADA recommendations for glycemic control.
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 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.