ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
A 28-year-old female client who is in the first trimester of pregnancy is diagnosed with hyperthyroidism. Which of the following would be the preferred treatment for this client?
Correct Answer: D
Rationale: PTU (
D) is preferred for hyperthyroidism in the first trimester, safe for the fetus. Radioactive iodine (
A) is contraindicated in pregnancy. Levothyroxine (
B) treats hypothyroidism. Ketoconazole (
C) is not used for hyperthyroidism.
Extract:
Nurses Notes
0900:
Client is a 78-year-old female who was brought to the hospital via ambulance. The client's neighbor called 911 after checking on the client and finding the client confused and complaining of weakness. The neighbor states that the client has had "a thyroid problem" for years, and that the client mentioned recently that she hadn't picked up her medications due to an inability afford them. The client is lethargic, oriented to person and year, but uncertain of place and situation. S1 & S2 heard on auscultation of heart. Lungs clear in all lobes. Breathing is slow and shallow. Initial lab results show low Free T4 and elevated TSH. Provider notified, awaiting orders.
Vital Signs
0900:
Temperature: 35.6° C (96.1° F)
Heart rate: 49/min
Respiratory rate: 10/min
Blood pressure: 102/53 mm Hg
Oxygen saturation: 94% on room air
Question 2 of 5
Select the 3 interventions that the nurse should anticipate for this client.
Correct Answer: B,C,G
Rationale: The client's symptoms and lab results (low Free T4, elevated TSH) indicate hypothyroidism. PTU (
A) is for hyperthyroidism, not hypothyroidism. Warm blankets (
B) address hypothermia (35.6°
C). Cardiac monitoring (
C) is needed due to bradycardia (heart rate 49/min). A high-calorie diet (
D) is for hyperthyroidism, not hypothyroidism. Propranolol (E) manages hyperthyroid symptoms like tachycardia, not applicable here. Acetaminophen (F) is for fever, not hypothermia. Levothyroxine (G) treats hypothyroidism by replacing thyroid hormone.
Extract:
Question 3 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 4 of 5
A client is experiencing tachycardia and tremors. Lab values show elevated Free T4 and low thyroid stimulating hormone (TSH). Which diagnostic study will help the practitioner differentiate Graves' disease from other forms of hyperthyroidism?
Correct Answer: B
Rationale: RAIU test (
B) differentiates Graves' disease (high uptake) from other hyperthyroidism causes. Levothyroxine test (
A) is irrelevant. ACTH test (
C) assesses adrenal function. Thyroidectomy (
D) is a treatment, not a diagnostic test.
Question 5 of 5
At the beginning of the shift, a nurse receives report on the following four patients.Which patient should the nurse place priority on assessing first?
Correct Answer: B
Rationale: Confusion in a patient with Addison's disease (
B) suggests a possible adrenal crisis, a life-threatening condition requiring immediate assessment. Cushing syndrome with gynecomastia (
A) is less urgent. Graves' disease with exophthalmos (
C) is significant but not immediately life-threatening. Hypothyroidism with a request for a warm blanket (
D) indicates a stable symptom of feeling cold, which is less critical.