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ATI Med Surg Woolery Final Exam Questions

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Question 1 of 5

A client is scheduled for an adrenocorticotropic hormone (ACTH) stimulation test to help diagnose suspected Addison's disease. What should the nurse include when teaching the client about this test?

Correct Answer: D

Rationale: ACTH is produced by the pituitary gland and stimulates the adrenal glands to produce cortisol. The ACTH stimulation test assesses how well the adrenal glands respond to ACTH, which is crucial for diagnosing conditions like Addison’s disease.

Question 2 of 5

A client is in the oliguric phase of acute kidney injury (AKI) which was caused by massive tissue trauma. The nurse notes peaked T-waves and a widened QRS complex on the cardiac monitor. What is the first action the nurse should take?

Correct Answer: A

Rationale: Peaked T-waves and widened QRS complex suggest hyperkalemia, which should be confirmed by checking potassium levels.

Question 3 of 5

A client who is postoperative following a transurethral resection of the prostate (TURP) is receiving continuous bladder irrigation. The nurse notes that the urine output has slowed significantly, and the urine is bright red. Which is the priority nursing action?

Correct Answer: A

Rationale: Bright red urine and slowed output may indicate a clot or obstruction, requiring immediate notification of the surgeon.

Question 4 of 5

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

Correct Answer: A

Rationale: Increased energy levels indicate that levothyroxine is effectively treating hypothyroidism symptoms.

Question 5 of 5

A client with diabetes and hypertension describes seeing 'floaters' and flashes of light in their field of vision. The nurse understands that this description is indicative of which disorder?

Correct Answer: A

Rationale: Floaters and flashes of light are classic symptoms of retinal detachment.

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A nurse is admitting a client who has Guillain-Barre syndrome. The client complains of an inability to move both legs and reports a tingling sensation above the waistline. Which is the most important piece of equipment for the nurse to keep at this client's bedside?
A nurse in an ophthalmology clinic is assessing a client who has suspected primary open-angle glaucoma (PAOG). Which assessment finding would support a diagnosis of this type of glaucoma?
A nurse is admitting a client who is experiencing an Addisonian crisis. Which of the following should the nurse anticipate an order for?

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