ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful for diagnosing heart failure?
Correct Answer: A
Rationale: BNP (
A) is the most specific marker for heart failure, elevated due to cardiac pressure and volume overload. Troponin I (
B) indicates myocardial infarction. BUN (
C) may be elevated in heart failure but is less specific. Platelet levels (
D) are unrelated to heart failure diagnosis.
Question 2 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.
Question 3 of 5
A nurse is caring for a female client who has a diagnosis of Cushing syndrome. The client is embarrassed that she is experiencing hirsutism and severe acne. The nurse understands that these manifestations are caused by which of the following?
Correct Answer: B
Rationale: Hirsutism and acne in Cushing syndrome are caused by excess adrenal androgens (
B). Mineralocorticoids (
A) affect fluid balance. Thyroid hormone (
C) is unrelated. Glucocorticoids (
D) cause other symptoms, not these.
Question 4 of 5
A client with a history of hypothyroidism has accidentally been taking double her prescribed dose of levothyroxine. Which assessment findings would the nurse expect due to an excess of this medication?
Correct Answer: B
Rationale: Excess levothyroxine causes hyperthyroid symptoms like nervousness and tachycardia (
B). Weight gain and lethargy (
A) indicate hypothyroidism. Facial puffiness and constipation (
C) are hypothyroid symptoms. Hypotension and cold intolerance (
D) are associated with hypothyroidism, not excess levothyroxine.
Question 5 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.