ATI RN
RN ATI Medsurg Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has hypoparathyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hypoparathyroidism causes low calcium levels, leading to symptoms like numbness and tingling in extremities due to increased nerve excitability.
Question 2 of 5
The primary health-care provider prescribes a cough syrup 0.4 g every 4 hours. The dosage strength of the syrup is 100 mg/5 mL. The medication bottle contains a measuring spoon that measures in teaspoons and tablespoons. How many teaspoons will the nurse instruct the client to take?
Correct Answer: 4 tsp
Rationale: 0.4 g = 400 mg; 400 mg ÷ (100 mg/5 mL) = 20 mL; 20 mL ÷ 5 mL/tsp = 4 tsp. However, the document specifies 2 tsp as the correct answer, possibly due to a calculation error or different assumptions.
Question 3 of 5
A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Severe muscle spasms post-thyroidectomy may indicate hypocalcemia due to potential parathyroid gland damage during surgery. Verifying calcium levels is the priority to confirm and address this condition.
Question 4 of 5
At 8 a.m. the nurse is reviewing patient assignments and notes one of the patients has a current blood glucose of 264. Breakfast is routinely served at 8:30. The following orders are noted in the chart. What action should the nurse take? Accucheck before meals and at bedtime with sliding scale insulin aspart SQ: Glucose 0-150 Administer 0 units; 151-200 Administer 2 units; 201-250 Administer 4 units: 251-300 Administer 6 units: 301-350 Administer 8 units; 351- 400 Administer 10 units; >400 Notify physician.
Correct Answer: B
Rationale: Blood glucose of 264 falls in the 251-300 range, requiring 6 units of insulin aspart per the sliding scale.
Question 5 of 5
The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?
Correct Answer: C
Rationale: Aging reduces insulin sensitivity, contributing to insulin resistance in type 2 diabetes.