Endocrine ATI Questions

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Sample questions from Endocrine ATI Questions

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on an endocrine unit, a 67-year-old client with type 1 diabetes has a blood glucose of 48 mg/dL, is diaphoretic, and is difficult to arouse. Which action should the nurse take first?

   • A.Delegate a repeat blood glucose check to the assistive personnel.
   • B.Give the client 15 g of oral glucose gel.
   • C.Administer IV dextrose per the emergency hypoglycemia protocol.
   • D.Notify the provider and wait for further instructions.

   Rationale: The client has severe symptomatic hypoglycemia and cannot safely take oral glucose, so the nurse should immediately administer IV dextrose if access is available and authorized by protocol. Oral glucose is unsafe when the client is difficult to arouse because of aspiration risk. A repeat glucose check or provider notification must not delay treatment of this emergency.

2. 2.During a home visit, a 52-year-old client newly prescribed insulin says, "I am not sure I can manage all these injections." Which actions should the nurse take to support safe self-management? Select all that apply.

   • A.Arrange for a family member to administer every dose without assessing the client's preferences or abilities.
   • B.Assess vision, hand dexterity, and ability to read the insulin label.
   • C.Teach the client to rotate injections within the recommended subcutaneous sites.
   • D.Ask the client to demonstrate drawing up and administering the prescribed insulin.
   • E.Collaborate with the client and prescriber about simplifying the regimen if barriers persist.

   Rationale: A return demonstration, assessment of vision and dexterity, and teaching site rotation help determine and develop safe injection skills. Collaborating on a regimen that fits the client's abilities can improve adherence and safety. Automatically assigning injections to a family member disregards the client's autonomy and is not appropriate without assessing the client's wishes and capacity.

3. 3.In a pediatric clinic, the parent of a 4-year-old with newly diagnosed type 1 diabetes asks who can give insulin at preschool. Which response by the nurse is most appropriate?

   • A."The preschool must refuse attendance until your child can self-administer insulin."
   • B."You should give every dose at home and avoid notifying the preschool."
   • C."Any staff member can give insulin as long as the dose is written down."
   • D."Let's coordinate with the preschool and health care team to identify trained, authorized personnel and establish a written care plan."

   Rationale: A coordinated written plan and appropriately trained, authorized personnel support the child's safety and participation in preschool. A written dose alone does not ensure staff competence or compliance with local requirements. A preschool should not automatically exclude the child, and withholding relevant information from caregivers creates avoidable risk.

4. 4.A client's potassium is 6.2 mEq/L after treatment for diabetic ketoacidosis. The 16-year-old client is on continuous IV insulin, and the cardiac monitor shows peaked T waves. Which action should the nurse take first?

   • A.Stop the insulin infusion and wait for the next scheduled laboratory result.
   • B.Immediately notify the provider and activate the facility's urgent response process while maintaining cardiac monitoring.
   • C.Document the finding and discuss it at the next interdisciplinary round.
   • D.Delegate a repeat potassium draw to unlicensed assistive personnel and continue routine monitoring.

   Answer and rationale are in the full material.

5. 5.At 0800 in a long-term-care facility, an 82-year-old resident with adrenal insufficiency has vomiting, profound weakness, BP 78/44 mm Hg, and HR 124/min. Which task is appropriate for the nurse to delegate to experienced assistive personnel while the nurse initiates emergency care?

   • A.Obtain and report a repeat set of vital signs.
   • B.Determine whether the resident can safely take oral fluids.
   • C.Assess the resident's hydration status and decide whether the findings indicate adrenal crisis.
   • D.Administer the resident's prescribed hydrocortisone injection.

   Answer and rationale are in the full material.