ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is caring for a client after a subtotal thyroidectomy. Which of the following manifestations would lead the nurse to suspect that the procedure caused damage to the client's parathyroid glands?
Correct Answer: B
Rationale: Muscle twitching and tingling (
B) indicate hypocalcemia from parathyroid damage. Hypercalcemia and hyperkalemia (
A) suggest overactive parathyroids. Breath sounds (
C) are respiratory. Hyperthermia and hypertension (
D) are unrelated.
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 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.