ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client has been diagnosed with hypothyroidism. What information should the nurse obtain when conducting a focused assessment? Select all that apply.
Correct Answer: A,B,D
Rationale: Weight gain, constipation, and decreased energy are common in hypothyroidism due to slowed metabolism, reduced gastrointestinal motility, and fatigue. Rapid pulse may indicate hyperthyroidism or anxiety. Hypertension may indicate renal or cardiovascular disease.
Question 2 of 5
The nurse should teach a diabetic client that which symptom is indicative of hypoglycemia?
Correct Answer: D
Rationale: Nervousness is a symptom of hypoglycemia, as low blood glucose affects the brain, causing anxiety, irritability, confusion, and tremors. Anorexia may indicate nausea or depression. Warm skin may indicate fever or inflammation. Fruity breath indicates ketoacidosis, a complication of hyperglycemia.
Question 3 of 5
A nurse enters the room of a client with type 1 diabetes mellitus and finds the client difficult to arouse. The client's skin is warm and flushed and the pulse and respiratory rate are increased from the client's baseline. The nurse would first take which action?
Correct Answer: C
Rationale: Checking blood glucose first determines if the client has hyperglycemia or hypoglycemia, guiding treatment. Insulin, orange juice, or dextrose may be inappropriate without this information.
Question 4 of 5
A nurse is caring for a client with myasthenia gravis who is exhibiting signs of cholinergic crisis. Which medication does the nurse ensure is available to treat this crisis?
Correct Answer: A
Rationale: Atropine sulfate reverses cholinergic crisis by blocking acetylcholine effects. Pyridostigmine treats myasthenia gravis but not the crisis. Protamine sulfate reverses heparin. Acetylcysteine treats acetaminophen overdose.
Question 5 of 5
Which goal for the client's care should take priority when caring for a client admitted due to exacerbation of ulcerative colitis?
Correct Answer: A
Rationale: Managing diarrhea is the priority to prevent dehydration, electrolyte imbalance, malnutrition, and infection. Rest and comfort, self-esteem, and self-care are important but not the priority during an acute exacerbation.