📘 ATI ENDOCRINOLOGY PRACTICE QUESTIONS (40)
🔹 DIABETES MELLITUS
1. A nurse is teaching a client about hypoglycemia. Which symptom should the nurse include?
A. Dry skin
B. Polyuria
C. Shakiness
D. Fruity breath
✅ Answer: C
Rationale: Hypoglycemia activates the sympathetic nervous system → tremors, diaphoresis.
2. Which insulin should the nurse expect to administer before meals?
A. Glargine
B. Detemir
C. Lispro
D. NPH
✅ Answer: C
Rationale: Lispro is rapid-acting and given before meals.
, 3. (SATA) Which findings indicate diabetic ketoacidosis (DKA)?
☑ A. Kussmaul respirations
☑ B. Fruity breath odor
☑ C. Blood glucose 450 mg/dL
☐ D. Bradycardia
☐ E. Metabolic alkalosis
✅ Answers: A, B, C
Rationale: DKA causes metabolic acidosis, hyperglycemia, and ketones.
4. Which intervention is the priority for a client in DKA?
A. Administer insulin
B. Check urine ketones
C. Start IV fluids
D. Monitor potassium
✅ Answer: C
Rationale: Circulation and dehydration are addressed first.
5. A nurse should hold metformin prior to which procedure?
A. MRI
B. CT scan with contrast
C. Ultrasound
D. X-ray
✅ Answer: B
Rationale: Contrast increases risk of lactic acidosis.
🔹 DIABETES MELLITUS
1. A nurse is teaching a client about hypoglycemia. Which symptom should the nurse include?
A. Dry skin
B. Polyuria
C. Shakiness
D. Fruity breath
✅ Answer: C
Rationale: Hypoglycemia activates the sympathetic nervous system → tremors, diaphoresis.
2. Which insulin should the nurse expect to administer before meals?
A. Glargine
B. Detemir
C. Lispro
D. NPH
✅ Answer: C
Rationale: Lispro is rapid-acting and given before meals.
, 3. (SATA) Which findings indicate diabetic ketoacidosis (DKA)?
☑ A. Kussmaul respirations
☑ B. Fruity breath odor
☑ C. Blood glucose 450 mg/dL
☐ D. Bradycardia
☐ E. Metabolic alkalosis
✅ Answers: A, B, C
Rationale: DKA causes metabolic acidosis, hyperglycemia, and ketones.
4. Which intervention is the priority for a client in DKA?
A. Administer insulin
B. Check urine ketones
C. Start IV fluids
D. Monitor potassium
✅ Answer: C
Rationale: Circulation and dehydration are addressed first.
5. A nurse should hold metformin prior to which procedure?
A. MRI
B. CT scan with contrast
C. Ultrasound
D. X-ray
✅ Answer: B
Rationale: Contrast increases risk of lactic acidosis.
