ATI RN
ATI Med Surg Woolery Q5 Questions
Question 1 of 5
A nurse is providing education to a client who has Graves' disease and who will be returning home after receiving their first dose of radioactive iodine therapy. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Radioactive iodine therapy emits radiation, requiring avoidance of pregnant women and children for 7 days (
B). Repeat therapy (
A) depends on response, not a fixed schedule. Corticosteroids (
C) aren't needed. The therapy reduces thyroid hormone (
D), not increases it.
Question 2 of 5
A nurse is providing education to a client who has a new diagnosis of Addison's disease. The nurse determines that additional teaching is needed when the client makes which of the following statements?
Correct Answer: B
Rationale: Holding hydrocortisone during infection (
B) is incorrect; dose may need to increase. Medical alert bracelet (
A), twice-daily hydrocortisone (
C), and high-sodium diet (
D) are correct.
Question 3 of 5
A nurse is caring for a client who has a diagnosis of Cushing syndrome. After performing magnetic resonance imaging (MRI), the underlying cause of the condition is found to be an ectopic ACTH-secreting tumor on the liver. Which of the following lab results would the nurse anticipate with this condition?
Correct Answer: A
Rationale: Ectopic ACTH-secreting tumors cause elevated ACTH and cortisol (
A). Elevated ACTH with low cortisol (
B) is unlikely. Low ACTH with high cortisol (
C) suggests adrenal issues. Low ACTH and cortisol (
D) is inconsistent with Cushing syndrome.
Question 4 of 5
A nurse is caring for a client who has developed Cushing syndrome due to long-term corticosteroid therapy to treat multiple sclerosis. The nurse understands that Cushing syndrome puts the client at increased risk for which complication?
Correct Answer: D
Rationale: Cushing syndrome increases osteoporosis risk, leading to bone fractures (
D) due to excess cortisol affecting bone density. Ataxic dysarthria (
A) is neurological, not related. Hypotension (
B) is unlikely as Cushing syndrome causes hypertension. Hyperkalemia (
C) is incorrect; Cushing syndrome causes hypokalemia.
Question 5 of 5
A client who takes daily hormone replacement therapy for Addison's disease is scheduled for an outpatient surgical procedure. Which of the following instructions should the nurse include when providing discharge education to the client?
Correct Answer: C
Rationale: Surgery is a stressor requiring increased corticosteroid doses (
C) in Addison's disease to prevent adrenal crisis. Limiting sodium (
A) is inappropriate as Addison's patients need sodium. Fluid restriction (
B) is unnecessary. Avoiding hydrocortisone (
D) risks adrenal crisis.