ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A client is scheduled to receive peritoneal dialysis. Which of the following is the highest priority action that the nurse should perform before starting dialysis?
Correct Answer: A
Rationale: Weighing assesses fluid status, guiding dialysis goals. Fowler's is during dialysis, pain meds are secondary, and Trendelenburg is irrelevant.
Question 2 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: C
Rationale: Carvedilol, a non-selective beta-blocker, risks bronchospasm in asthma. Fluticasone , captopril , and isosorbide are safe for asthma and heart failure.
Question 3 of 5
During thyroid surgery, the client's parathyroid glands have been damaged. Which condition does the nurse expect the client to develop?
Correct Answer: D
Rationale: Parathyroid damage reduces PTH, causing hypocalcemia and tetany. Thyroid cancer , goiter , and Graves' are thyroid-related, not parathyroid.
Question 4 of 5
The clinic nurse is reviewing the client's symptoms which include hair loss, feeling tired, always being very cold, and having constipation. Which of the following complications may arise if the patient does not receive treatment?
Correct Answer: A
Rationale: Untreated hypothyroidism progresses to myxedema, causing fatigue, cold intolerance, and constipation. Hypocalcemia is parathyroid-related, pericarditis is late, and thyroid crisis is hyperthyroid.
Question 5 of 5
Which of the following medications would be appropriate for heart failure treatment?
Correct Answer: D
Rationale: Furosemide reduces fluid overload in heart failure, relieving edema. Diphenhydramine is an antihistamine, epinephrine increases cardiac workload, and PTU treats hyperthyroidism, all irrelevant.