ATI RN
RN ATI Medsurg Questions
Question 1 of 5
A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Severe muscle spasms post-thyroidectomy may indicate hypocalcemia due to potential parathyroid gland damage during surgery. Verifying calcium levels is the priority to confirm and address this condition.
Question 2 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: D
Rationale: Regular insulin is fast-acting and administered intravenously in DKA to rapidly lower blood glucose and correct metabolic imbalances, unlike slower-acting insulins.
Question 3 of 5
A nurse is caring for a client who has chronic hypothyroidism. For which of the following conditions should the nurse monitor?
Correct Answer: C
Rationale: Lethargy is a hallmark symptom of hypothyroidism due to slowed metabolism from insufficient thyroid hormone production.
Question 4 of 5
A nurse is assessing a client who has hypoparathyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hypoparathyroidism causes low calcium levels, leading to symptoms like numbness and tingling in extremities due to increased nerve excitability.
Question 5 of 5
A patient is scheduled for surgery to remove a tumor of the anterior pituitary. Which hormone should the nurse expect to be affected by this surgery? Select all that apply.
Correct Answer: A,B,D,E
Rationale: The anterior pituitary produces TSH, prolactin, gonadotropins, and ACTH, so surgery may disrupt these hormones. Oxytocin is produced by the posterior pituitary, unaffected by this surgery.