ATI RN
ATI Nursing Proctored Pediatric Test Banks Questions
Question 1 of 5
An adult had a total thyroidectomy. Which statement by the client demonstrates to the nurse an adequate understanding of long term care?
Correct Answer: A
Rationale: An adult who had a total thyroidectomy will no longer be able to produce thyroid hormones naturally. Therefore, the client will need to take replacement hormones for the rest of their life to maintain normal bodily functions and prevent complications associated with hypothyroidism. This statement demonstrates an adequate understanding of the long-term care needed after a total thyroidectomy. The other options do not accurately reflect the necessary long-term care for someone who has undergone a total thyroidectomy.
Question 2 of 5
A total thyroidectomy is ordered following discovery of a cold nodule. In this case of hyperthyroidism versus malignancy, the nurse anticipates that the patient will have:
Correct Answer: A
Rationale: A total thyroidectomy is the removal of the entire thyroid gland. In the case of a cold nodule, which may indicate malignancy, a total thyroidectomy is usually performed to ensure complete removal of the potentially cancerous tissue. Hyperthyroidism, on the other hand, can often be managed with medication or a partial thyroidectomy, depending on the underlying condition. In this scenario, the presence of a cold nodule suggests a higher likelihood of malignancy, hence the need for a total thyroidectomy.
Question 3 of 5
A client asks the nurse about the four-point gait when partial weight bearing is permitted. What is the nurse's BEST response?
Correct Answer: A
Rationale: In the four-point gait when partial weight bearing is permitted, the correct technique is to move the right crutch ahead, then follow with the left foot. This technique provides the most stability and support for the individual while allowing for proper weight distribution and balance. Moving the crutches and legs in a coordinated fashion helps prevent falls and ensures the safe ambulation of the client.
Question 4 of 5
Mr. Chua has developed liver cirrhosis. Nurse Bea expects alteration in which laboratory values?
Correct Answer: B
Rationale: Liver cirrhosis affects the liver's ability to produce proteins that are important for blood clotting, including prothrombin. Therefore, in a patient with liver cirrhosis, Nurse Bea would expect an alteration in the prothrombin time, which measures the time it takes for the blood to clot. A prolonged prothrombin time indicates impaired blood clotting function, which is commonly seen in patients with liver disease such as cirrhosis. It is an important laboratory value to monitor in patients with liver cirrhosis to assess their risk of bleeding complications.
Question 5 of 5
After a 3- month trail of dietary therapy, a client with type2 diabetes mellitus still has blood glucose levels above 180 mg/dl. The physician adds glyburide (DiaBeta), 2.5 mg P.O. daily, to the treatment regimen. The nurse should instruct the client to take glyburide:
Correct Answer: D
Rationale: Glyburide (DiaBeta) is a sulfonylurea medication used to treat type 2 diabetes mellitus by stimulating the pancreas to release more insulin. Taking glyburide at bedtime is recommended because it helps to ensure that the medication's peak action aligns with the natural rise in blood glucose levels in the early morning hours, which can help control fasting blood glucose levels. Additionally, taking glyburide in the evening reduces the risk of hypoglycemia during the day when the client may be more active and less likely to monitor blood glucose levels closely.