ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
A client who takes daily hormone replacement therapy for Addison's disease is scheduled for an outpatient surgical procedure. Which of the following instructions should the nurse include when providing discharge education to the client?
Correct Answer: C
Rationale: Surgery is a stressor requiring increased corticosteroid doses (
C) in Addison's disease to prevent adrenal crisis. Limiting sodium (
A) is inappropriate as Addison's patients need sodium. Fluid restriction (
B) is unnecessary. Avoiding hydrocortisone (
D) risks adrenal crisis.
Question 2 of 5
A client complaining of weight gain and acne undergoes laboratory testing, which reveals elevated cortisol levels and hyperglycemia. The client has no prior medical history, and does not take any medications. After further testing and imaging to determine the cause of the elevated cortisol levels, the client is diagnosed with Cushing disease caused by a pituitary adenoma. Which of the following statements should the nurse include when teaching the client about this diagnosis?
Correct Answer: B
Rationale: Cushing disease from a pituitary adenoma requires surgical removal of the pituitary tumor, not adrenal glands (
B). Tapering corticosteroids (
A) is irrelevant as the client isn't taking them. Hydrocortisone (
C) is for Addison's disease. Glucose checks (
D) are secondary to addressing the tumor.
Question 3 of 5
A client is experiencing tachycardia and tremors. Lab values show elevated Free T4 and low thyroid stimulating hormone (TSH). Which diagnostic study will help the practitioner differentiate Graves' disease from other forms of hyperthyroidism?
Correct Answer: B
Rationale: RAIU test (
B) differentiates Graves' disease (high uptake) from other hyperthyroidism causes. Levothyroxine test (
A) is irrelevant. ACTH test (
C) assesses adrenal function. Thyroidectomy (
D) is a treatment, not a diagnostic test.
Question 4 of 5
A nurse is providing dietary teaching for a client who has Graves' disease. Which of the following statements made by the client indicates a need for further teaching by the nurse?
Correct Answer: D
Rationale: Six full meals (
D) is excessive; smaller, frequent, high-calorie meals are better for Graves' disease. Protein and carbohydrates (
A), avoiding caffeine (
B), and high-fiber diet (
C) are appropriate.
Question 5 of 5
A nurse is providing education to a client who has a new diagnosis of Addison's disease. The nurse determines that additional teaching is needed when the client makes which of the following statements?
Correct Answer: B
Rationale: Holding hydrocortisone during infection (
B) is incorrect; dose may need to increase. Medical alert bracelet (
A), twice-daily hydrocortisone (
C), and high-sodium diet (
D) are correct.