Practice Question
A client presents in the emergency department complaining of palpitations and tachycardia, Blood glucose testing reveals a level of 40 mg/dL, and the client reports no usual symptoms of a low glucose level. Which of the following conditions may the client be experiencing?
Answer Choices:
Correct Answer:
Hypoglycemia-associated autonomic failure
Rationale:
🔶 When recurrent hypoglycemia blunts the sympathetic nervous response, classic warning signs disappear.
🔶 Clients may not experience tremors, sweating, or palpitations, despite dangerously low glucose.
🔶 This condition increases risk for severe hypoglycemia and unawareness.
🔶 Beta-blockers or long-standing diabetes contribute to this failure.
🔶 It requires frequent glucose monitoring and avoidance of tight glucose control.
Want to practice more questions like this?
This question is from Custom PSNG Endocrine which contains 34 questions.
More Questions from This Exam
A nurse is reinforcing discharge teaching for a client who was admitted with diabetes insipidus. Which of the following teaching topics should be prioritized?
Answer Choices:
A. Frequency of urination
B. Change in appetite
C. Benefit of medical alert bracelet
D. Weight gain or loss
A nurse in the emergency department is caring for a client who appears shaky, pale, clammy, and is tachycardic. The client states, "l think I'm having an anxiety attack and need some medication." Which of the following is an appropriate action for the nurse to take?
Answer Choices:
A. Establish IV access.
B. Check a fingerstick blood glucose level.
C. Activate the Rapid Response Team.
D. Administer an anti-anxiety medication.
A nurse is providing care for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client most likely as the diagnosed with diabetic ketoacidosis (DKA)?
Answer Choices:
A. Serum sodium 140 mg/dL
B. Arterial blood pH 7.46
C. Serum bicarbonate less than 15
D. Blood urea nitrogen (BUN) 18 mg/dL
A nurse is caring for a client who was diagnosed with type 2 diabetes mellitus 2 years ago. The client reports following the recommended diet and exercising four times per week. Which of the following findings indicates that the client's beta cells are restoring normal function?
Answer Choices:
A. Weight gain of 5 lb
B. HbA1c = 5.6%
C. Fasting blood glucose of 140 mg/dL
D. Client reports smoking cessation
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: 💫PN Custom Exam(s)
- Answer Choices: 4