ATI LPN
ATI LPN Med Surg Endocrine Exam Questions
Extract:
Question 1 of 5
The nurse is administering sulfonylurea drugs to four different patients diagnosed with type 2 diabetes. Which patient should not receive the medication as ordered?
Correct Answer: D
Rationale: Sulfonylureas should not be given to patients with a sulfa allergy because these medications contain sulfa compounds, which could cause an allergic reaction.
Question 2 of 5
A home health care nurse is assessing a patient with type 1 diabetes who has been controlled for 6 months. The nurse is surprised and concerned about a blood glucose reading of 52 mg/dL. What action by this patient most likely caused this episode of hypoglycemia?
Correct Answer: D
Rationale: Prolonged exercise increases insulin sensitivity and glucose uptake, which can lead to hypoglycemia if insulin or food intake is not adjusted accordingly.
Question 3 of 5
A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client?
Correct Answer: D
Rationale: Fowler's position (head of the bed elevated 45 to 90 degrees) is the best position post-thyroidectomy to reduce tension on the suture line and to facilitate breathing by decreasing swelling around the surgical site.
Question 4 of 5
A nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Diaphoresis (excessive sweating) can be a symptom of Cushing's syndrome, caused by hormonal imbalances.
Question 5 of 5
A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Polydipsia (excessive thirst) is a hallmark symptom of hyperglycemia due to the body's attempt to compensate for increased blood glucose levels by drawing water out of cells, leading to dehydration.