ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
A client in a primary care provider's office has a new diagnosis of hypothyroidism. The nurse understands that the client should be screened for which of the following conditions common in people who have hypothyroidism?
Correct Answer: B
Rationale: Hypothyroidism reduces metabolism, increasing cholesterol and triglycerides, necessitating hyperlipidemia screening (
B). Hyperthermia (
A) is incorrect; hypothermia is more likely. Agitation (
C) and insomnia (
D) are associated with hyperthyroidism.
Question 2 of 5
A client in a primary care provider's office has a new diagnosis of hypothyroidism. The nurse understands that the client should be screened for which of the following conditions common in people who have hypothyroidism?
Correct Answer: B
Rationale: Hypothyroidism reduces metabolism, increasing cholesterol and triglycerides, necessitating hyperlipidemia screening (
B). Hyperthermia (
A) is incorrect; hypothermia is more likely. Agitation (
C) and insomnia (
D) are associated with hyperthyroidism.
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 hypokalemia, hyperglycemia, and hypertension. A diagnosis of Cushing syndrome is suspected.Which of the following tests would the nurse anticipate the health care provider will order to help confirm the diagnosis of Cushing syndrome?
Correct Answer: B
Rationale: The 24-hour cortisol urine study (
B) measures cortisol levels to confirm Cushing syndrome, characterized by excess cortisol. Radioactive iodine uptake (
A) is for thyroid disorders. ACTH stimulation test (
C) assesses adrenal insufficiency, not Cushing syndrome. Edrophonium test (
D) diagnoses myasthenia gravis, unrelated to Cushing syndrome.
Question 5 of 5
A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 75
Rationale:
To calculate the infusion rate, divide total volume (1800 mL) by infusion time (24 hr): 1800 / 24 = 75 mL/hr.