ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A client with chronic renal failure is asking the nurse why her hemoglobin and hematocrit counts are low. Which of the following is the nurse's best response?
Correct Answer: B
Rationale: Kidneys in chronic renal failure fail to produce erythropoietin, a hormone stimulating red blood cell production, causing anemia. Heparin prevents clotting, blood loss is minimal, and protein intake isn't the primary driver.
Question 2 of 5
A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: C
Rationale: Levothyroxine replaces deficient thyroid hormone in hypothyroidism, normalizing metabolism. Radioactive iodine treats hyperthyroidism, sumatriptan is for migraines, and levofloxacin is an antibiotic, all irrelevant.
Question 3 of 5
A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?
Correct Answer: A
Rationale: Hypothyroidism slows metabolism, causing weight gain from fat accumulation and fluid retention. Diaphoresis , exophthalmos , and palpitations are hyperthyroid symptoms, not hypothyroidism.
Question 4 of 5
A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?
Correct Answer: D
Rationale: Excess levothyroxine mimics hyperthyroidism, causing tremors, nervousness, and insomnia, indicating a high dose. Symptoms take weeks to improve , levothyroxine supplements, not reduces, thyroxine , and it's lifelong .
Question 5 of 5
The nurse is caring for a client with suspected liver cancer and is providing education related to a needle biopsy procedure. Which of the following statements by the client would require further teaching?
Correct Answer: B
Rationale: Lying on the right side, not left, applies pressure to the liver biopsy site to prevent bleeding. Bedrest , stopping warfarin , and diagnosing cancer are correct.