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Exam Review

ATI LPN Level 3 med surg endocrine exam

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Total Questions : 37

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Question 1:

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?

Answer and Explanation

A
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Question 2:

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?

Answer and Explanation

A
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Question 3:

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.)
(Select All that Apply.)

Answer and Explanation

A
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Question 4:

A nurse is caring for a client who has a new onset of diabetes mellitus and is experiencing uncontrolled blood glucose levels. The client informs the nurse about their strict dietary compliance. Which should the nurse anticipate the provider prescribing for treatment?

Answer and Explanation

A
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Question 5:

A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?

Answer and Explanation

A
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Question 6:

A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "2" tablets

Explanation

Dose required: 275 mcg

Dose available: 137 mcg/tablet

Tablets required = 275137

= 2.007137275​

=2.007

rounded to 2 tablets.


A
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Question 7:

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?

Answer and Explanation

A
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Question 8:

A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client?

Answer and Explanation

A
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Question 9:

A nurse receives a new prescription from the provider that reads "Give regular insulin 14 units and NPH insulin 28 units subcutaneously at breakfast." How many syringes should the nurse prepare?

__________syringe

Answer and Explanation
Correct Answer: "1" syringe

Explanation

Both regular insulin and NPH insulin can be mixed in one syringe, as they are compatible. The nurse should draw up regular insulin first (14 units) and then NPH insulin (28 units) to ensure accuracy. Only 1 syringe is required.


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Question 10:

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?

Answer and Explanation

A
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