ATI RN
ATI Med Surg Woolery Q5 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is experiencing an Addisonian crisis. Which of the following should the nurse anticipate an order for?
Correct Answer: A
Rationale: Addisonian crisis requires immediate IV hydrocortisone (
A) to replace deficient glucocorticoids. Ketoconazole and insulin (
B) are unrelated. Lactated Ringer's (
C) supports hydration but isn't primary. Furosemide (
D) is a diuretic, inappropriate for crisis.
Question 2 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 3 of 5
A client who has hypothyroidism will be undergoing surgery for a total knee replacement. When planning care for this client, the nurse understands which of the following to be true for people who have hypothyroidism?
Correct Answer: D
Rationale: Hypothyroidism reduces metabolism, increasing opioid sensitivity, requiring lower doses (
D). Hyperthermia (
A) is incorrect; hypothermia is more likely. Levothyroxine (
B) shouldn't be held without guidance. Tachycardia (
C) is associated with hyperthyroidism.
Question 4 of 5
Which pharmacologic therapy does the nurse anticipate administering to a client who is experiencing acute thyrotoxicosis?
Correct Answer: C
Rationale: Ketoconazole (
C) inhibits thyroid hormone production, used in acute thyrotoxicosis. Acetaminophen (
A) treats fever, not thyrotoxicosis. Furosemide (
B) is a diuretic. Levothyroxine (
D) treats hypothyroidism.
Question 5 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.